Care Manager: Integrated LTSS & Care Coordination

Jobtome; Town of Adams (WI); On-site; USD 33,000 - 64,000; Full time

Job summary

Molina Healthcare is seeking a care coordination professional to support LTSS services. You will work with a multidisciplinary team to coordinate member care, assess needs, and ensure progress toward outcomes.

Responsibilities include home visits, waiver management, care plan development, and ongoing monitoring to improve quality and reduce costs. Travel 25–40% may be required based on state contracts.

Qualifications

• 2+ years health care experience with LTSS or disability/chronic conditions.
• Clinical licensure and/or certification required only if mandated by state contract.
• Bachelor's degree in a health care field may be required depending on state.
• Valid and unrestricted driver's license and reliable transportation.

Responsibilities

• Complete comprehensive member assessments within regulated timelines, including in-person home visits.
• Facilitate waiver enrollment and disenrollment processes.
• Develop and implement care plans with members and care teams.
• Monitor care plans and document interventions and goal achievement.
• Promote integration of LTSS with behavioral health and community resources.
• Assess medical necessity and authorize waiver services.
• Collaborate in ICT meetings for service approvals/denials.
• Travel 25–40% as required by state/contract.

Skills

Care management

LTSS experience

Communication skills

Time management

Microsoft Office

Interdisciplinary collaboration

Travel readiness

Education

Bachelor's degree (healthcare)

Tools

Microsoft Office

Job description

Molina Healthcare is seeking a care coordination professional to support LTSS services. You will work with a multidisciplinary team to coordinate member care, assess needs, and ensure progress toward outcomes.

Responsibilities include home visits, waiver management, care plan development, and ongoing monitoring to improve quality and reduce costs. Travel 25–40% may be required based on state contracts.