Integrated Care Manager – LTSS & Waiver Services

Jobtome; Kirkland (WA); On-site; USD 35,000 - 68,000; Full time

Job summary

Molina Healthcare is seeking a care management professional to support LTSS activities and coordinate member care across settings. You will collaborate with a multidisciplinary team to ensure quality and cost-effective outcomes while facilitating waiver services and care plans.

The role requires 2+ years in healthcare, a valid driver's license, and ability to travel locally up to 40%. Strong communication, problem-solving, and familiarity with community resources are essential for success.

Qualifications

• At least 2 years health care experience, incl. 1 year with persons with disabilities/chronic conditions LTSS.
• Valid driver's license, reliable transportation, and auto insurance for job travel.
• Experience in care management or medical/behavioral health setting.
• Knowledge of community resources.
• Ability to work independently with minimal supervision.
• Strong verbal and written communication skills.
• Proficiency with Microsoft Office and online portals.
• Experience with substance use disorders may be required in some states.

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 other professionals.
• Monitor care plan effectiveness, document interventions, and adjust as needed.
• Promote integration of LTSS and behavioral health services and community resources.
• Assess medical necessity and authorize appropriate waiver services.
• Coordinate interdisciplinary care team meetings for service approvals.
• Use motivational interviewing to educate, support and motivate change.
• Identify barriers to care and assist with psycho/social, financial, and medical obstacles.
• Collaborate with licensed care managers as needed; travel 25-40% locally.

Skills

Health care experience

Care management

Communication skills

Time management

Detail oriented

Independent work

Travel ability

Microsoft Office

Education

Bachelor's degree in healthcare

Clinical licensure or certification

Tools

EHR systems

Online portals

Databases

Microsoft Office

Job description

Molina Healthcare is seeking a care management professional to support LTSS activities and coordinate member care across settings. You will collaborate with a multidisciplinary team to ensure quality and cost-effective outcomes while facilitating waiver services and care plans.

The role requires 2+ years in healthcare, a valid driver's license, and ability to travel locally up to 40%. Strong communication, problem-solving, and familiarity with community resources are essential for success.