Care Manager, LTSS & Waiver Services

Jobtome; Batavia Township (IL); On-site; USD 33,000 - 64,000; Full time

Job summary

Molina Healthcare is seeking a care management professional to support LTSS care coordination, collaborating with a multidisciplinary team to deliver integrated member care across settings.

The role involves completing assessments, enabling waiver processes, developing and monitoring care plans, promoting service integration, and ensuring timely authorization of waiver services, with travel 25-40% as required.

Qualifications

• At least 2 years of health care experience, including LTSS experience.
• Clinical licensure and/or certification required ONLY if state contract mandates.
• Valid driver's license, reliable transportation for travel.
• Ability to work with diverse populations and manage multiple projects.
• Strong verbal and written communication skills.

Responsibilities

• Completes comprehensive member assessments within regulated timelines, including in-person home visits as required.
• Facilitates waiver enrollment and disenrollment processes.
• Develops and implements care plans with members, caregivers, and providers.
• Monitors care plans, documents interventions and goals, adjusts as needed.
• Promotes integration of LTSS, behavioral health, and community resources.
• Assesses medical necessity and authorizes waiver services.
• Coordinates ICT meetings for approvals/denials and collaboration.
• Educates and motivates members using motivational interviewing and clinical guidelines.
• Identifies barriers to care and coordinates psycho/social, financial, and medical support.
• Travel 25-40% may be required according to state/contractual needs.

Skills

Care coordination

Healthcare experience

Care management

Strong communication

Time-management

Tools

Microsoft Office

Online portals

Job description

Molina Healthcare is seeking a care management professional to support LTSS care coordination, collaborating with a multidisciplinary team to deliver integrated member care across settings.

The role involves completing assessments, enabling waiver processes, developing and monitoring care plans, promoting service integration, and ensuring timely authorization of waiver services, with travel 25-40% as required.