LTSS Care Manager & Waiver Services Coordinator

Jobtome; Naperville Township (IL); On-site; USD 35,000 - 68,000; Full time

Job summary

Molina Healthcare is seeking a Care Manager to coordinate care for LTSS members in Illinois. You will collaborate with a multidisciplinary team to develop and monitor care plans, ensure timely assessments, and facilitate waiver enrollment/disenrollment to support high-need members across the continuum.

The role requires travel up to 40% locally, strong knowledge of community resources, and the ability to work independently in diverse settings.

Qualifications

• 2+ years of health care experience, incl. LTSS and 1 year in care management or related setting.
• Clinical licensure and/or certification required ONLY if state contract requires it.
• Bachelor's degree in a health care field may be required by state.
• Valid driver's license and reliable transportation with auto insurance for job travel.
• Strong knowledge of community resources and ability to work with diverse populations.
• Proficient in Microsoft Office and online portals/databases.

Responsibilities

• Completes comprehensive member assessments within regulated timelines.
• Facilitates comprehensive waiver enrollment and disenrollment processes.
• Develops and implements care plans with members, caregivers, physicians and care team.
• Performs ongoing monitoring of care plan to evaluate effectiveness and outcomes.
• Promotes integration of services for members including LTSS and community resources.
• Assesses for medical necessity and authorizes all appropriate waiver services.
• Facilitates ICT meetings for approval/denial of services and collaboration.
• Identifies barriers to care and provides coordination to address obstacles.
• Collaborates with licensed care managers/leadership as needed.
• 25-40% estimated local travel may be required.

Skills

Care coordination

LTSS experience

Travel readiness

Communication skills

Leadership collaboration

Education

Bachelor's degree in health care field

Tools

Microsoft Office

Online portals/databases

Job description

Molina Healthcare is seeking a Care Manager to coordinate care for LTSS members in Illinois. You will collaborate with a multidisciplinary team to develop and monitor care plans, ensure timely assessments, and facilitate waiver enrollment/disenrollment to support high-need members across the continuum.

The role requires travel up to 40% locally, strong knowledge of community resources, and the ability to work independently in diverse settings.