LTSS Care Manager: Integrated Care & Waiver Coordination

Molina Healthcare; Chicago (IL); On-site; USD 60,000 - 75,000; Full time

Benefits offered by this job

Competitive benefits

Equal Opportunity Employer

Job summary

Molina Healthcare, Inc. is seeking a Care Manager to support LTSS member care across settings. You will work with a multidisciplinary team to coordinate services, ensure progress toward outcomes, and contribute to cost-effective care.

You will complete assessments, develop care plans, monitor progress, and facilitate waiver enrollment while addressing barriers and coordinating with providers. Some travel may be required.

Qualifications

• Minimum 2 years health care experience with LTSS and care management.
• Active license required only if state contract requires it; otherwise not.
• Bachelor's degree may be required in some states.
• Valid driver’s license and reliable transportation for travel.
• Strong knowledge of community resources.

Responsibilities

• Complete comprehensive member assessments within regulated timelines, including in-person home visits.
• Facilitate comprehensive waiver enrollment and disenrollment processes.
• Develop and implement care plans in collaboration with members and providers.
• Monitor care plans to evaluate effectiveness and adjust as needed.
• Promote integration of services across behavioral health and LTSS.
• Assess medical necessity and authorize waiver services.
• Facilitate interdisciplinary care team meetings for service decisions.
• Travel 25-40% based on state/contractual requirements.

Skills

Communication skills

Independent worker

Time management

Problem solving

Travel ability

Diversity awareness

Microsoft Office

Education

Bachelor's degree (health care related)

Certified Case Manager (CCM)

Tools

Microsoft Office

Job description

Molina Healthcare, Inc. is seeking a Care Manager to support LTSS member care across settings. You will work with a multidisciplinary team to coordinate services, ensure progress toward outcomes, and contribute to cost-effective care.

You will complete assessments, develop care plans, monitor progress, and facilitate waiver enrollment while addressing barriers and coordinating with providers. Some travel may be required.