Field-Based LTSS Care Manager & Care Coordination

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

Benefits offered by this job

Competitive benefits

Job summary

Molina Healthcare is seeking a Care Management professional in Illinois to support LTSS-specific activities and coordinate member care across a multidisciplinary team. The role focuses on ensuring progress toward outcomes and contributing to cost-effective, high-quality member care.

Responsibilities include member assessments, waiver enrollment/disenrollment, care plan development, monitoring outcomes, and collaborating with the ICT and care network. Local travel 25-40% may be required.

Qualifications

• Minimum 2 years of health care experience, including LTSS/care management exposure.
• Licensure and/or certification required only if stated by state contract; if licensed, active and unrestricted.
• Bachelor’s degree in health care may be required in some states.
• Valid and unrestricted driver's license for job-related travel.
• Demonstrated knowledge of community resources and ability to work independently.
• Proficiency in Microsoft Office and navigating online portals/databases.
• Experience with individuals with substance use disorders in some states is preferred.

Responsibilities

• Complete comprehensive member assessments within regulated timelines, including in-person visits as required.
• Facilitate comprehensive waiver enrollment and disenrollment processes.
• Develop and implement care plans with members, caregivers, physicians and care team.
• Monitor care plan effectiveness and adjust interventions as needed.
• Promote integration of LTSS with behavioral health and community resources.
• Assess for medical necessity and authorize waiver services.
• Collaborate with ICT meetings for approvals/denials.

Skills

Health care experience

Care management

LTSS knowledge

Communication skills

Driver's license

Problem-solving

Education

Bachelor's degree in health care

Licensure/certification may be required

Tools

Microsoft Office

Online portals/databases

Job description

Molina Healthcare is seeking a Care Management professional in Illinois to support LTSS-specific activities and coordinate member care across a multidisciplinary team. The role focuses on ensuring progress toward outcomes and contributing to cost-effective, high-quality member care.

Responsibilities include member assessments, waiver enrollment/disenrollment, care plan development, monitoring outcomes, and collaborating with the ICT and care network. Local travel 25-40% may be required.