LTSS Care Manager: Complex Care & Coordination

Molina Healthcare; Ottawa (IL); On-site; USD 38,000 - 74,000; Full time

Job summary

Molina Healthcare is seeking a Care Manager to support LTSS-focused activities, collaborating with a multidisciplinary team to deliver integrated care for high-need members. The role involves conducting comprehensive assessments, coordinating waiver enrollment, developing and monitoring care plans, and navigating barriers to care while promoting behavioral health integration.

Travel 25–40% may be required; active licensure in a related field, strong communication, and organizational skills are

Qualifications

• 2+ years in health care with at least 1 year in care management or LTSS settings.
• Active and unrestricted license in state of practice as LCSW/LMSW/APSW/CHES/LPC/LPCC/LMFT/PhD/PsyD or equivalent.
• Bachelor's degree may be required in some states.
• Valid driver’s license, reliable transportation and auto insurance for travel.
• Ability to work independently and with diverse populations.

Responsibilities

• Completes comprehensive member assessments within regulated timelines, including in-person home visits as required.
• Facilitates comprehensive waiver enrollment and disenrollment processes.
• Develops and implements care plans with members and care network to address needs and goals.
• Monitors care plan effectiveness, documents interventions and adjusts as needed.
• Promotes integration of LTSS and behavioral health services and community resources.
• Assesses medical necessity and authorizes waiver services; coordinates funding sources.
• Facilitates ICT meetings for approvals/denials and collaboration.
• Uses motivational interviewing to educate and motivate change during member contacts.
• Identifies barriers to care and assists with psycho/social, financial, and medical obstacles.
• Identifies critical incidents and develops prevention plans to safeguard member health.
• May provide consultation and resources to peers.

Skills

Care coordination

Community resources

Communication skills

Self-motivation

Time management

Problem-solving

Detail-oriented

Interdisciplinary collaboration

Education

LCSW/LMSW/APSW/CHES/LPC/LPCC/LMFT/PhD/PsyD license

Bachelor's degree in health care field

Tools

Microsoft Office

Electronic health records (EHR)

Job description

Molina Healthcare is seeking a Care Manager to support LTSS-focused activities, collaborating with a multidisciplinary team to deliver integrated care for high-need members. The role involves conducting comprehensive assessments, coordinating waiver enrollment, developing and monitoring care plans, and navigating barriers to care while promoting behavioral health integration.

Travel 25–40% may be required; active licensure in a related field, strong communication, and organizational skills are