LTSS Field Care Manager & Care Coordination

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

Benefits offered by this job

Competitive benefits

Job summary

Molina Healthcare in Des Plaines, IL seeks a Care Management Specialist to support LTSS activities and coordinate member care across the continuum with a multidisciplinary team. You will aim to achieve desired outcomes while ensuring quality and cost-effective care.

The role requires conducting member assessments, developing care plans, monitoring progress, and collaborating with physicians, caregivers, and care teams.

Qualifications

• 2+ years health care experience, including LTSS/care management.
• Knowledge of community resources and ability to work with diverse populations.
• Strong verbal and written communication skills.

Responsibilities

• Completes comprehensive member assessments within timelines, including home visits.
• Develops and implements care plans with members, caregivers, and providers.
• Monitors care plan effectiveness and documents interventions.
• Promotes integration of LTSS with behavioral health and community resources.
• Assesses medical necessity and authorizes waiver services.
• Coordinates interdisciplinary care team meetings for service approvals.
• Travels locally 25-40% as required by state/contractual requirements.

Skills

Disability/Chronic conditions care

Care coordination

Communication skills

Travel readiness

Education

Bachelor’s degree in health care (state dependent)

Tools

MS Office

Job description

Molina Healthcare in Des Plaines, IL seeks a Care Management Specialist to support LTSS activities and coordinate member care across the continuum with a multidisciplinary team. You will aim to achieve desired outcomes while ensuring quality and cost-effective care.

The role requires conducting member assessments, developing care plans, monitoring progress, and collaborating with physicians, caregivers, and care teams.