LTSS Care Manager: Care Coordination & Outcomes

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

Job summary

Molina Healthcare is seeking a care management professional to support LTSS coordination and collaborate with a multidisciplinary team to deliver integrated member care across the continuum.

The role involves comprehensive member assessments, care plan development, and ongoing monitoring, with travel up to 40% as required by state contracts. Strong communication and problem-solving skills are essential, as is self-motivation and proficiency with Microsoft Office.

Qualifications

• At least 2 years of health care experience, incl. LTSS and care management
• Clinical licensure/certification required only if mandated by state contract/regulation
• Bachelor's degree in a health care field may be required in some states
• Valid driver's license and reliable transportation for travel requirements
• Experience with community resources and diverse populations
• Strong communication and problem-solving skills

Responsibilities

• Completes comprehensive member assessments within regulated timelines, including in-person home visits when required.
• Facilitates waiver enrollment/disenrollment processes.
• Develops and implements care plans with members and care network.
• Monitors care plans and documents outcomes and adjustments.
• Promotes integration of services including behavioral health and LTSS.
• Assesses medical necessity and authorizes waiver services as appropriate.
• Evaluates benefits and funding sources; coordinates ICT meetings.

Skills

Care management

LTSS

Disabilities experience

Travel

Communication

MS Office

Self-motivation

Education

Bachelor's degree (healthcare)

Licensure/certification if required

Tools

Microsoft Office

Job description

Molina Healthcare is seeking a care management professional to support LTSS coordination and collaborate with a multidisciplinary team to deliver integrated member care across the continuum.

The role involves comprehensive member assessments, care plan development, and ongoing monitoring, with travel up to 40% as required by state contracts. Strong communication and problem-solving skills are essential, as is self-motivation and proficiency with Microsoft Office.