Care Manager: Integrated LTSS & Care Coordination

Molina Healthcare; Delavan (WI); On-site; USD 33,000 - 63,000; Full time

Job summary

Molina Healthcare in Wisconsin seeks a Care Manager to support LTSS activities, coordinate member care, and collaborate with a multidisciplinary team to ensure quality, cost-effective outcomes.

The role emphasizes assessing needs, developing care plans, and facilitating waiver services while navigating community resources and regulatory timelines. Travel may be required to serve members and partners across the state.

Qualifications

• At least 2 years of health care experience, incl. LTSS or care management.
• Clinical licensure/certification required only if by state contract/regulation.
• Bachelor's degree may be required in some states.
• Valid driver's license and transportation for travel.
• Strong knowledge of community resources.

Responsibilities

• Complete comprehensive member assessments within regulated timelines, including home visits.
• Facilitate waiver enrollment/disenrollment processes.
• Develop and implement care plans with members, caregivers, and providers.
• Monitor care plan effectiveness and adjust as needed.
• Promote integration of LTSS with behavioral health and community resources.
• Assess medical necessity and authorize waiver services.
• Prepare and participate in interdisciplinary care team meetings.
• Travel 25-40% as required by state/contract.

Skills

Healthcare experience

Care coordination

Communication skills

Microsoft Office

Education

Bachelor's degree (state-dependent)

Tools

Microsoft Office

Online portals/databases

Job description

Molina Healthcare in Wisconsin seeks a Care Manager to support LTSS activities, coordinate member care, and collaborate with a multidisciplinary team to ensure quality, cost-effective outcomes.

The role emphasizes assessing needs, developing care plans, and facilitating waiver services while navigating community resources and regulatory timelines. Travel may be required to serve members and partners across the state.