Care Manager – LTSS & Care Coordination Specialist

Jobtome; West Allis (WI); On-site; USD 33,000 - 64,000; Full time

Benefits offered by this job

Competitive benefits

EOE

Job summary

Jobtome is seeking a skilled care coordinator to support care management and LTSS-related activities. You will collaborate with a multidisciplinary team to deliver integrated member care across the continuum, aiming to improve outcomes for high-need members.

Responsibilities include comprehensive assessments, waiver processes, care plan development, and ongoing monitoring. You will promote service integration, evaluate benefits, and participate in ICT meetings.

Qualifications

• 2+ years health care experience including LTSS or care management.
• Licensure/certification only if required by state contract/regulation.
• Bachelor's degree in health care field may be required in some states.
• Valid unrestricted driver's license and reliable transportation for travel.

Responsibilities

• Complete comprehensive member assessments within regulated timelines (in-person visits as required).
• Facilitate waiver enrollment and disenrollment processes.
• Develop and implement care plans with members, caregivers, physicians and care network.
• Monitor care plan effectiveness and document interventions and goal achievement.
• Promote integration of services across behavioral health and LTSS.
• Assess medical necessity and authorize waiver services.
• Evaluate benefits and advise on funding sources.
• Lead ICT meetings for approval/denial of services.
• Use motivational interviewing and Molina clinical guideposts to educate and support change.
• Identify barriers to care and address psycho/social, financial and medical obstacles.
• Develop prevention plans for member health and welfare.
• Collaborate with licensed care managers as needed.
• Travel 25-40% may be required.

Skills

Care management

Disabilities/Chronic conditions LTSS

Communication skills

Driver's license

MS Office proficiency

Job description

Jobtome is seeking a skilled care coordinator to support care management and LTSS-related activities. You will collaborate with a multidisciplinary team to deliver integrated member care across the continuum, aiming to improve outcomes for high-need members.

Responsibilities include comprehensive assessments, waiver processes, care plan development, and ongoing monitoring. You will promote service integration, evaluate benefits, and participate in ICT meetings.