Care Manager - LTSS Care Coordination Specialist

Jobtome

South Dakota

On-site

USD 35,000 - 68,000

Full time

7 days ago
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Benefits offered by this job

Competitive benefits

Job summary

Molina Healthcare is seeking a Care Coordinator to support care management and LTSS activities. You will collaborate with a multidisciplinary team to coordinate delivery of member care and help progress toward outcomes.

The role includes assessing needs, arranging waiver services, developing care plans, monitoring progress, and traveling to member sites as required (25–40%). Strong communication and organization are essential.

Qualifications

  • 2+ years healthcare experience including LTSS and care management.
  • Licensure/certification required if mandated by state contract or regulation.
  • Bachelor's degree may be required in some states.
  • Valid driver's license and reliable transportation for travel.
  • Knowledge of community resources and ability to work with diverse populations.
  • Ability to work independently with minimal supervision.

Responsibilities

  • Completes comprehensive member assessments within regulated timelines.
  • Facilitates waiver enrollment/disenrollment processes.
  • Develops and implements care plans with members and care networks.
  • Monitors care plan effectiveness and documents interventions.
  • Promotes integration of LTSS with behavioral health and community resources.
  • Assesses medical necessity and authorizes waiver services.
  • Coordinates ICT meetings for service decisions.
  • Travels locally 25-40% as required.

Skills

Healthcare experience
Care management
Communication skills
Time management
Problem solving
Independent worker
Travel willingness
Microsoft Office

Education

Clinical licensure
Bachelor's degree in health care field

Tools

Microsoft Office

Job description

Molina Healthcare is seeking a Care Coordinator to support care management and LTSS activities. You will collaborate with a multidisciplinary team to coordinate delivery of member care and help progress toward outcomes.

The role includes assessing needs, arranging waiver services, developing care plans, monitoring progress, and traveling to member sites as required (25–40%). Strong communication and organization are essential.

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