Care Manager: LTSS & Waiver Services

Jobtome; Mendota Township (IL); On-site; USD 35,000 - 68,000; Full time

Job summary

Molina Healthcare seeks a care management professional to support LTSS care coordination. You will perform member assessments, develop care plans, monitor progress, and coordinate with the interdisciplinary team to ensure quality, cost-effective care.

Travel up to 25-40% may be required. Candidates should have healthcare experience, care management exposure, strong communication skills, and a valid driver's license to fulfill field responsibilities.

Qualifications

• 2+ years health care experience, LTSS exposure, and care management experience.
• Clinical licensure/certification required only if state contract mandates it; active if required.
• Bachelor's degree in health care may be required in some states.

Responsibilities

• Completes comprehensive member assessments within timelines, including in-person home visits.
• Facilitates waiver enrollment/disenrollment processes.
• Develops and implements care plans with members and care network.
• Monitors care plans, documents interventions and outcomes.
• Promotes integration of LTSS and behavioral health services.
• Assesses medical necessity and authorizes waiver services.
• Coordinates with ICT for approval/denial of services.
• Uses motivational interviewing to educate and support member change.
• Identifies barriers to care and helps address psycho/social, financial, and medical obstacles.
• Identifies critical incidents and develops prevention plans.
• Collaborates with licensed care managers as needed.
• 25-40% local travel may be required.

Skills

Health care experience

Care management

Communication skills

Driver's license

Tools

Microsoft Office

Job description

Molina Healthcare seeks a care management professional to support LTSS care coordination. You will perform member assessments, develop care plans, monitor progress, and coordinate with the interdisciplinary team to ensure quality, cost-effective care.

Travel up to 25-40% may be required. Candidates should have healthcare experience, care management exposure, strong communication skills, and a valid driver's license to fulfill field responsibilities.