Care Manager - LTSS & Waiver Services

Molina Healthcare; Mount Vernon (IL); On-site; USD 3,472,000 - 6,771,000; Full time

Benefits offered by this job

Competitive benefits

Job summary

Molina Healthcare in the United States seeks a care coordination professional focused on LTSS, waivers, and integrated member care. You will partner with a multidisciplinary team to ensure outcomes while supporting cost-effective care across the continuum.

This role emphasizes proactive problem solving, strong communication, and the ability to travel regionally to complete in-home assessments and ensure plan effectiveness for high-need members.

Qualifications

• At least 2 years of health care experience including LTSS and care management.
• Valid driver's license, reliable transportation for travel.
• Knowledge of community resources.
• Ability to work independently with minimal supervision.
• Strong verbal and written communication skills.
• Proficiency with Microsoft Office and online portals.
• Experience with individuals with substance use disorders (where required).

Responsibilities

• Complete comprehensive member assessments within regulated timelines, including in-person home visits.
• Facilitate waiver enrollment and disenrollment processes.
• Develop and implement care plans with members and care networks.
• Monitor care plans, document interventions, and adjust as needed.
• Promote integration of LTSS with behavioral health and community resources.
• Assess medical necessity and authorize waiver services.
• Collaborate with the interdisciplinary care team for approvals.
• Educate and motivate change using motivational interviewing.
• Identify barriers and provide coordination for psycho/social, financial, and medical obstacles.
• Identify critical incidents and develop prevention plans; travel 25-40% may be required.

Skills

Communication skills

Independent work

Time management

Problem solving

Detail oriented

Adaptability

Self-motivation

Verbal and written communication

Education

Healthcare-related degree (Bachelor's)

Clinical licensure/certification (if required)

Tools

Microsoft Office

Online portals

Job description

Molina Healthcare in the United States seeks a care coordination professional focused on LTSS, waivers, and integrated member care. You will partner with a multidisciplinary team to ensure outcomes while supporting cost-effective care across the continuum.

This role emphasizes proactive problem solving, strong communication, and the ability to travel regionally to complete in-home assessments and ensure plan effectiveness for high-need members.