LTSS Care Manager - Field-Based Care Coordination

Molina Healthcare, Inc.; Ladd (IL); In loco; USD 52.000 - 90.000; Tempo pieno

Descrizione del lavoro

Molina Healthcare, Inc. seeks a Care Coordinator to support LTSS care management and coordination across the continuum for high-need members. You will collaborate with a multidisciplinary team to ensure quality and cost-effective care delivery.

Responsibilities include assessments, waiver processes, care plan development, and ongoing monitoring, with substantial local travel (25-40%) as required by state contracts.

Competenze

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

Mansioni

• Complete comprehensive member assessments within regulated timelines and home visits as needed.
• Facilitate waiver enrollment and disenrollment processes.
• Develop and implement care plans with members, caregivers, and providers.
• Monitor care plan effectiveness and adjust interventions as needed.
• Promote integration of LTSS and behavioral health services for continuity of care.
• Assess medical necessity and authorize waiver services.
• Coordinate ICT meetings for service approvals/denials.
• Travel locally 25-40% as required by state/contractual needs.

Conoscenze

Healthcare experience

Care management

LTSS/Disabilities experience

Communication skills

Time management

Travel willingness

Driver's license

Community resources knowledge

Microsoft Office proficiency

Formazione

Health care bachelor degree

Clinical licensure/certification (if required by state)

Strumenti

Electronic health records (EHR)

Descrizione del lavoro

Molina Healthcare, Inc. seeks a Care Coordinator to support LTSS care management and coordination across the continuum for high-need members. You will collaborate with a multidisciplinary team to ensure quality and cost-effective care delivery.

Responsibilities include assessments, waiver processes, care plan development, and ongoing monitoring, with substantial local travel (25-40%) as required by state contracts.