LTSS Care Manager: Care Coordination & Outcomes

Molina Healthcare, Inc.; Chicago (IL); On-site; USD 35,000 - 68,000; Full time

Benefits offered by this job

Competitive benefits

Job summary

Molina Healthcare, Inc. in Chicago, IL is seeking a care management professional to coordinate LTSS services, perform comprehensive assessments, develop and monitor waiver-based care plans, and collaborate with an interdisciplinary team to improve member outcomes.

The role emphasizes traveling to member sites, coordinating with caregivers and clinicians, and ensuring timely, cost-effective, and quality care across the continuum. Strong communication and organizational skills are required.

Qualifications

• Minimum 2 years healthcare experience including LTSS
• 1 year care management or related setting experience
• Valid driver's license and reliable transportation

Responsibilities

• Complete comprehensive member assessments within regulated timelines, including in-person home visits
• Facilitate waiver enrollment and disenrollment processes
• Develop and implement care plans with member and care network
• Monitor care plan effectiveness and document outcomes
• Promote service integration across LTSS and behavioral health
• Assess medical necessity and authorize waiver services
• Collaborate with ICT for approvals/denials and inform stakeholders
• Utilize motivational interviewing and Molina clinical guidelines
• Identify barriers and assist with psycho/social, financial, and medical challenges
• Identify critical incidents and develop prevention plans
• Travel 25-40% may be required

Skills

Verbal and written communication

Time management

Detail oriented

Independence

Adaptability

Community resources knowledge

Proficient with Microsoft Office

Education

Bachelor's degree in a health care related field

Licensure/certification as required by state contract

Tools

Microsoft Office

Online portals/databases

Job description

Molina Healthcare, Inc. in Chicago, IL is seeking a care management professional to coordinate LTSS services, perform comprehensive assessments, develop and monitor waiver-based care plans, and collaborate with an interdisciplinary team to improve member outcomes.

The role emphasizes traveling to member sites, coordinating with caregivers and clinicians, and ensuring timely, cost-effective, and quality care across the continuum. Strong communication and organizational skills are required.