Field Care Manager: LTSS Care Coordinator

Molina Healthcare; Downers Grove (IL); On-site; USD 347,000 - 676,000; Full time

Job summary

Molina Healthcare in Downers Grove, IL seeks a care coordination professional to support LTSS services, collaborating with a multidisciplinary team to deliver integrated member care. You will ensure progress toward outcomes and help implement strategies for high-need members.

Responsibilities include comprehensive assessments, waiver processes, care plan development, and ongoing monitoring. Travel up to 40% may be required depending on state contracts and member needs.

Qualifications

• At least 2 years of health care experience, including LTSS.
• 1 year in care management or related field or equivalent.
• Valid driver’s license, vehicle, and insurance for local travel.
• Knowledge of community resources and service options.
• Experience with substance use disorders a plus in some states.
• Proficiency with Microsoft Office and online portals.

Responsibilities

• Complete comprehensive member assessments within regulated timelines, including home visits as needed.
• Facilitate waiver enrollment/disenrollment processes.
• Develop and implement care plans with members, caregivers, physicians, and support networks.
• Monitor care plans for effectiveness and adjust as needed.
• Promote LTSS integration with behavioral health and community resources.
• Assess medical necessity and authorize waiver services.
• Facilitate ICT meetings for approvals/denials and document outcomes.
• Identify barriers to care and address psycho/social/financial obstacles.
• Travel 25-40% as required by state/contractual needs.

Skills

Healthcare experience

Care management

Disability/Chronic conditions

Communication skills

Time management

Detail-oriented

Microsoft Office

Driver's license

Interpersonal skills

Education

Bachelor's degree in health care field

Clinical licensure/certification (if required)

CCM/LVN/LPN preferred

Tools

CRM software

Online portals

Job description

Molina Healthcare in Downers Grove, IL seeks a care coordination professional to support LTSS services, collaborating with a multidisciplinary team to deliver integrated member care. You will ensure progress toward outcomes and help implement strategies for high-need members.

Responsibilities include comprehensive assessments, waiver processes, care plan development, and ongoing monitoring. Travel up to 40% may be required depending on state contracts and member needs.