Care Manager - LTSS & Waiver Services Lead

Molina Healthcare; Watseka (IL); On-site; USD 35,000 - 68,000; Full time

Benefits offered by this job

Competitive benefits

Job summary

Molina Healthcare in Illinois is seeking an experienced care manager to support LTSS care coordination. You will collaborate with a multidisciplinary team to coordinate member care across the continuum and ensure progress toward outcomes.

The role requires completing assessments, enrolling waivers, developing and monitoring care plans, and navigating barriers to care. Travel 25-40% may be required based on state contracts.

Qualifications

• Minimum 2 years health care experience, LTSS preferred.
• Clinical licensure/certification required if state contract mandates.
• Valid driver's license and reliable transportation.

Responsibilities

• Complete comprehensive member assessments within regulated timelines.
• Facilitate waiver enrollment/disenrollment.
• Develop and implement care plans with members and caregivers.
• Monitor care plans and adjust as needed.
• Coordinate LTSS with behavioral health and community resources.
• Assess medical necessity and authorize waiver services.
• Collaborate with interdisciplinary care team meetings.

Skills

Healthcare experience

LTSS experience

Care management

Licensure/certification

Driver's license

Community resources

Independence

Time management

Communication skills

Microsoft Office

Substance use disorders experience

Education

Bachelor's degree in healthcare

Tools

Microsoft Office

Job description

Molina Healthcare in Illinois is seeking an experienced care manager to support LTSS care coordination. You will collaborate with a multidisciplinary team to coordinate member care across the continuum and ensure progress toward outcomes.

The role requires completing assessments, enrolling waivers, developing and monitoring care plans, and navigating barriers to care. Travel 25-40% may be required based on state contracts.