Integrated Care Coordinator - LTSS & Outcomes

Molina Healthcare; Champaign (IL); Vor Ort; USD 35.000 - 68.000; Vollzeit

Benefits dieser Stelle

Competitive benefits

Equal Opportunity Employer

Zusammenfassung

Molina Healthcare in Illinois is seeking a Care Manager for LTSS to coordinate care with a multidisciplinary team and drive member outcomes across the continuum. You will complete assessments, develop care plans, monitor progress and facilitate waiver services while addressing psycho/social and medical barriers.

Travel to member sites is expected 25-40% depending on state requirements, with emphasis on high-need populations and collaboration with licensed professionals to ensure quality and

Qualifikationen

• 2+ years healthcare experience in LTSS or related setting.
• Clinical licensure/certification if required by state contract or licensing mandates.
• Bachelor's degree in a health care field may be required by state/contract.

Aufgaben

• Complete comprehensive member assessments within timelines, including in-person visits.
• Facilitate waiver enrollment/disenrollment processes.
• Develop and implement care plans with members and care team.
• Monitor care plan effectiveness and adjust as needed.
• Coordinate services across LTSS, behavioral health, and community resources.
• Assess medical necessity and authorize waiver services.
• Lead interdisciplinary care team meetings for approvals/denials.
• Travel 25-40% as required by state/contract.

Kenntnisse

Healthcare experience

Care management

Communication skills

Microsoft Office

Ausbildung

Bachelor's degree (healthcare)

Tools

EHR systems

Jobbeschreibung

Molina Healthcare in Illinois is seeking a Care Manager for LTSS to coordinate care with a multidisciplinary team and drive member outcomes across the continuum. You will complete assessments, develop care plans, monitor progress and facilitate waiver services while addressing psycho/social and medical barriers.

Travel to member sites is expected 25-40% depending on state requirements, with emphasis on high-need populations and collaboration with licensed professionals to ensure quality and