LTSS Care Manager: Care Coordination & Outcomes

Molina Healthcare, Inc.; Elgin (IL); Presencial; USD 35 000 - 68 000; Tempo integral

Vantagens oferecidas por esta oferta de emprego

Competitive benefits

Flexible travel

Resumo da oferta

Molina Healthcare, Inc. is seeking a care management professional to support LTSS delivery and member care coordination. You will collaborate with multidisciplinary teams to ensure quality and cost-effective care across the continuum, including in-home visits when required.

Responsibilities include assessing members, coordinating waiver services, developing care plans, and monitoring outcomes. Travel up to 40% may be required depending on state contracts and locations.

Qualificações

• 2+ years healthcare experience with LTSS/Disabilities.
• Clinical licensure/certification required only if state contract mandates.
• Bachelor degree may be required in some states.
• Valid driver's license and reliable transportation for travel.
• Proven knowledge of community resources.

Responsabilidades

• Complete comprehensive member assessments within timelines.
• Coordinate waiver enrollment/disenrollment processes.
• Develop and implement care plans with members and providers.
• Monitor care plan effectiveness and outcomes.
• Promote integration of behavioral health and LTSS services.
• Assess medical necessity and authorize waiver services.
• Facilitate ICT meetings for service approvals/denials.
• Travel 25-40% as required by state/contracts.

Conhecimentos

Care coordination

LTSS experience

Communication skills

MS Office

Formação académica

Bachelor's degree in healthcare field

Ferramentas

EHR systems

Microsoft Office

Descrição da oferta de emprego

Molina Healthcare, Inc. is seeking a care management professional to support LTSS delivery and member care coordination. You will collaborate with multidisciplinary teams to ensure quality and cost-effective care across the continuum, including in-home visits when required.

Responsibilities include assessing members, coordinating waiver services, developing care plans, and monitoring outcomes. Travel up to 40% may be required depending on state contracts and locations.