Care Manager, LTSS & Integrated Care Coordination

Molina Healthcare, Inc.

Genoa (AR)

On-site

USD 35,000 - 68,000

Full time

4 days ago
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Job summary

Molina Healthcare, Inc. is seeking a Care Management professional to support LTSS-focused care coordination. You will collaborate with a multidisciplinary team to deliver quality, cost-effective member care across the continuum, including home visits and waiver management.

The role requires at least 2 years in healthcare with LTSS exposure, valid driving license, and strong communication skills. Travel 25–40% may be required; licensure may be state-dependent.

Qualifications

  • Minimum 2 years health care experience, including LTSS exposure.
  • Clinical licensure and/or certification required where state contracts demand it.
  • Bachelor's degree in health care field may be required by state/contract.
  • Valid driver's license and reliable transportation for travel requirements.

Responsibilities

  • Completes comprehensive member assessments within regulated timelines, including in-person home visits as required.
  • Facilitates waiver enrollment and disenrollment processes.
  • Develops and implements care plans with members, caregivers, physicians and support network.
  • Monitors care plan effectiveness and documents interventions and outcomes.
  • Promotes integration of behavioral health and LTSS with home/community resources.
  • Assesses medical necessity and authorizes appropriate waiver services.
  • Facilitates interdisciplinary care team meetings for service approval or denial.

Skills

Care coordination
LTSS knowledge
Communication skills
Time management
Travel readiness
Driver's license
Microsoft Office

Education

Bachelor's degree in health care related field

Tools

Electronic health records

Job description

Molina Healthcare, Inc. is seeking a Care Management professional to support LTSS-focused care coordination. You will collaborate with a multidisciplinary team to deliver quality, cost-effective member care across the continuum, including home visits and waiver management.

The role requires at least 2 years in healthcare with LTSS exposure, valid driving license, and strong communication skills. Travel 25–40% may be required; licensure may be state-dependent.

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