Care Manager – LTSS & Waiver Coordination (Travel)

Molina Healthcare, Inc.; Naperville (IL); Presencial; USD 35.000 - 68.000; Jornada completa

Ventajas ofrecidas por este puesto de trabajo

Competitive benefits

Descripción de la vacante

Molina Healthcare seeks a Care Manager to support LTSS-focused activities and coordinate member care across diverse settings. You will work with a multidisciplinary team to ensure high-need members progress toward outcomes and cost-effective care delivery.

Responsibilities include assessments, waiver processes, care plan development, and ongoing monitoring. Travel up to 40% may be required depending on state/contractual requirements.

Formación

• At least 2 years healthcare experience with LTSS and care management.

Responsabilidades

• Complete comprehensive member assessments within regulated timelines, including in-person home visits.
• Facilitate comprehensive waiver enrollment and disenrollment processes.
• Develop and implement care plans with members, caregivers, physicians and care team.
• Perform ongoing monitoring of care plan effectiveness and adjust accordingly.
• Promote integration of services across LTSS, behavioral health, and community resources.
• Assess medical necessity and authorize waiver services.
• Facilitate ICT meetings for approvals/denials.
• Travel 25-40% locally as required.

Conocimientos

Healthcare experience

LTSS experience

Care management

Driver's license

Communication skills

Microsoft Office

Travel readiness

Interdisciplinary collaboration

People skills

Educación

Bachelor's degree in health care related field

Herramientas

Microsoft Office

Descripción del empleo

Molina Healthcare seeks a Care Manager to support LTSS-focused activities and coordinate member care across diverse settings. You will work with a multidisciplinary team to ensure high-need members progress toward outcomes and cost-effective care delivery.

Responsibilities include assessments, waiver processes, care plan development, and ongoing monitoring. Travel up to 40% may be required depending on state/contractual requirements.