Care Manager LTSS: Integrated Care & Waiver Coordination

Molina Healthcare, Inc.; Commercial Point (OH); Presencial; USD 33 000 - 64 000; Tempo integral

Vantagens oferecidas por esta oferta de emprego

Competitive benefits

Equal Opportunity Employer

Resumo da oferta

Molina Healthcare, Inc. seeks a Care Manager to support LTSS care coordination, collaborating with a multidisciplinary team to deliver integrated member care across settings and promote outcomes and cost-effective care.

You will conduct comprehensive member assessments, develop and monitor care plans, facilitate waiver processes, and coordinate services, with 25-40% local travel as required. Requires at least 2 years in healthcare, LTSS experience, ability to work independently, strong

Qualificações

• 2+ years health care experience including LTSS
• Clinical licensure/certification as required by state contract/regulation
• Bachelor's degree may be required in some states
• Valid driver's license and reliable transportation

Responsabilidades

• Completes comprehensive member assessments within regulated timelines
• Facilitates waiver enrollment/disenrollment processes
• Develops and implements care plans with member and care team
• Monitors care plan effectiveness and documents progress
• Promotes integration of LTSS with behavioral health services
• Assesses medical necessity and authorizes waiver services
• Collaborates with interdisciplinary care team for approvals/denials
• Uses motivational interviewing to educate and support members
• Identifies barriers to care and coordinates solutions
• Travel 25-40% as required

Conhecimentos

Care coordination

Communication skills

Time management

Problem solving

Microsoft Office

Driver's license

Travel willingness

Interdisciplinary collaboration

Independent work

Formação académica

Bachelor's degree in health care

Ferramentas

Microsoft Office

Online portals/databases

Descrição da oferta de emprego

Molina Healthcare, Inc. seeks a Care Manager to support LTSS care coordination, collaborating with a multidisciplinary team to deliver integrated member care across settings and promote outcomes and cost-effective care.

You will conduct comprehensive member assessments, develop and monitor care plans, facilitate waiver processes, and coordinate services, with 25-40% local travel as required. Requires at least 2 years in healthcare, LTSS experience, ability to work independently, strong