LTSS Care Manager: Waiver & Care Coordination

Molina Healthcare; Elgin (IL); On-site; USD 35,000 - 68,000; Full time

Job summary

Molina Healthcare seeks a Care Coordinator to support LTSS-specific care management and coordinate member care across the continuum. You will work with a multidisciplinary team to ensure progress toward outcomes and align with strategies for quality and cost-effectiveness.

Responsibilities include assessments, waiver processes, care plan development, and ongoing monitoring. Travel 25-40% may be required based on state contracts and locations.

Qualifications

• 2+ years health care experience with LTSS or care management
• Clinical licensure/certification only if required by state contract
• Valid driver's license and reliable transportation
• Experience with diverse populations and coordinating across teams

Responsibilities

• Complete comprehensive member assessments within timelines, including home visits
• Coordinate waiver enrollment/disenrollment processes
• Develop and monitor care plans with members and care network
• Monitor plan effectiveness and adjust interventions to meet goals
• Promote integrated care across behavioral health and LTSS
• Assess medical necessity and authorize waiver services
• Facilitate ICT meetings for service approvals/denials
• Educate and motivate members using motivational interviewing tools
• Identify barriers and coordinate resources to address psycho/social needs
• Collaborate with licensed care managers as needed
• Travel 25-40% as required by state/contractual needs

Skills

Care coordination

Multidisciplinary collaboration

Communication skills

Microsoft Office

Driver's license

Time-management

Problem-solving

Self-motivation

Travel readiness

Tools

EHR systems

Online portals

Job description

Molina Healthcare seeks a Care Coordinator to support LTSS-specific care management and coordinate member care across the continuum. You will work with a multidisciplinary team to ensure progress toward outcomes and align with strategies for quality and cost-effectiveness.

Responsibilities include assessments, waiver processes, care plan development, and ongoing monitoring. Travel 25-40% may be required based on state contracts and locations.