Care Manager: Integrated LTSS & Care Coordination

Socket.dev; Wisconsin Dells (WI); On-site; USD 65,000 - 90,000; Full time

Job summary

Molina Healthcare in Wisconsin Dells seeks a care coordinator to support LTSS activities, collaborating with a multidisciplinary team to optimize member care and outcomes. Your responsibilities include comprehensive assessments, waiver enrollment, care plan development, monitoring and adjustment, and coordinating services across behavioral health, LTSS, and community resources.

Travel 25-40% may be required.

Qualifications

• Minimum 2 years health care experience, including 1 year LTSS experience.
• Clinical licensure/certification required only if state contract requires it.
• In some states, a bachelor’s degree in a health care related field may be required.
• Valid and unrestricted driver’s license, reliable transportation, and adequate auto insurance for job-related travel.
• Demonstrated knowledge of community resources.
• Ability to work independently with minimal supervision and self-motivation.
• Strong verbal and written communication skills.

Responsibilities

• Completes comprehensive member assessments within regulated timelines, including in-person home visits.
• Facilitates waiver enrollment and disenrollment processes.
• Develops and implements care plans in collaboration with members and health professionals.
• Monitors care plans and documents interventions and progress toward goals.
• Promotes integration of services across LTSS, behavioral health, and community resources.
• Assesses medical necessity and authorizes waiver services as appropriate.
• Evaluates benefits and advises on funding sources.
• Facilitates interdisciplinary care team meetings for approval/denial of services.
• Uses motivational interviewing and Molina guidance to educate and motivate change.
• Identifies barriers to care and provides coordination to address psycho/social, financial, and medical obstacles.
• Collaborates with licensed care managers/leadership as needed.
• Travel 25-40% may be required based on state/contractual requirements.

Skills

Care coordination

Communication skills

Multidisciplinary teamwork

Problem-solving

Time management

Detail-oriented

Education

Bachelor's degree in a health care related field

Tools

Microsoft Office

Online portals and databases

Job description

Molina Healthcare in Wisconsin Dells seeks a care coordinator to support LTSS activities, collaborating with a multidisciplinary team to optimize member care and outcomes. Your responsibilities include comprehensive assessments, waiver enrollment, care plan development, monitoring and adjustment, and coordinating services across behavioral health, LTSS, and community resources.

Travel 25-40% may be required.