Care Manager: LTSS & Waiver Care Coordination

Jobtome; Oak Creek (WI); On-site; USD 33,000 - 64,000; Full time

Job summary

Molina Healthcare seeks a qualified care coordinator to provide LTSS care management support, collaborate with a multidisciplinary team, and coordinate integrated member care across the continuum to achieve positive outcomes.

This role conducts comprehensive assessments, enables waiver enrollment, develops care plans with member and providers, monitors progress, and facilitates access to behavioral health and community resources while traveling as required.

Qualifications

• Minimum 2 years of health care experience, including LTSS and care management exposure.
• Clinical licensure/certification required only if mandated by state contract or regulation.
• Valid driver's license, reliable transportation, and auto insurance for travel.

Responsibilities

• Completes comprehensive member assessments within regulatory timelines.
• Facilitates waiver enrollment and disenrollment processes.
• Develops and implements care plans with members, caregivers, and providers.
• Monitors care plan effectiveness and documents interventions.
• Promotes integration of LTSS with behavioral health and community resources.
• Assesses medical necessity and authorizes waiver services.
• Facilitates ICT meetings for service approvals and coordination.

Skills

Care coordination

Waiver services

Multidisciplinary collaboration

Time management

Education

Healthcare-related degree

Tools

Microsoft Office

Job description

Molina Healthcare seeks a qualified care coordinator to provide LTSS care management support, collaborate with a multidisciplinary team, and coordinate integrated member care across the continuum to achieve positive outcomes.

This role conducts comprehensive assessments, enables waiver enrollment, develops care plans with member and providers, monitors progress, and facilitates access to behavioral health and community resources while traveling as required.