Care Manager – LTSS Care Coordination Expert

Molina Healthcare; Elkhorn (WI); On-site; USD 33,062 - 64,747; Full time

Job summary

Molina Healthcare in Wisconsin is seeking a Care Manager for Family Care with My Choice Wisconsin to coordinate LTSS, perform member assessments, develop care plans, and collaborate with a multidisciplinary team to improve outcomes.

Travel 25-40% locally; requires healthcare experience with LTSS, valid driver’s license, and strong communication. This role emphasizes care coordination, community resource access, and regulatory compliance.

Qualifications

• Minimum 2 years healthcare experience with LTSS.
• Valid driver's license and reliable transportation.
• Strong communication and organizational skills.
• Experience in care management or medical/behavioral health setting.

Responsibilities

• Completes comprehensive member assessments within timelines, including in-person home visits.
• Facilitates waiver enrollment and disenrollment processes.
• Develops and implements care plans with members and care teams.
• Monitors care plan effectiveness and documents outcomes.
• Promotes integration of services across LTSS and behavioral health.
• Assesses medical necessity and authorizes waiver services.
• Collaborates with interdisciplinary care teams for approvals/denials.
• Uses motivational interviewing to educate and motivate members.
• Identifies barriers and coordinates access to services.

Job description

Molina Healthcare in Wisconsin is seeking a Care Manager for Family Care with My Choice Wisconsin to coordinate LTSS, perform member assessments, develop care plans, and collaborate with a multidisciplinary team to improve outcomes.

Travel 25-40% locally; requires healthcare experience with LTSS, valid driver’s license, and strong communication. This role emphasizes care coordination, community resource access, and regulatory compliance.