Care Manager, LTSS & Waiver Services - Field-Based

Jobtome; Findlay (GA); Vor Ort; USD 35.000 - 68.000; Vollzeit

Benefits dieser Stelle

Competitive benefits

Zusammenfassung

Molina Healthcare is hiring for a care coordination professional to support LTSS activities and multi-disciplinary care delivery. You will collaborate with a team to ensure high-need members progress toward outcomes and cost-effective care across settings.

This role emphasizes waiver processes, care plan development, and proactive monitoring while working with diverse populations; travel may be required.

Qualifikationen

• 2+ years of health care experience with LTSS or related settings.
• Clinical licensure and/or certification only if required by state contracts.
• Bachelor's degree may be required depending on state/contract.
• Valid driver's license, reliable transportation for travel.
• Knowledge of community resources and ability to work independently.

Aufgaben

• Complete comprehensive member assessments within regulated timelines and home visits.
• Facilitate waiver enrollment/disenrollment processes.
• Develop and implement care plans with the care team and member, caregiver, physicians.
• Monitor care plan effectiveness and adjust interventions as needed.
• Promote integration of LTSS, behavioral health, and community resources.
• Assess medical necessity and authorize waiver services.
• Coordinate ICT meetings for approvals/denials of services.
• Educate and motivate members using motivational interviewing.
• Identify barriers and provide coordination to address psycho/social/financial barriers.
• Identify incidents and develop prevention plans for member safety.
• Collaborate with licensed care managers as required.
• Travel may be 25-40% depending on state/contract.

Kenntnisse

Care management

LTSS experience

Interdisciplinary collaboration

Travel readiness

Communication skills

Microsoft Office

Ausbildung

Bachelor's degree in health care related field

Tools

Microsoft Office

Jobbeschreibung

Molina Healthcare is hiring for a care coordination professional to support LTSS activities and multi-disciplinary care delivery. You will collaborate with a team to ensure high-need members progress toward outcomes and cost-effective care across settings.

This role emphasizes waiver processes, care plan development, and proactive monitoring while working with diverse populations; travel may be required.