LTSS Care Manager: Integrated Care & Waiver Services

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

Job summary

Molina Healthcare seeks a Care Coordinator to support care management for LTSS, coordinating services across disciplines to ensure high-need members achieve desired outcomes. The role involves collaboration with the care team and providers to optimize quality and cost-effective care.

Responsibilities include conducting housing and community resource assessments, managing care plans, and traveling as required to engage with members in various settings.

Qualifications

• 2+ years health care experience, LTSS experience preferred.
• Licensed or certified only if required by state contract/mandates.
• Bachelor’s degree may be required in some states.
• Valid driver’s license and reliable transportation for travel.

Responsibilities

• Complete comprehensive member assessments within timelines.
• Facilitate waiver enrollment and disenrollment processes.
• Develop and implement care plans with members and care team.
• Monitor care plan effectiveness and adjust as needed.
• Coordinate LTSS and behavioral health services across settings.
• Evaluate medical necessity and authorize waiver services.
• Lead or participate in interdisciplinary care team meetings.
• Travel 25-40% as required by state/contractual needs.

Skills

Care coordination

Assessment

Communication

Time management

Problem-solving

Microsoft Office

Education

Bachelor’s degree in health care field

Tools

Microsoft Office Suite

Job description

Molina Healthcare seeks a Care Coordinator to support care management for LTSS, coordinating services across disciplines to ensure high-need members achieve desired outcomes. The role involves collaboration with the care team and providers to optimize quality and cost-effective care.

Responsibilities include conducting housing and community resource assessments, managing care plans, and traveling as required to engage with members in various settings.