Care Manager, LTSS & Care Coordination

Molina Healthcare, Inc.; Waukesha (WI); Presencial; USD 60.000 - 85.000; Jornada completa

Ventajas ofrecidas por este puesto de trabajo

Competitive benefits

Descripción de la vacante

Molina Healthcare is seeking a Care Manager to coordinate long-term services and supports (LTSS) for members with high-need potential. You will work with a multidisciplinary team to ensure integrated care, monitor outcomes, and address psycho/social and medical barriers to care.

Responsibilities include home visits, waiver enrollment, care plan development, and continuous collaboration with care teams and community resources. Travel as required by contract will be part of the role.

Formación

• 2+ years in health care, LTSS experience preferred.
• Clinical licensure/certification only if required by state contract/regulation.
• Valid driver's license and reliable transportation for travel.

Responsabilidades

• Complete comprehensive member assessments within regulated timelines.
• Facilitate waiver enrollment/disenrollment processes.
• Develop and implement care plans with care team and member network.
• 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.
• Collaborate with ICT meetings for approvals/denials.
• Travel 25–40% as required by state contracts.

Conocimientos

Care coordination

Home visits

Communication skills

Client advocacy

Educación

Health care degree (state dependent)

Herramientas

Microsoft Office

Descripción del empleo

Molina Healthcare is seeking a Care Manager to coordinate long-term services and supports (LTSS) for members with high-need potential. You will work with a multidisciplinary team to ensure integrated care, monitor outcomes, and address psycho/social and medical barriers to care.

Responsibilities include home visits, waiver enrollment, care plan development, and continuous collaboration with care teams and community resources. Travel as required by contract will be part of the role.