Senior Care Manager - LTSS & Waiver Coordination

Molina Healthcare; Chicago (IL); On-site; USD 38,000 - 74,000; Full time

Benefits offered by this job

Competitive benefits package

Job summary

Molina Healthcare is hiring for a Care Manager in Chicago to support LTSS and care coordination. You will collaborate with a multidisciplinary team to ensure high-need members receive integrated services and achieve outcomes.

You will assess, plan, and monitor care, facilitate waiver enrollment, and coordinate behavioral health and LTSS resources. Willingness to travel 25-40% is required.

Qualifications

• 2+ years in health care, including care management or managed care experience.
• Licenses must be active and unrestricted in state of practice.
• Experience with individuals with disabilities, chronic conditions or LTSS is preferred.

Responsibilities

• Complete comprehensive member assessments within regulated timelines, including in-person home visits.
• Develop and implement care plans including waiver service plans with members and care network.
• Monitor care plans and adjust interventions to achieve goals.
• Coordinate LTSS and behavioral health services to improve continuity of care.
• Assess medical necessity and authorize waiver services; evaluate benefits and funding sources.
• Facilitate ICT meetings for approval/denial of services; collaborate with care teams.
• Engage members using motivational interviewing and Molina clinical guidelines.
• Identify barriers to care and provide coordination to address psycho/social, financial, and medical obstacles.
• Identify critical incidents and develop prevention plans; provide peer consultation as needed.
• Travel 25-40% as required by state/contractual requirements.

Skills

Care management

Disability experience

Behavioral health

Motivational interviewing

Documentation

Time management

Communication skills

Driver's license

Microsoft Office

Education

Licensed Clinical Social Worker (LCSW)

Licensed Master Social Worker (LMSW)

Advanced Practice Social Worker (APSW)

Certified Health Education Specialist (CHES)

Licensed Professional Counselor (LPC)

Licensed Professional Clinical Counselor (LPCC)

Licensed Marriage and Family Therapist (LMFT)

Doctor of Psychology (PhD or PsyD)

Bachelor's degree in health care related field

Tools

Microsoft Office

Job description

Molina Healthcare is hiring for a Care Manager in Chicago to support LTSS and care coordination. You will collaborate with a multidisciplinary team to ensure high-need members receive integrated services and achieve outcomes.

You will assess, plan, and monitor care, facilitate waiver enrollment, and coordinate behavioral health and LTSS resources. Willingness to travel 25-40% is required.