Care Manager - LTSS & Waiver Coordination

Molina Healthcare; Viroqua (WI); On-site; USD 33,000 - 63,000; Full time

Job summary

Molina Healthcare in Wisconsin is seeking a Care Coordinator with LTSS expertise to support member care across the continuum. You will coordinate services, develop and monitor care plans, and work with a multi-disciplinary team to improve member outcomes.

Responsibilities include comprehensive assessments, waiver enrollment processes, and collaboration with caregivers, physicians, and ICT. Travel up to 40% may be required; strong communication and independent work are essential.

Qualifications

• At least 2 years of health care experience, including LTSS exposure and care management.
• Valid driver’s license, reliable transportation, and adequate auto insurance for travel, unless law states otherwise.
• Strong verbal and written communication skills; ability to work independently and manage multiple projects.

Responsibilities

• Completes comprehensive member assessments within regulated timelines and may include in-person home visits.
• Facilitates waiver enrollment and disenrollment processes.
• Develops and implements care plans with members, caregivers, physicians, and care networks.
• Monitors care plan effectiveness, documents interventions, and adjusts goals as needed.
• Promotes integration of LTSS with behavioral health and community resources.
• Assesses medical necessity and authorizes waiver services.
• Evaluates benefits and funding sources.
• Facilitates ICT meetings for service approvals/denials.
• Uses motivational interviewing and Molina guidelines to educate and motivate change.
• Addresses barriers to care and coordinates psycho/social, financial, and medical support.
• Identifies critical incidents and develops prevention plans; collaborates with licensed managers as required.
• Travel up to 25-40% may be required based on state contracts.

Skills

Care coordination

Communication

Time management

Problem-solving

Independent work

Clinical licensure

Travel readiness

Education

Bachelor's degree in health care field

Tools

Microsoft Office

Job description

Molina Healthcare in Wisconsin is seeking a Care Coordinator with LTSS expertise to support member care across the continuum. You will coordinate services, develop and monitor care plans, and work with a multi-disciplinary team to improve member outcomes.

Responsibilities include comprehensive assessments, waiver enrollment processes, and collaboration with caregivers, physicians, and ICT. Travel up to 40% may be required; strong communication and independent work are essential.