Care Manager - LTSS Care Coordination

Molina Healthcare; Beaver Dam (WI); On-site; USD 33,000 - 65,000; Full time

Job summary

Molina Healthcare is seeking a Care Manager to support LTSS coordination for members with high-need potential. You will conduct comprehensive assessments, develop and monitor care plans, and collaborate with a multidisciplinary team to optimize quality and cost-effective care.

The role involves 25-40% local travel, waiver management, and integration of behavioral health and LTSS services while maintaining compliance with regulatory timelines and guidelines.

Qualifications

• 2+ years health care experience, LTSS exposure preferred.
• License/certification required only if state contract mandates it.
• Bachelor's degree may be required in some states.
• Valid driver's license and reliable transportation for job travel.

Responsibilities

• Complete comprehensive member assessments within timelines, including in-person visits.
• Facilitate waiver enrollment/disenrollment processes.
• Develop and implement care plans with members, caregivers, and providers.
• Monitor care plans and document progress toward goals.
• Promote integration of services to ensure continuity of care.
• Assess medical necessity and authorize waiver services.
• Collaborate with care teams to coordinate services.

Skills

Care coordination

Interdisciplinary collaboration

Communication skills

Time management

Problem-solving

Detail oriented

Self-motivation

Verbal and written communication

Microsoft Office

Navigate online portals

Education

Bachelor's degree in a health care related field

Clinical licensure/certification (if required)

Tools

Microsoft Office suite

Online portals/databases

Job description

Molina Healthcare is seeking a Care Manager to support LTSS coordination for members with high-need potential. You will conduct comprehensive assessments, develop and monitor care plans, and collaborate with a multidisciplinary team to optimize quality and cost-effective care.

The role involves 25-40% local travel, waiver management, and integration of behavioral health and LTSS services while maintaining compliance with regulatory timelines and guidelines.