Care Manager — LTSS & Waiver Services Lead

Molina Healthcare; Mattoon (IL); On-site; USD 34,000 - 68,000; Full time

Job summary

Molina Healthcare offers a care coordination role focused on LTSS, collaborating with multidisciplinary teams to ensure quality, cost-effective member care. You will assess needs, develop and monitor care plans, and facilitate waiver enrollment and service delivery to high-need members.

Required are 2+ years of healthcare experience, knowledge of community resources, and strong communication skills. Roles involve travel (25-40%) and successful navigation of diverse care settings to optimize

Qualifications

• 2+ years health care experience, LTSS exposure preferred.
• Licensure/certification required only if mandated by state contract/regulation.
• Bachelor's degree may be required in some states.
• Valid driver's license and transportation for travel.
• Strong communication and ability to work independently.

Responsibilities

• Complete comprehensive member assessments within regulated timelines.
• Facilitate waiver enrollment/disenrollment processes.
• Develop and implement care plans with members and providers.
• Monitor care plan effectiveness and adjust as needed.
• Coordinate LTSS and behavioral health services across settings.
• Assess medical necessity and approve waiver services.
• Lead ICT meetings for service decisions.
• Travel up to 25-40% as required by state contracts.

Skills

Verbal and written communication

Time management

Problem-solving

Independence and self-motivation

Adaptability across diverse settings

_relationship building

Education

Bachelor's degree in a health care related field

Clinical licensure/certification (as required by state contract)

Tools

Microsoft Office

Online portals and databases navigation

Job description

Molina Healthcare offers a care coordination role focused on LTSS, collaborating with multidisciplinary teams to ensure quality, cost-effective member care. You will assess needs, develop and monitor care plans, and facilitate waiver enrollment and service delivery to high-need members.

Required are 2+ years of healthcare experience, knowledge of community resources, and strong communication skills. Roles involve travel (25-40%) and successful navigation of diverse care settings to optimize