Care Manager - LTSS & Waiver Coordination Expert

Jobtome; Springfield Township (OH); On-site; USD 38,000 - 74,000; Full time

Job summary

Jobtome is seeking a skilled care management professional to coordinate long-term services and supports (LTSS) for high-need members. You will work with a multidisciplinary team to ensure progress toward outcomes and implement comprehensive care plans, including waiver services.

Responsibilities include conducting assessments, coordinating waivers, monitoring plans, and collaborating with caregivers, physicians, and the care network. Travel up to 40% may be required.

Qualifications

• At least 2 years of experience in health care, including at least 1 year in care management, managed care, or LTSS, and 1 year with persons with disabilities, chronic conditions or substance use disorders.
• Licensure as LCSW/LMSW/APSW/CHES/LPC/LPCC/LMFT/PhD/PsyD or equivalent; active and unrestricted in state of practice.
• In some states, a bachelor's degree in a health care related field may be required.

Responsibilities

• Complete comprehensive member assessments within regulated timelines, including in-person home visits as required.
• Facilitate comprehensive waiver enrollment and disenrollment processes.
• Develop and implement care plans, including a waiver service plan with members, caregivers, physicians and other professionals.
• Monitor care plans to evaluate effectiveness and adjust as needed.
• Promote integration of LTSS and behavioral health services with community resources.
• Assess medical necessity and authorize waiver services.
• Evaluate benefits and advise on funding sources.
• Lead interdisciplinary care team meetings for approval/denial of services.
• Use motivational interviewing to educate, support and motivate change.
• Identify barriers to care and coordinate psycho/social, financial and medical resources.
• Identify critical incidents and develop prevention plans.
• Travel 25-40% as required by state/contractual rules.

Skills

Proactive

Detail-oriented

Verbal communication

Written communication

Time management

Independent work

Community resources

Education

Licensed Clinical Social Worker (LCSW)

Licensed Master Social Worker (LMSW)

Advanced Practice Social Worker (APSW)

Certified Health Education Specialist (CHES)

Licensed Professional Counselor (LPC)

Licensed Professional Clinical Counselor (LPCC)

Licensed Marriage and Family Therapist (LMFT)

Doctor of Psychology (PhD/PsyD)

Bachelor's degree in healthcare field

Tools

Microsoft Office

Job description

Jobtome is seeking a skilled care management professional to coordinate long-term services and supports (LTSS) for high-need members. You will work with a multidisciplinary team to ensure progress toward outcomes and implement comprehensive care plans, including waiver services.

Responsibilities include conducting assessments, coordinating waivers, monitoring plans, and collaborating with caregivers, physicians, and the care network. Travel up to 40% may be required.