LTSS Care Manager – Integrated Care & Waiver Plans

Molina Healthcare, Inc.; Arlington Heights (IL); Sur place; USD 35 000 - 68 000; Plein temps

Résumé du poste

Molina Healthcare is seeking a qualified Care Coordinator to support management and coordination of long-term services and supports (LTSS) for high-need members. The role collaborates with a multidisciplinary team to ensure quality, cost-effective care across the continuum and fosters member progress toward outcomes.

Responsibilities include care assessments, waiver enrollment, care plan development, and monitoring. Travel of 25-40% may be required based on state contracts and needs.

Qualifications

• At least 2 years health care experience with LTSS and care management.
• Valid driver's license and reliable transportation.
• Experience with diverse populations.
• Proficiency with Microsoft Office and care coordination software.
• State-specific licensure requirements may apply.

Responsabilités

• Complete comprehensive member assessments within regulated timelines.
• Facilitate waiver enrollment and disenrollment processes.
• Develop and implement care plans with members, caregivers and physicians.
• Monitor care plans and evaluate interventions and outcomes.
• Coordinate LTSS and behavioral health services for members.
• Assess medical necessity and authorize waiver services.
• Lead ICT meetings for approvals or denials of services.

Connaissances

Care coordination

Communication

Team collaboration

Multitasking

Formation

Clinical licensure

Bachelor's degree in health care

Outils

Microsoft Office

Description du poste

Molina Healthcare is seeking a qualified Care Coordinator to support management and coordination of long-term services and supports (LTSS) for high-need members. The role collaborates with a multidisciplinary team to ensure quality, cost-effective care across the continuum and fosters member progress toward outcomes.

Responsibilities include care assessments, waiver enrollment, care plan development, and monitoring. Travel of 25-40% may be required based on state contracts and needs.