LTSS Care Coordination & Waiver Specialist

Molina Healthcare; Shelbyville (IL); 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 ensure high-need members achieve desired outcomes. The role involves in-person home visits and travel within the state as required by contract.

You will develop and monitor care plans, coordinate waiver services, and work across both medical and behavioral health resources to promote continuous, cost-effective care. Strong communication and independence are essential.

Qualifications

• 2+ years health care experience with LTSS.
• Valid driver's license and reliable transportation for travel.
• Licensure/certification as required by state contract.
• Ability to work independently with minimal supervision.
• Knowledge of community resources.

Responsibilities

• Completes comprehensive member assessments within regulated timelines, including in-person home visits.
• Facilitates waiver enrollment and disenrollment processes.
• Develops and implements care plans with members, caregivers, and providers.
• Monitors care plans, documents interventions, and suggests changes.
• Promotes integration of services across LTSS and behavioral health.
• Assesses medical necessity and authorizes waiver services.
• Collaborates with ICT meetings for service approvals/denials.
• Uses motivational interviewing to educate and support change.
• Assesses barriers and assists with psycho/social, financial, and medical obstacles.

Skills

Care management

LTSS

Communication

Travel readiness

Team collaboration

Education

Bachelor's degree in health care related field

Tools

Microsoft Office

Online portals

Job description

Molina Healthcare is seeking a Care Manager to support care coordination for LTSS, collaborating with a multidisciplinary team to ensure high-need members achieve desired outcomes. The role involves in-person home visits and travel within the state as required by contract.

You will develop and monitor care plans, coordinate waiver services, and work across both medical and behavioral health resources to promote continuous, cost-effective care. Strong communication and independence are essential.