LTSS Care Manager: Coordinated Care & Home Visits

Molina Healthcare; Sandwich (IL); On-site; USD 34,000 - 68,000; Full time

Job summary

Molina Healthcare is seeking an experienced care management professional to support LTSS activities and coordinate integrated member care across the continuum for high-need individuals. The role collaborates with a multidisciplinary team to ensure progress toward outcomes and aligns with the payer's strategy for quality and cost-effective care.

Responsibilities include completing comprehensive assessments, facilitating waiver processes, developing care plans with input from members and

Qualifications

• At least 2 years health care experience with LTSS and care management exposure.
• Clinical licensure and/or certification required only if state contract mandates it.
• In some states, a bachelor's degree in a health care field may be required.
• Valid driver's license, reliable transportation, and auto insurance for travel.

Responsibilities

• Completes comprehensive member assessments within regulated timelines, including home visits.
• Facilitates waiver enrollment and disenrollment processes.
• Develops and implements care plans with members, caregivers, physicians and others.
• Monitors care plans and documents interventions and outcomes.
• Promotes integration of LTSS and behavioral health services.
• Assesses medical necessity and authorizes waiver services.
• Leads interdisciplinary care team meetings for service decisions.
• Uses motivational interviewing to educate and motivate change.
• Identifies barriers to care and assists with psycho/social, financial, and medical obstacles.
• Recognizes critical incidents and builds prevention plans. Travel 25-40% may be required.

Skills

Healthcare experience

LTSS experience

Care management

Motivational interviewing

Communication skills

Team collaboration

Education

Bachelor's degree in health care

Tools

Microsoft Office

Job description

Molina Healthcare is seeking an experienced care management professional to support LTSS activities and coordinate integrated member care across the continuum for high-need individuals. The role collaborates with a multidisciplinary team to ensure progress toward outcomes and aligns with the payer's strategy for quality and cost-effective care.

Responsibilities include completing comprehensive assessments, facilitating waiver processes, developing care plans with input from members and