Care Manager: LTSS Care Coordination & Outcomes

Molina Healthcare, Inc.; Marseilles Township (OH); Hybrid; USD 35,000 - 68,000; Full time

Job summary

Molina Healthcare seeks a skilled Care Coordinator to support LTSS members. You will collaborate with a multidisciplinary team to coordinate care, assess medical necessity, and implement effective service plans across the continuum. Travel may be required to visit members and providers.

Ideal candidates have healthcare experience with LTSS or disability care, strong communication, and the ability to navigate complex funding sources while ensuring quality and cost-effective member care.

Qualifications

• 2+ years healthcare experience, with LTSS or disability care, or equivalent
• Clinical licensure/certification required only if mandated by state contract/regs
• Valid driver's license and ability to travel as required

Responsibilities

• Complete comprehensive member assessments within timelines, including home visits as needed
• Coordinate waiver enrollment/disenrollment and develop care plans with care team
• Monitor care plans, document outcomes, and adjust as needed to meet goals
• Promote integrated services across behavioral health and LTSS
• Identify barriers to care and connect members with resources
• Collaborate with ICT and leadership as needed
• Travel 25-40% as required by state/contracts

Skills

Care coordination

Disability care/ LTSS

Care management

Communication (verbal & written)

Travel readiness

Education

Bachelor's degree in healthcare or related field

Tools

Microsoft Office

Job description

Molina Healthcare seeks a skilled Care Coordinator to support LTSS members. You will collaborate with a multidisciplinary team to coordinate care, assess medical necessity, and implement effective service plans across the continuum. Travel may be required to visit members and providers.

Ideal candidates have healthcare experience with LTSS or disability care, strong communication, and the ability to navigate complex funding sources while ensuring quality and cost-effective member care.