Senior Care Manager, LTSS & Care Coordination

Molina Healthcare; Charleston (IL); On-site; USD 39,000 - 74,000; Full time

Job summary

Molina Healthcare is seeking an experienced care management professional in Charleston, IL to coordinate LTSS services and ensure high-need members achieve outcomes. You will collaborate with a multidisciplinary team, perform home visits as needed, and manage waiver processes to optimize care delivery.

The role emphasizes assessing needs, developing and monitoring care plans, and coordinating services across behavioral health and LTSS while navigating regulatory timelines and member goals.

Qualifications

• 2+ years in health care with 1+ year in care management or LTSS
• Active professional license per state requirements (LCSW/LMSW/CHES/LPC/etc.)
• Valid driver's license and reliable transportation for travel
• Ability to work across diverse settings and with various populations
• Strong verbal/written communication and time-management skills
• Experience with substance use disorders a plus

Responsibilities

• Complete comprehensive member assessments within required timelines, including home visits as needed.
• Coordinate waiver enrollment/disenrollment and develop care plans with members and care networks.
• Monitor and adjust care plans based on outcomes and changing needs.
• Promote integrated care across behavioral health and LTSS
• Assess medical necessity and authorize waiver services; evaluate benefits and funding sources.
• Facilitate ICT meetings for service approvals and collaboration.
• Travel up to 25-40% as required by state contracts.

Skills

LCSW/LMSW/APSW

Care management experience

Disability & LTSS experience

Communication skills

Proactive/problem-solving

MS Office proficiency

Education

Licensed Social Worker credential(s)

Tools

MS Office

Job description

Molina Healthcare is seeking an experienced care management professional in Charleston, IL to coordinate LTSS services and ensure high-need members achieve outcomes. You will collaborate with a multidisciplinary team, perform home visits as needed, and manage waiver processes to optimize care delivery.

The role emphasizes assessing needs, developing and monitoring care plans, and coordinating services across behavioral health and LTSS while navigating regulatory timelines and member goals.