Care Manager - LTSS & Waiver Services

Molina Healthcare, Inc.; Rantoul (IL); Vor Ort; USD 35.000 - 68.000; Vollzeit

Benefits dieser Stelle

Competitive benefits

Zusammenfassung

Molina Healthcare, Inc. is seeking a care coordination professional to support LTSS programs. The role involves completing member assessments, coordinating with a multidisciplinary team, and developing care plans aimed at improving outcomes and reducing costs.

Responsibilities include monitoring plans, assessing barriers to care, and facilitating waiver enrollment. A valid driver’s license and field travel are required in many states.

Qualifikationen

• Requires 2+ years health care experience with LTSS and care management.
• Licensure/certification required only if state contract dictates.
• Bachelor's degree may be required depending on state rules.
• Valid driver's license and reliable transportation for field travel.

Aufgaben

• Complete comprehensive member assessments within timelines, including in-person home visits.
• Facilitate waiver enrollment/disenrollment processes.
• Develop and implement care plans with members, caregivers, physicians, and care team.
• Monitor care plan effectiveness and adjust as needed.
• Coordinate LTSS services with behavioral health and community resources.
• Assess medical necessity and authorize waiver services.
• Support interdisciplinary care team meetings for decisions.
• Travel 25-40% as required by state/contractual requirements.

Kenntnisse

Care coordination

Healthcare experience

Disability/ LTSS experience

Communication skills

Time management

Multidisciplinary collaboration

Ausbildung

Bachelor's degree in a health care related field

Clinical licensure/certification (if required by state)

Driver's license

Tools

Microsoft Office

Jobbeschreibung

Molina Healthcare, Inc. is seeking a care coordination professional to support LTSS programs. The role involves completing member assessments, coordinating with a multidisciplinary team, and developing care plans aimed at improving outcomes and reducing costs.

Responsibilities include monitoring plans, assessing barriers to care, and facilitating waiver enrollment. A valid driver’s license and field travel are required in many states.