LTSS Care Manager: Waiver Services & Care Coordination

Molina Talent Acquisition; Chicago (IL); On-site; USD 52,000 - 78,000; Full time

Job summary

Molina Healthcare is seeking a Care Manager to support LTSS activities and coordinate member care across settings. You will work with a multidisciplinary team to ensure outcomes and cost-effective care, including travel to member homes and across facilities as required by state contracts.

The role emphasizes assessing needs, developing care plans, coordinating services, and advocating for members. Strong communication and independent work style are essential.

Qualifications

• 2+ years health care experience; LTSS care management experience preferred.
• Licensure/certification required only if state contract mandates it.
• Bachelor's degree may be required in some states.
• Valid driver’s license, reliable transportation for travel.
• Knowledge of community resources.
• Ability to work independently and manage multiple projects.

Responsibilities

• Complete comprehensive member assessments within timelines, including home visits when required.
• Facilitate waiver enrollment/disenrollment processes.
• Develop and implement care plans with members and care network.
• Monitor care plans; document interventions and adjust as needed.
• Promote integration of LTSS with behavioral health and community resources.
• Assess medical necessity; authorize waiver services.
• Coordinate interdisciplinary care team meetings for approvals/denials.
• Travel up to 25-40% locally as required by state contracts.

Skills

Healthcare experience

Care coordination

Communication

Time management

Problem solving

MS Office

Drive/Travel readiness

Interdisciplinary collaboration

Education

Bachelor's degree in healthcare field

Clinical licensure/certification, if required by state

Tools

Microsoft Office

Online portals/databases

Job description

Molina Healthcare is seeking a Care Manager to support LTSS activities and coordinate member care across settings. You will work with a multidisciplinary team to ensure outcomes and cost-effective care, including travel to member homes and across facilities as required by state contracts.

The role emphasizes assessing needs, developing care plans, coordinating services, and advocating for members. Strong communication and independent work style are essential.