Care Manager LTSS: Waiver & Care Coordination Expert

Jobtome; 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 is seeking a Care Management/Coordination Specialist to support LTSS initiatives and collaborate with a multidisciplinary team to deliver high-quality, cost-effective member care.

Responsibilities include comprehensive member assessments, waiver enrollment and disenrollment, care plan development with providers and families, and ongoing monitoring to measure progress and adjust plans. Travel up to 40% may be required.

Qualificações

• 2+ years health care experience, LTSS exposure preferred.
• Clinical licensure/certification only if required by state contract.
• Bachelor's degree may be required in some states.

Responsabilidades

• Complete comprehensive member assessments within timelines.
• Facilitate waiver enrollment/disenrollment processes.
• Develop and implement care plans with providers and families.
• Monitor care plan effectiveness and adjust as needed.
• Promote service integration across LTSS and behavioral health.
• Assess medical necessity and authorize waiver services.
• Lead ICT meetings for service decisions and collaboration.
• Travel 25-40% as required by state/contract.

Conhecimentos

Health care experience

Care management

Communication skills

Time management

Travel readiness

Microsoft Office

Behavioral health knowledge

Self-motivation

Formação académica

Bachelor's degree in health care field

Ferramentas

Microsoft Office

Descrição da oferta de emprego

Molina Healthcare is seeking a Care Management/Coordination Specialist to support LTSS initiatives and collaborate with a multidisciplinary team to deliver high-quality, cost-effective member care.

Responsibilities include comprehensive member assessments, waiver enrollment and disenrollment, care plan development with providers and families, and ongoing monitoring to measure progress and adjust plans. Travel up to 40% may be required.