LTSS Care Manager: Integrated Care & Outcomes

Molina Healthcare, Inc.; Minooka (IL); On-site; USD 35,000 - 68,000; Full time

Job summary

Molina Healthcare is seeking a care coordinator to support LTSS services and care management. You will collaborate with a multidisciplinary team to coordinate member care across the continuum and help members reach outcomes.

Responsibilities include completing assessments, coordinating waiver enrollment, developing care plans, monitoring progress, and facilitating access to community resources. Some travel may be required (25-40%).

Qualifications

• At least 2 years of health care experience, incl 1 year LTSS and 1 year care management.
• License/certification required only if state contract/mandate requires it, active/unrestricted.
• In some states, a health-related bachelor's degree may be required.
• Valid driver's license, reliable transportation, and auto insurance for travel.

Responsibilities

• Complete comprehensive member assessments within regulated timelines, including in-person home visits.
• Facilitate waiver enrollment/disenrollment processes.
• Develop and implement care plans with member, caregivers, physicians and support network.
• Monitor care plan effectiveness and document interventions.
• Promote integration of services across behavioral health and LTSS; connect to community resources.
• Assess medical necessity and authorize waiver services.
• Facilitate ICT meetings for approval/denial of services.
• Educate and motivate members using motivational interviewing and Molina guides.
• Identify barriers and assist with psycho/social, financial, and medical obstacles.
• Collaborate with licensed care managers and leadership as needed.
• Travel 25-40% may be required.

Skills

Healthcare experience

Care management

Communication skills

Time management

Travel readiness

MS Office proficiency

Education

Bachelor's degree (state dependent)

Tools

MS Office

Online portals

Job description

Molina Healthcare is seeking a care coordinator to support LTSS services and care management. You will collaborate with a multidisciplinary team to coordinate member care across the continuum and help members reach outcomes.

Responsibilities include completing assessments, coordinating waiver enrollment, developing care plans, monitoring progress, and facilitating access to community resources. Some travel may be required (25-40%).