Care Manager: LTSS & Care Coordination

Molina Healthcare, Inc.; Capron (VA); On-site; USD 35,000 - 68,000; Full time

Benefits offered by this job

Competitive benefits

Equal Opportunity Employer

Job summary

Molina Healthcare, Inc. seeks a Care Coordinator to support LTSS care management. You will coordinate member care across teams, conduct comprehensive assessments, and develop care plans with input from members, caregivers, physicians, and the support network.

Responsibilities include monitoring plan effectiveness, ensuring access to services, and facilitating waiver processes. Expect 25–40% local travel as required by state contracts.

Qualifications

• At least 2 years health care experience with LTSS preferred.
• 1 year in care management or medical/behavioral health setting.
• Licensure/certification required only if state contract mandates.
• Valid driver's license and reliable transportation.

Responsibilities

• Complete comprehensive member assessments within timelines, including home visits.
• Facilitate waiver enrollment/disenrollment processes.
• Develop and implement care plans with members and care network.
• Monitor care plans and adjust as needed to meet outcomes.
• Promote service integration for LTSS and behavioral health.
• Assess medical necessity and authorize waiver services.
• Collaborate with ICT meetings for service decisions.
• Identify barriers and support member access to care.

Skills

Care coordination

Communication skills

Time management

Proactive work style

Problem-solving

Microsoft Office

Independence

Relationship building

Travel readiness

Critical thinking

Education

Bachelor's degree in health care related field

Tools

Microsoft Office Suite

Job description

Molina Healthcare, Inc. seeks a Care Coordinator to support LTSS care management. You will coordinate member care across teams, conduct comprehensive assessments, and develop care plans with input from members, caregivers, physicians, and the support network.

Responsibilities include monitoring plan effectiveness, ensuring access to services, and facilitating waiver processes. Expect 25–40% local travel as required by state contracts.