LTSS Care Manager – Integrated Care & Support

Molina Healthcare Inc; Minooka (IL); On-site; USD 65,000 - 90,000; Full time

Job summary

Molina Healthcare Inc. seeks a qualified care management professional to coordinate LTSS services, collaborating with a multidisciplinary team to improve member outcomes and cost-effective care across the continuum.

Responsibilities include conducting comprehensive assessments, developing care plans with waiver services, monitoring progress, facilitating ICT meetings, and guiding members through enrollment steps. Travel of 25–40% may be required depending on state contracts.

Qualifications

• At least 2 years in health care with 1 year in care management, managed care or LTSS exposure.
• Experience with disabilities, chronic conditions, substance use disorders, and LTSS is preferred.

Responsibilities

• Completes comprehensive member assessments within regulated timelines and may include in-person home visits.
• Coordinates waiver enrollment/disenrollment and develops/carries out care plans with members and care teams.
• Monitors care plan effectiveness, documents interventions, and adjusts as needed.
• Promotes integrated services across behavioral health and LTSS, leveraging community resources.
• Assesses medical necessity, authorizes waiver services, and participates in ICT meetings.
• Educates and supports members using motivational interviewing and Molina clinical guideposts.
• Identifies barriers to care and helps members address psycho/social, financial, and medical obstacles.
• Travel to member locations may be required (25-40% depending on state/contractual needs).

Education

Clinical license (LCSW/LMSW/APSW/LPCC/LMFT/PhD)

Job description

Molina Healthcare Inc. seeks a qualified care management professional to coordinate LTSS services, collaborating with a multidisciplinary team to improve member outcomes and cost-effective care across the continuum.

Responsibilities include conducting comprehensive assessments, developing care plans with waiver services, monitoring progress, facilitating ICT meetings, and guiding members through enrollment steps. Travel of 25–40% may be required depending on state contracts.