LTSS Care Manager: Integrated Care & Outcomes

Jobtome; Illinois; On-site; USD 35,000 - 68,000; Full time

Job summary

Jobtome seeks a Care Manager to support LTSS activities and coordinate care across teams for high-need members. You will help ensure progress toward outcomes and contribute to cost-effective member care.

Responsibilities include in-person assessments, waiver management, care plan development, and ongoing monitoring. Expect travel up to 40% and collaboration with interdisciplinary teams.

Qualifications

• At least 2 years of health care experience, including LTSS
• Clinical licensure/certification as required by state contract
• Bachelor's degree may be required in some states
• Valid driver's license and transportation for travel
• Knowledge of community resources
• Ability to work independently and manage multiple priorities
• Proficiency with Microsoft Office and online portals
• Experience with populations receiving waiver services (preferred)

Responsibilities

• Completes comprehensive member assessments within regulated timelines, including in-person home visits.
• Facilitates comprehensive waiver enrollment/disenrollment processes.
• Develops and implements care plans with members, caregivers, physicians, and support network.
• Monitors care plan effectiveness and documents interventions and goal achievement.
• Promotes integration of LTSS with behavioral health and community resources.
• Assesses medical necessity and authorizes waiver services.
• Evaluates benefits and funding sources; collaborates with ICT for approvals/denials.
• Uses motivational interviewing and Molina clinical guideposts to educate and motivate change.
• Identifies barriers to care and provides coordination to address psycho/social, financial, and medical obstacles.
• Develops prevention plans for critical incidents and maintains professional relationships.
• 25-40% travel may be required based on state/contractual requirements.

Skills

Health care experience

Care management

Communication skills

Time management

Problem-solving

Independent work

Travel readiness

Microsoft Office proficiency

Education

Bachelor's degree in health care field

Tools

Microsoft Office

Job description

Jobtome seeks a Care Manager to support LTSS activities and coordinate care across teams for high-need members. You will help ensure progress toward outcomes and contribute to cost-effective member care.

Responsibilities include in-person assessments, waiver management, care plan development, and ongoing monitoring. Expect travel up to 40% and collaboration with interdisciplinary teams.