Care Manager: LTSS & Integrated Care Lead

Molina Healthcare, Inc.; Joliet (IL); On-site; USD 35,000 - 68,000; Full time

Job summary

Molina Healthcare is seeking a Care Management professional to support LTSS activities and collaborate with a multidisciplinary team to coordinate member care across the continuum. The role emphasizes home visits, care planning, and ensuring progress toward outcomes.

Ideal candidates have healthcare experience with LTSS, a valid driver's license, and strong communication skills. Travel up to 40% may be required, and competitive benefits are offered.

Qualifications

• Minimum 2 years health care experience with LTSS preferred.
• At least 1 year in care management or equivalent setting.
• Valid driver license and reliable transportation.

Responsibilities

• Complete comprehensive member assessments within regulated timelines.
• Facilitate waiver enrollment and disenrollment processes.
• Develop and implement care plans with care team and members.
• Monitor care plan effectiveness and document interventions.
• Promote integration of LTSS, behavioral health, and community resources.
• Assess medical necessity and authorize waiver services.
• Evaluate benefits and advise on funding sources.
• Lead ICT meetings for service approval/denial.

Skills

Care coordination

Home visits

Medical terminology

Communication

Travel planning

Education

Bachelor's degree in health care related field

Tools

Microsoft Office

Online portals

Job description

Molina Healthcare is seeking a Care Management professional to support LTSS activities and collaborate with a multidisciplinary team to coordinate member care across the continuum. The role emphasizes home visits, care planning, and ensuring progress toward outcomes.

Ideal candidates have healthcare experience with LTSS, a valid driver's license, and strong communication skills. Travel up to 40% may be required, and competitive benefits are offered.