LTSS Care Manager — Coordinated, Outcome‑Driven Care

Jobtome; Belleville (IL); On-site; USD 35,000 - 68,000; Full time

Job summary

Molina Healthcare is seeking a Care Management professional to support LTSS care coordination, including comprehensive assessments, waiver enrollment, and development of member-centered care plans. Travel up to 40% may be required to coordinate with the member and care team.

Senior responsibilities include monitoring plan effectiveness, coordinating interdisciplinary teams, and ensuring timely authorization of services. Strong communication and problem-solving skills are essential.

Qualifications

• At least 2 years of healthcare experience with LTSS exposure.
• Clinical licensure or certification as required by state contract or licensing mandates.
• A Bachelor's degree in a healthcare-related field may be required in some states.
• Valid driver's license, reliable transportation, and adequate auto insurance for travel.
• Knowledge of community resources and ability to work with diverse populations.
• Strong communication and time-management skills.
• Experience with substance use disorder populations is a plus.

Responsibilities

• Complete comprehensive member assessments within regulated timelines, including in-person home visits as required.
• Facilitate comprehensive waiver enrollment and disenrollment processes.
• Develop and implement care plans with members, caregivers, physicians and others.
• Monitor care plans to evaluate effectiveness and adjust as needed.
• Promote integration of LTSS, behavioral health, and community resources.
• Assess medical necessity and authorize waiver services.
• Evaluate benefits and funding sources for members.
• Facilitate ICT meetings for service approvals/denial.
• Educate and motivate members using motivational interviewing.
• Identify barriers to care and coordinate psycho-social, financial, and medical supports.
• Identify critical incidents and develop prevention plans.
• Collaborate with licensed care managers as needed.
• Travel may be required 25-40% based on state requirements.

Skills

Care coordination

Communication skills

Time management

Problem solving

Driver's license

Microsoft Office

Industry knowledge

Education

Bachelor's degree in healthcare

Tools

EHR systems

Job description

Molina Healthcare is seeking a Care Management professional to support LTSS care coordination, including comprehensive assessments, waiver enrollment, and development of member-centered care plans. Travel up to 40% may be required to coordinate with the member and care team.

Senior responsibilities include monitoring plan effectiveness, coordinating interdisciplinary teams, and ensuring timely authorization of services. Strong communication and problem-solving skills are essential.