LTSS Care Manager & Care Coordination Lead

Jobtome; Savoy (IL); On-site; USD 35,000 - 68,000; Full time

Benefits offered by this job

Competitive benefits

Job summary

Molina Healthcare is seeking a Care Manager to provide LTSS-focused care coordination and support across care teams. The role emphasizes collaborating with caregivers, physicians, and other health professionals to optimize member outcomes while aligning with cost-effective strategies.

Responsibilities include managing comprehensive assessments, waiver processes, and care planning, with travel required depending on state contracts. A valid driver’s license and healthcare experience are required.

Qualifications

• At least 2 years of health care experience with LTSS exposure.
• Clinical licensure and/or certification required only if mandated by state contract.

Responsibilities

• Complete comprehensive member assessments within regulatory timelines, including in-person home visits.
• Facilitate waiver enrollment/disenrollment processes.
• Develop and implement care plans with stakeholders including members and providers.
• Monitor care plan effectiveness and adjust as needed.
• Promote service integration across LTSS, behavioral health, and community resources.
• Assess medical necessity and authorize waiver services.
• Coordinate interdisciplinary care team meetings for approvals/denials.
• Educate and motivate members using motivational interviewing and clinical guidelines.
• Identify barriers to care and address psycho/social, financial, and medical obstacles.
• Identify critical incidents and develop prevention plans.
• Travel 25–40% as required by state contracts.

Skills

Healthcare experience

LTSS experience

Care management

Driver's license

Microsoft Office

Verbal and written communication

Substance use disorders experience

Education

Bachelor’s degree in a health-care related field

Tools

Microsoft Office

Job description

Molina Healthcare is seeking a Care Manager to provide LTSS-focused care coordination and support across care teams. The role emphasizes collaborating with caregivers, physicians, and other health professionals to optimize member outcomes while aligning with cost-effective strategies.

Responsibilities include managing comprehensive assessments, waiver processes, and care planning, with travel required depending on state contracts. A valid driver’s license and healthcare experience are required.