Field-Based Care Manager, LTSS & Waiver Services

Jobtome; Town of Grafton (WI); On-site; USD 33,000 - 64,000; Full time

Job summary

Molina Healthcare is seeking a care management professional to support LTSS activities, coordinate care across disciplines, and drive member outcomes. You will conduct comprehensive assessments, develop care plans, and monitor progress while navigating waivers and community resources.

Role requires 2+ years in healthcare with LTSS experience, valid driving license, and ability to travel up to 40% locally. Strong communication and problem-solving skills are essential.

Qualifications

• 2+ years healthcare experience, LTSS experience preferred.
• Clinical licensure/certification required only if mandated by state.
• Bachelor's degree may be required by state/contract.
• Valid driver's license and reliable transportation for travel.

Responsibilities

• Complete member assessments within regulatory timelines, including home visits.
• Facilitate waiver enrollment and disenrollment processes.
• Develop and implement care plans with caregivers and providers.
• Monitor care plans and adjust as needed.
• Coordinate services across behavioral health and LTSS.
• Assess medical necessity and authorize waiver services.
• Evaluate benefits and advise on funding sources.
• Lead ICT meetings for approvals/denials.
• Use motivational interviewing and Molina guides in member contacts.
• Identify barriers and coordinate psycho/social and medical support.
• Flag critical incidents and develop prevention strategies.
• Collaborate with licensed care managers as needed.
• Travel 25-40% as required.

Skills

Communication

Time management

Problem solving

Independence

Interpersonal skills

Education

Bachelor's degree in healthcare

Tools

Microsoft Office

Job description

Molina Healthcare is seeking a care management professional to support LTSS activities, coordinate care across disciplines, and drive member outcomes. You will conduct comprehensive assessments, develop care plans, and monitor progress while navigating waivers and community resources.

Role requires 2+ years in healthcare with LTSS experience, valid driving license, and ability to travel up to 40% locally. Strong communication and problem-solving skills are essential.