LTSS Care Manager: Integrated Care & Outcomes

Jobtome; Illinois; Sur place; USD 35 000 - 68 000; Plein temps

Avantages offerts par ce poste

Competitive benefits package

Equal Opportunity Employer (EOE)

Résumé du poste

Molina Healthcare is seeking a Care Manager to support LTSS care coordination and journey with high-need members. You will collaborate with a multidisciplinary team to ensure quality, outcome-driven care across the continuum and drive cost-effective member outcomes.

Responsibilities include comprehensive assessments, waiver enrollment, care plan development, and ongoing monitoring. Travel 25-40% is expected per contract and state requirements.

Qualifications

• 2+ years health care experience including LTSS.
• Licensure requirements depend on state contracts.
• Bachelor degree may be required in some states.
• Valid driver's license and transportation for travel.

Responsabilités

• Complete comprehensive member assessments within timelines.
• Facilitate waiver enrollment/disenrollment.
• Develop and implement care plans with the care team.
• Monitor and adjust care plans based on outcomes.
• Coordinate LTSS, behavioral health and community resources.
• Assess medical necessity and authorize waiver services.
• Evaluate benefits and funding sources.
• Lead interdisciplinary care team meetings.
• Educate and motivate members using coaching techniques.
• Identify barriers and coordinate solutions.
• Identify incidents and develop prevention plans.
• Collaborate with licensed care managers as needed.
• Travel 25-40% as required.

Connaissances

Care management

LTSS

Travel

Communication skills

Microsoft Office

Teamwork

Problem solving

Time management

Independent work

Driver's license

Behavioral health knowledge

Substance use disorders experience

Formation

Bachelor's degree in health care

Outils

Microsoft Office

Online portals

Databases

Description du poste

Molina Healthcare is seeking a Care Manager to support LTSS care coordination and journey with high-need members. You will collaborate with a multidisciplinary team to ensure quality, outcome-driven care across the continuum and drive cost-effective member outcomes.

Responsibilities include comprehensive assessments, waiver enrollment, care plan development, and ongoing monitoring. Travel 25-40% is expected per contract and state requirements.