Care Manager, LTSS & Waiver Services (Travel)

Molina Healthcare, Inc.; Virden (NM); Vor Ort; USD 38.000 - 74.000; Vollzeit

Zusammenfassung

Molina Healthcare, Inc. is seeking a care management professional to support LTSS-related activities. You will collaborate with a multidisciplinary team to ensure high-need members receive integrated care across the continuum.

The role emphasizes assessments, care planning, and monitoring to achieve desired outcomes while navigating regulatory timelines and varying contractual requirements. Travel up to 40% may be required depending on state needs.

Qualifikationen

• Minimum 2 years in health care with care management or LTSS exposure.
• Active LCSW/LMSW/APSW/CHES/LPC/LPCC/LMFT/PhD/PsyD or equivalent license in state of practice.
• In some states, a health-related bachelor’s degree may be required.
• Valid driver’s license and reliable transportation for travel requirements.
• Ability to work independently with strong communication and time-management skills.
• Experience with diverse populations and ability to adapt communication style.

Aufgaben

• Complete comprehensive member assessments within regulatory timelines, including home visits as required.
• Facilitate waiver enrollment and disenrollment processes.
• Develop and implement care plans with members, caregivers and providers.
• Monitor care plans and document interventions and outcomes.
• Promote integration of LTSS, behavioral health, and community resources.
• Assess medical necessity and authorize waiver services as appropriate.
• Coordinate interdisciplinary care team meetings for approval or denial of services.
• Provide education and support to members using motivational interviewing.

Kenntnisse

Care coordination

Communication skills

Time management

Detail orientation

Problem solving

Self-motivation

Microsoft Office

Travel readiness

Ausbildung

Licensed clinical social worker or equivalent

Relevant bachelor’s degree may be required

Tools

Microsoft Word

Excel

Jobbeschreibung

Molina Healthcare, Inc. is seeking a care management professional to support LTSS-related activities. You will collaborate with a multidisciplinary team to ensure high-need members receive integrated care across the continuum.

The role emphasizes assessments, care planning, and monitoring to achieve desired outcomes while navigating regulatory timelines and varying contractual requirements. Travel up to 40% may be required depending on state needs.