LTSS Care Manager - Integrated Care & Outcomes

Molina Healthcare; Ottawa (IL); On-site; USD 34,000 - 68,000; Full time

Benefits offered by this job

Competitive benefits

Job summary

Molina Healthcare is seeking a health care professional to support care management and LTSS coordination across the member care continuum. You will collaborate with a multidisciplinary team to drive high-need member outcomes and quality of care within waiver programs.

The role involves comprehensive assessments, care plan development, and active monitoring of interventions; travel may be required to meet state contractual requirements.

Qualifications

• 2+ years of health care experience in LTSS or care management or related setting.
• Clinical licensure/certification required only if state contract mandates it.
• Valid driver’s license and reliable transportation for travel requirements.
• Experience with community resources and working with diverse populations.

Responsibilities

• Completes comprehensive member assessments within regulated timelines, including in-person home visits.
• Facilitates waiver enrollment/disenrollment processes.
• Develops and implements care plans with members and care network.
• Monitors care plans and documents interventions with target outcomes.
• Promotes integration of services including behavioral health and LTSS.
• Assesses medical necessity and authorizes waiver services.
• Facilitates interdisciplinary care team meetings for approvals.

Skills

Care management

LTSS

Disabilities

Driver's license

Communication skills

Time management

Education

Bachelor’s degree in a health care related field

Tools

Microsoft Office

Job description

Molina Healthcare is seeking a health care professional to support care management and LTSS coordination across the member care continuum. You will collaborate with a multidisciplinary team to drive high-need member outcomes and quality of care within waiver programs.

The role involves comprehensive assessments, care plan development, and active monitoring of interventions; travel may be required to meet state contractual requirements.