LTSS Care Manager & Care Coordination Specialist

Jobtome; Shorewood (IL); On-site; USD 33,000 - 64,000; Full time

Job summary

Molina Healthcare is seeking a Care Coordination Specialist to support LTSS care management and improve member outcomes. You will collaborate with a multidisciplinary team to coordinate services across the continuum.

You will handle waiver enrollment, care plan development, and ongoing monitoring, with 25–40% local travel. Strong communication and problem-solving are essential for success in this role.

Qualifications

• At least 2 years of health care experience, including LTSS exposure preferred.
• 1 year of experience in care management or in a medical/behavioral health setting, or equivalent.
• Licensed/certified professional only if required by state contract or licensing mandates.
• Valid and unrestricted driver’s license with reliable transportation for travel.
• Demonstrated knowledge of community resources.

Responsibilities

• Completes comprehensive member assessments within regulated timelines, including in-person home visits.
• Facilitates waiver enrollment and disenrollment processes.
• Develops and implements care plans with members and care teams.
• Monitors care plan effectiveness and documents interventions.
• Promotes integration of LTSS with behavioral health and community resources.
• Assesses medical necessity and authorizes waiver services.
• Facilitates ICT meetings for service approvals/denials.
• Uses motivational interviewing and guidance to support member change.

Skills

Communication skills

Time-management

Problem-solving

Microsoft Office

Self-motivation

Education

Bachelor's degree in health care related field

CCM certification

Tools

Microsoft Office Suite

Job description

Molina Healthcare is seeking a Care Coordination Specialist to support LTSS care management and improve member outcomes. You will collaborate with a multidisciplinary team to coordinate services across the continuum.

You will handle waiver enrollment, care plan development, and ongoing monitoring, with 25–40% local travel. Strong communication and problem-solving are essential for success in this role.