Field LTSS Care Manager — Impactful Care Coordination

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

Job summary

Molina Healthcare is seeking a Care Coordinator to support LTSS care management, collaborating with a multidisciplinary team to coordinate member care across the continuum. This role emphasizes achieving outcomes and aligning with the organization’s strategy for quality and cost-effective care.

Qualified candidates will have healthcare experience, LTSS knowledge, and strong communication skills. A valid driver’s license is required, and travel up to 40% may be necessary depending on the state

Qualifications

• 2+ years healthcare experience including LTSS
• Clinical licensure and/or certification if required by state contract
• Bachelor's degree may be required depending on state/contractual requirements
• Valid driver’s license and transportation for travel requirements

Responsibilities

• Complete comprehensive member assessments within regulated timelines
• Facilitate comprehensive waiver enrollment and disenrollment processes
• Develop and implement care plans with members, caregivers, physicians and care network
• Monitor care plans to evaluate effectiveness and adjust as needed
• Promote integration of services including behavioral health and LTSS
• Assess medical necessity and authorize waiver services
• Evaluate benefits and funding sources
• Facilitate interdisciplinary care team meetings for approval/denial of services
• Use motivational interviewing to educate and motivate change
• Identify barriers to care and provide care coordination support
• Collaborate with licensed care managers as needed
• Travel 25-40% may be required

Skills

Care coordination

LTSS knowledge

Communication

Travel ready

Microsoft Office

Driver's license

Education

Bachelor's degree in healthcare or related field

Tools

Microsoft Office

Online portals

Job description

Molina Healthcare is seeking a Care Coordinator to support LTSS care management, collaborating with a multidisciplinary team to coordinate member care across the continuum. This role emphasizes achieving outcomes and aligning with the organization’s strategy for quality and cost-effective care.

Qualified candidates will have healthcare experience, LTSS knowledge, and strong communication skills. A valid driver’s license is required, and travel up to 40% may be necessary depending on the state