Field Care Manager: Integrated Care & LTSS Lead

Molina Healthcare; Illinois; On-site; USD 34,000 - 68,000; Full time

Job summary

Molina Healthcare is seeking a Care Manager to support care coordination for LTSS, collaborating with a multidisciplinary team to deliver integrated member care across settings. You will conduct assessments, develop care plans, and monitor progress toward outcomes, while addressing barriers to care.

Responsibilities include facilitating waiver activities, ensuring medical necessity, and coordinating with ICT teams. Travel of about 25–40% may be required based on state contracts.

Qualifications

• At least 2 years in health care, with LTSS experience.
• 1 year in care management or medical/behavioral health setting.
• Active license if required by state contract.
• Valid driver's license and reliable auto insurance.
• Knowledge of community resources.
• Ability to work independently and manage multiple projects.
• Experience with substance use disorder populations is a plus.

Responsibilities

• Complete comprehensive member assessments within timelines, including in-person home visits.
• Facilitate waiver enrollment and disenrollment processes.
• Develop and implement care plans with members, caregivers, and clinicians.
• Monitor care plan effectiveness, document interventions and goals.
• Promote integration of behavioral health and LTSS services for continuity of care.
• Assess medical necessity and authorize waiver services.
• Collaborate with ICT meetings for approval/denial of services and motivate change.
• Travel 25-40% as required based on state/contractual requirements.

Skills

Care coordination

Disability experience

Chronic conditions

Communication skills

Time management

Problem-solving

Education

Bachelor's degree in healthcare field

Tools

Microsoft Office

Job description

Molina Healthcare is seeking a Care Manager to support care coordination for LTSS, collaborating with a multidisciplinary team to deliver integrated member care across settings. You will conduct assessments, develop care plans, and monitor progress toward outcomes, while addressing barriers to care.

Responsibilities include facilitating waiver activities, ensuring medical necessity, and coordinating with ICT teams. Travel of about 25–40% may be required based on state contracts.