Care Manager: LTSS & Care Coordination Pro

Molina Healthcare, Inc.; Staunton (VA); On-site; USD 38,000 - 74,000; Full time

Benefits offered by this job

Competitive benefits

Equal Opportunity Employer

Job summary

Molina Healthcare is seeking an experienced care management professional to support LTSS services. You will collaborate with a multidisciplinary team to coordinate member care across the continuum, ensuring progress toward outcomes and cost-effective delivery.

Travel up to 25–40% may be required based on state requirements. Ideal candidates hold a current clinical license and have experience in care management, LTSS, or related settings, with strong communication and organizational skills to

Qualifications

• Licensed clinician with active license to practice.
• 2+ years in health care with care management exposure.
• Valid driver’s license and reliable transportation.

Responsibilities

• Complete comprehensive member assessments within regulated timelines and conduct in-person visits as required.
• Facilitate waiver enrollment and disenrollment processes.
• Develop and implement care plans with members and care network to meet goals.
• Monitor care plan effectiveness and adjust interventions as needed.
• Coordinate LTSS and behavioral health services to ensure seamless care.
• Assess medical necessity and authorize waiver services; determine funding sources.

Skills

Licensed clinician

Active license

Driver's license

Communication

Time management

Travel readiness

Education

Bachelors degree in health care field

Tools

Microsoft Office

Job description

Molina Healthcare is seeking an experienced care management professional to support LTSS services. You will collaborate with a multidisciplinary team to coordinate member care across the continuum, ensuring progress toward outcomes and cost-effective delivery.

Travel up to 25–40% may be required based on state requirements. Ideal candidates hold a current clinical license and have experience in care management, LTSS, or related settings, with strong communication and organizational skills to