Care Manager: LTSS Care Coordination & Outcomes

Molina Healthcare; Wauwatosa (WI); On-site; USD 33,000 - 63,000; Full time

Job summary

Molina Healthcare is seeking a care coordination professional to support LTSS and waiver services in Wisconsin. The role involves field travel to member homes, comprehensive assessments, and collaboration with a multidisciplinary team to ensure high-quality, cost-effective care.

You will develop and monitor individualized care plans, coordinate with physicians, caregivers, and the member support network, and navigate community resources.

Qualifications

• Must have strong verbal and written communication skills.
• Ability to manage multiple projects with prioritization and time management.
• Demonstrated problem-solving and proactive approach to care coordination.

Responsibilities

• Perform comprehensive member assessments within timelines and during home visits as required.
• Coordinate waiver enrollment and disenrollment processes.
• Develop and implement care plans with members, families, and providers.
• Monitor and adjust care plans based on outcomes and barriers to care.
• Promote integrated care across behavioral health and LTSS.
• Assess medical necessity and authorize waiver services.
• Collaborate with care teams and leadership as needed.
• Travel locally 25-40% based on state requirements.

Skills

Communication

Time management

Problem solving

Written communication

Detail oriented

Independence

Education

Bachelor's degree in a health care related field

Active clinical licensure/certification if required by state

Tools

Microsoft Office

Job description

Molina Healthcare is seeking a care coordination professional to support LTSS and waiver services in Wisconsin. The role involves field travel to member homes, comprehensive assessments, and collaboration with a multidisciplinary team to ensure high-quality, cost-effective care.

You will develop and monitor individualized care plans, coordinate with physicians, caregivers, and the member support network, and navigate community resources.