LTSS Care Manager & Care Coordination Specialist

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

Job summary

Molina Healthcare is hiring in Illinois to support care management and coordination for members requiring LTSS. The role collaborates with a multidisciplinary team to ensure quality, cost-effective care and progress toward outcomes.

The position involves assessing members, coordinating waiver services, and developing care plans with clinicians, caregivers, and the member. Expect 25-40% local travel and a focus on high-need cases.

Qualifications

• At least 2 years of healthcare experience, including LTSS with disabilities or chronic conditions.
• Care management experience or related medical/behavioral health setting.
• Must hold valid driver's license and reliable transportation.

Responsibilities

• Complete comprehensive member assessments within required timelines, including in-person visits as needed.
• Facilitate waiver enrollment/disenrollment per state requirements.
• Develop and monitor care plans with interdisciplinary teams and members to meet goals.
• Monitor effectiveness of care plans and document interventions and outcomes.
• Coordinate services across behavioral health, LTSS, and community resources.
• Assess medical necessity, authorize waiver services, and discuss funding sources.
• Participate in ICT meetings for approval/denial of services.

Skills

Healthcare experience

Care management

Disability/Chronic conditions

Education

Bachelor's degree in healthcare

CCM/LVN/LPN (preferred)

Tools

MS Office

Job description

Molina Healthcare is hiring in Illinois to support care management and coordination for members requiring LTSS. The role collaborates with a multidisciplinary team to ensure quality, cost-effective care and progress toward outcomes.

The position involves assessing members, coordinating waiver services, and developing care plans with clinicians, caregivers, and the member. Expect 25-40% local travel and a focus on high-need cases.