Integrated LTSS Care Manager

Molina Healthcare; Chicago (IL); On-site; USD 55,000 - 75,000; Full time

Job summary

Molina Healthcare is seeking a Care Coordinator to support LTSS and care management activities. You will collaborate with a multidisciplinary team to coordinate integrated member care across the continuum and ensure progress toward outcomes.

Responsibilities include conducting in-person assessments, developing care plans with caregivers and physicians, monitoring outcomes, and facilitating waiver enrollment. Travel up to 40% may be required based on state contracts and needs.

Qualifications

• 2+ years health care experience, LTSS/patient care experience preferred.
• License/certification only if required by state contract or regulation.
• Bachelor degree may be required in some states.
• Valid driver license and reliable transportation for travel.
• Strong knowledge of community resources and care coordination.
• Proactive, detail-oriented, able to work independently.

Responsibilities

• Perform comprehensive member assessments within regulated timelines; some visits in home.
• Coordinate waiver enrollment/disenrollment processes.
• Develop and monitor care plans with members, caregivers, physicians, and networks.
• Monitor care plan effectiveness and adjust as needed.
• Promote service integration across behavioral health and LTSS.
• Assess medical necessity and authorize waiver services.
• Collaborate with interdisciplinary teams for service decisions.

Skills

Care management

LTSS

Communication

Auto/office software

Travel up to 40%

Education

Bachelor's degree in health care

Tools

Microsoft Office

Job description

Molina Healthcare is seeking a Care Coordinator to support LTSS and care management activities. You will collaborate with a multidisciplinary team to coordinate integrated member care across the continuum and ensure progress toward outcomes.

Responsibilities include conducting in-person assessments, developing care plans with caregivers and physicians, monitoring outcomes, and facilitating waiver enrollment. Travel up to 40% may be required based on state contracts and needs.