Field-Based LTSS Care Coordination Specialist

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

Job summary

Molina Healthcare is seeking a Care Coordinator to support LTSS-specific activities and coordinate care across a multidisciplinary team. You will drive waiver enrollment processes, develop and monitor care plans, and collaborate with caregivers, physicians, and support networks to improve member outcomes.

Responsibilities include assessing medical necessity, coordinating services, and facilitating ICT meetings.

Qualifications

• At least 2 years health care experience including LTSS
• 1 year in care management or medical/behavioral health setting
• Clinical licensure and/or certification as required by state contract (if applicable)
• Bachelor's degree in health care-related field may be required by state
• Valid driver's license, reliable transportation, and auto insurance
• Demonstrated knowledge of community resources
• Ability to work in diverse settings and with varied populations
• Strong communication skills; proactive and independent work style
• Experience with substance use disorders (where required)

Responsibilities

• Conduct comprehensive member assessments within regulated timelines.
• Facilitate waiver enrollment/disenrollment processes.
• Develop and implement care plans with members, caregivers, and providers.
• Monitor care plan effectiveness and document outcomes.
• Promote integration of LTSS and behavioral health services.
• Assess medical necessity and authorize waiver services.
• Evaluate benefits and funding sources.
• Lead ICT meetings for service approvals/denials.
• Use motivational interviewing and Molina clinical guideposts.
• Address psycho/social, financial, and medical barriers to care.
• Identify critical incidents and develop prevention plans.
• Collaborate with licensed care managers as needed.

Skills

Care coordination

Interdisciplinary collaboration

Verbal and written communication

Time management

Problem-solving

Self-motivation

Education

Bachelor's degree in health care related field

Clinical licensure/certification (if required by state contract)

Tools

Microsoft Office

Job description

Molina Healthcare is seeking a Care Coordinator to support LTSS-specific activities and coordinate care across a multidisciplinary team. You will drive waiver enrollment processes, develop and monitor care plans, and collaborate with caregivers, physicians, and support networks to improve member outcomes.

Responsibilities include assessing medical necessity, coordinating services, and facilitating ICT meetings.