LTSS Care Manager: Care Coordination & Outcomes

Molina Healthcare; Champaign (IL); Vor Ort; USD 34.000 - 68.000; Vollzeit

Benefits dieser Stelle

Competitive benefits

Zusammenfassung

Molina Healthcare is seeking a qualified Care Manager to support LTSS-specific activities and coordinate care across disciplines for high-need members in Illinois. You will work with a multidisciplinary team to ensure optimal outcomes and cost-effective member care.

Responsibilities include comprehensive assessments, waiver processes, care plan development, ongoing monitoring, and collaboration with care teams. Travel up to 40% may be required based on state contracts.

Qualifikationen

• Minimum 2 years of health care experience with LTSS exposure.
• Clinical licensure/certification if required by state contract.
• Bachelor’s degree may be required in some states.
• Valid driver's license and reliable transportation for travel.

Aufgaben

• Complete comprehensive member assessments within regulated timelines.
• Facilitate waiver enrollment and disenrollment processes.
• Develop and implement care plans with care teams and members.
• Monitor care plans and document interventions and outcomes.
• Promote integrated services and LTSS coordination.
• Assess medical necessity and authorize waiver services.
• Coordinate ICT meetings for service approvals.
• Use motivational interviewing to support member change.
• Identify barriers and assist with psycho/social and medical obstacles.
• Collaborate with licensed care managers as needed.
• Travel 25-40% as required by state/contractual requirements.

Kenntnisse

Care management

LTSS

Communication skills

Travel 25–40%

Microsoft Office

Online portals

Ausbildung

Bachelor's degree in health care field

Tools

Microsoft Office

Online portals & databases

Jobbeschreibung

Molina Healthcare is seeking a qualified Care Manager to support LTSS-specific activities and coordinate care across disciplines for high-need members in Illinois. You will work with a multidisciplinary team to ensure optimal outcomes and cost-effective member care.

Responsibilities include comprehensive assessments, waiver processes, care plan development, ongoing monitoring, and collaboration with care teams. Travel up to 40% may be required based on state contracts.