Care Manager: LTSS & Integrated Care Coordination

Molina Healthcare; Baraboo (WI); On-site; USD 33,000 - 65,000; Full time

Job summary

Molina Healthcare in Wisconsin is seeking a qualified care management professional to support LTSS initiatives. You will collaborate with multidisciplinary teams to coordinate member care across settings, ensure progress toward outcomes, and contribute to strategies that improve quality and cost-effectiveness of care.

Responsibilities include completing assessments, guiding waiver enrollment, developing care plans, monitoring progress, and coordinating services with physicians, caregivers, and

Qualifications

• At least 2 years of health care experience, including LTSS experience.
• Care management or medical/behavioral health experience required.
• Experience with persons with disabilities/chronic conditions is a plus.
• Must have active, unrestricted driver's license where required.

Responsibilities

• Complete comprehensive member assessments within timelines, including home visits as needed.
• Facilitate waiver enrollment/disenrollment processes.
• Develop and implement care plans with input from members and providers.
• Monitor and adjust care plans based on progress and interventions.
• Promote integration of LTSS, behavioral health, and community resources.
• Assess medical necessity and authorize waiver services.
• Coordinate interdisciplinary care team meetings for approvals.
• Identify barriers to care and address psycho/social and financial obstacles.
• Travel up to 25-40% as required by state contracts.

Skills

Communication skills

Time management

Problem solving

Independence

Travel readiness

Education

Bachelor's degree in health care or related field

Tools

Microsoft Office

Job description

Molina Healthcare in Wisconsin is seeking a qualified care management professional to support LTSS initiatives. You will collaborate with multidisciplinary teams to coordinate member care across settings, ensure progress toward outcomes, and contribute to strategies that improve quality and cost-effectiveness of care.

Responsibilities include completing assessments, guiding waiver enrollment, developing care plans, monitoring progress, and coordinating services with physicians, caregivers, and