Care Manager - LTSS & Waiver Services (Travel)

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

Job summary

Molina Healthcare is seeking a dedicated care coordinator to support LTSS delivery. The role collaborates with a multidisciplinary team to ensure high-need members receive integrated care across the continuum, including waiver services and community resources. Travel to member sites is required.

The candidate will assess needs, implement care plans, monitor outcomes, and facilitate ICT meetings to authorize services, with attention to quality, cost-effectiveness, and member well-being.

Qualifications

• At least 2 years of health care experience, incl 1 year with LTSS.
• Clinical licensure and/or certification required if state contract or regulation requires it.
• Bachelor's degree in health care may be required per state/contractual requirements.
• Valid driver's license, reliable transportation, and auto insurance for job travel.
• Demonstrated knowledge of community resources.
• Strong verbal and written communication skills.
• Willingness to travel 25–40% locally as required.

Responsibilities

• Complete comprehensive member assessments within regulated timelines, including in-person home visits.
• Facilitate waiver enrollment and disenrollment processes.
• Develop and implement care plans with members and care network.
• Monitor and adjust care plans for effectiveness and outcomes.
• Promote integration of LTSS, behavioral health, and community resources.
• Assess medical necessity and authorize waiver services.
• Evaluate benefits and funding sources as needed.
• Coordinate ICT meetings for service approvals/denials.
• Educate using motivational interviewing techniques.
• Address psycho/social, financial, and medical barriers to care.
• Identify incidents and develop prevention plans.

Skills

Care coordination

LTSS experience

Health care experience

Clinical licensure

Communication skills

Time management

Independence

Travel readiness

Education

Bachelor's degree in health care

Certified Case Manager (CCM)

Tools

Microsoft Office

Online portals & databases

Job description

Molina Healthcare is seeking a dedicated care coordinator to support LTSS delivery. The role collaborates with a multidisciplinary team to ensure high-need members receive integrated care across the continuum, including waiver services and community resources. Travel to member sites is required.

The candidate will assess needs, implement care plans, monitor outcomes, and facilitate ICT meetings to authorize services, with attention to quality, cost-effectiveness, and member well-being.