LTSS Care Manager & Waiver Coordination Specialist

Molina Healthcare, Inc.; Granite City (IL); Presencial; USD 35.000 - 68.000; Jornada completa

Descripción de la vacante

Molina Healthcare is seeking a Care Management/Coordination professional to support LTSS activities and collaborate with a multidisciplinary team. The role focuses on coordinating integrated member care, guiding waiver services, and ensuring progress toward optimal health outcomes.

Responsibilities include completing assessments, developing care plans with stakeholders, monitoring outcomes, and facilitating ICT meetings.

Formación

• Strong communication and interpersonal skills
• Ability to manage multiple tasks and priorities
• Experience in care management or LTSS settings is preferred
• Active driver’s license and transportation for local travel

Responsabilidades

• Complete comprehensive member assessments within timelines, including home visits as required
• Facilitate waiver enrollment and disenrollment processes
• Develop and implement care plans with members and care networks
• Monitor care plans and adjust as needed to achieve goals
• Coordinate LTSS and behavioral health services for continuity of care
• Assess medical necessity and authorize waiver services
• Collaborate with interdisciplinary care teams to approve services
• Provide education and motivational interviewing to support member change
• Identify barriers to care and address psycho/social, financial, and medical needs
• Travel 25-40% as required by state contracts

Conocimientos

Communication skills

Time management

Independent worker

Problem solving

Educación

Bachelor's degree in health care related field (where required)

Herramientas

Microsoft Office

Descripción del empleo

Molina Healthcare is seeking a Care Management/Coordination professional to support LTSS activities and collaborate with a multidisciplinary team. The role focuses on coordinating integrated member care, guiding waiver services, and ensuring progress toward optimal health outcomes.

Responsibilities include completing assessments, developing care plans with stakeholders, monitoring outcomes, and facilitating ICT meetings.