Field-Based Care Manager: LTSS & Waiver Services

Molina Healthcare, Inc.; Peoria (AZ); On-site; USD 35,000 - 68,000; Full time

Job summary

Molina Healthcare is recruiting a Care Coordinator to support LTSS across the continuum. You will collaborate with a multidisciplinary team to coordinate member care, develop and monitor care plans, and address medical, psycho-social and financial barriers.

Travel will be required based on state contracts and geographic needs. Qualifications include at least 2 years in healthcare with LTSS exposure, licensure as needed by state, and a relevant healthcare degree.

Qualifications

• Minimum 2 years of health care experience, including LTSS.
• Licensure/certification required only if mandated by state contract.
• Bachelor's degree in health care field may be required by state.
• Valid driver's license and reliable transportation for travel.
• Experience with diverse populations and community resources.
• Strong written and verbal communication and time-management skills.

Responsibilities

• Complete comprehensive member assessments within regulated timelines, including in-person home visits as required.
• Facilitate waiver enrollment and disenrollment processes.
• Develop and implement care plans with members, caregivers, physicians and care network.
• Monitor care plans and adjust as needed to achieve goals.
• Promote integration of LTSS, behavioral health, and community resources.
• Assess medical necessity and authorize waiver services.
• Coordinate ICT meetings for approval/denial of services.
• Educate and motivate change using motivational interviewing.
• Identify barriers to care and coordinate solutions for psycho/social/financial obstacles.
• Travel 25-40% as required by state/contractual requirements.

Skills

Healthcare experience

Care management

LTSS experience

Communication skills

Education

Bachelor's degree in healthcare

Tools

Microsoft Office

Job description

Molina Healthcare is recruiting a Care Coordinator to support LTSS across the continuum. You will collaborate with a multidisciplinary team to coordinate member care, develop and monitor care plans, and address medical, psycho-social and financial barriers.

Travel will be required based on state contracts and geographic needs. Qualifications include at least 2 years in healthcare with LTSS exposure, licensure as needed by state, and a relevant healthcare degree.