Molina Healthcare
Field Care Manager, LTSS - local travel required
Molina Healthcare, Chicago, Illinois, United States
Field Care Manager, LTSS - Local Travel Required
Join Molina Healthcare as a Field Care Manager, responsible for supporting care management and coordination for long‑term services and supports (LTSS). This role collaborates with a multidisciplinary team to deliver integrated member care across the continuum, striving for quality and cost‑effective outcomes.
Essential Job Duties
Complete comprehensive member assessments within regulated timelines, including in‑person home visits as required.
Facilitate comprehensive waiver enrollment and disenrollment processes.
Develop and implement care plans, collaborating with members, caregivers, physicians, and other health professionals to address member needs and goals.
Monitor care plans on an ongoing basis, evaluating effectiveness, documenting interventions, and suggesting changes as needed.
Promote integration of services for members, including behavioral health care and LTSS, and home/community resources to enhance continuity of care.
Assess medical necessity and authorize all appropriate waiver services.
Evaluate covered benefits and advise on funding sources.
Facilitate interdisciplinary care team (ICT) meetings for service approval or denial and provide informal ICT collaboration.
Use motivational interviewing and Molina clinical guideposts to educate, support, and motivate change during member contacts.
Assess barriers to care and provide coordination and assistance to members for psycho/social, financial, and medical obstacles.
Identify critical incidents and develop prevention plans to assure member health and welfare.
Collaborate with licensed care managers and leadership as needed.
Estimated local travel: 25‑40%, depending on state/contractual requirements.
Required Qualifications
At least 2 years of health care experience, including at least 1 year working with persons with disabilities or chronic conditions in LTSS, and 1 year in care management, or equivalent education and experience.
Landed qualifications: Licensed Practical Nurse (LPN) or Licensed Vocational Nurse (LVN); clinical licensure or certification required only if mandated by state contract or regulation. Active, unrestricted license in the state of practice is required.
Valid, unrestricted driver’s license, reliable transportation, and adequate auto insurance for job‑related travel.
Demonstrated knowledge of community resources.
Ability to work effectively in diverse settings and adapt to various personalities and personal situations.
Proactive, detail‑oriented work style; ability to work independently with minimal supervision.
Strong communication skills, both verbal and written, with the ability to remain calm in high‑pressure situations.
Excellent time‑management, prioritization, and multitasking abilities.
Strong problem‑solving and critical‑thinking skills.
Proficiency with Microsoft Office, online portals, and databases.
Preferred Qualifications
Certified Case Manager (CCM).
Experience working with populations that receive waiver services.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
Pay Range: $25.20 – $49.15 per hour. Actual compensation may vary based on geographic location, work experience, education, and/or skill level.
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Essential Job Duties
Complete comprehensive member assessments within regulated timelines, including in‑person home visits as required.
Facilitate comprehensive waiver enrollment and disenrollment processes.
Develop and implement care plans, collaborating with members, caregivers, physicians, and other health professionals to address member needs and goals.
Monitor care plans on an ongoing basis, evaluating effectiveness, documenting interventions, and suggesting changes as needed.
Promote integration of services for members, including behavioral health care and LTSS, and home/community resources to enhance continuity of care.
Assess medical necessity and authorize all appropriate waiver services.
Evaluate covered benefits and advise on funding sources.
Facilitate interdisciplinary care team (ICT) meetings for service approval or denial and provide informal ICT collaboration.
Use motivational interviewing and Molina clinical guideposts to educate, support, and motivate change during member contacts.
Assess barriers to care and provide coordination and assistance to members for psycho/social, financial, and medical obstacles.
Identify critical incidents and develop prevention plans to assure member health and welfare.
Collaborate with licensed care managers and leadership as needed.
Estimated local travel: 25‑40%, depending on state/contractual requirements.
Required Qualifications
At least 2 years of health care experience, including at least 1 year working with persons with disabilities or chronic conditions in LTSS, and 1 year in care management, or equivalent education and experience.
Landed qualifications: Licensed Practical Nurse (LPN) or Licensed Vocational Nurse (LVN); clinical licensure or certification required only if mandated by state contract or regulation. Active, unrestricted license in the state of practice is required.
Valid, unrestricted driver’s license, reliable transportation, and adequate auto insurance for job‑related travel.
Demonstrated knowledge of community resources.
Ability to work effectively in diverse settings and adapt to various personalities and personal situations.
Proactive, detail‑oriented work style; ability to work independently with minimal supervision.
Strong communication skills, both verbal and written, with the ability to remain calm in high‑pressure situations.
Excellent time‑management, prioritization, and multitasking abilities.
Strong problem‑solving and critical‑thinking skills.
Proficiency with Microsoft Office, online portals, and databases.
Preferred Qualifications
Certified Case Manager (CCM).
Experience working with populations that receive waiver services.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
Pay Range: $25.20 – $49.15 per hour. Actual compensation may vary based on geographic location, work experience, education, and/or skill level.
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