LTSS Care Manager: Integrated Care & Waiver Specialist

Molina Healthcare, Inc.; Elgin (IL); Remote; USD 35,000 - 68,000; Full time

Benefits offered by this job

Competitive benefits

Job summary

Molina Healthcare, Inc. is hiring for a care coordination role in Illinois. The position involves coordinating LTSS services, performing comprehensive member assessments, and collaborating with a multidisciplinary team to ensure high-quality, cost-efficient care.

Significant local travel may be required to meet regulatory timelines and member needs. Responsibilities include developing waiver service plans, monitoring outcomes, and facilitating ICT meetings.

Qualifications

• 2+ years in health care with LTSS or care management
• Clinical licensure/certification if required by state contract
• Valid driver's license and reliable transportation
• Experience with populations receiving waiver services is a plus
• Ability to travel 25-40% locally as required

Responsibilities

• Complete comprehensive member assessments within timelines, including home visits
• Coordinate waiver enrollment/disenrollment processes
• Develop and implement care plans with members and care network
• Monitor care plan effectiveness and adjust as needed
• Promote integrated services across LTSS and behavioral health
• Assess medical necessity and authorize waiver services
• Facilitate interdisciplinary care team meetings
• Educate and motivate members using motivational interviewing

Skills

Care coordination

Travel 25-40%

Microsoft Office

Communication skills

Independence

Education

Healthcare-related degree preferred

Tools

Microsoft Office

Job description

Molina Healthcare, Inc. is hiring for a care coordination role in Illinois. The position involves coordinating LTSS services, performing comprehensive member assessments, and collaborating with a multidisciplinary team to ensure high-quality, cost-efficient care.

Significant local travel may be required to meet regulatory timelines and member needs. Responsibilities include developing waiver service plans, monitoring outcomes, and facilitating ICT meetings.