Integrated LTSS Care Coordinator (High-Need Members)

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

Benefits offered by this job

Competitive benefits

Equal Opportunity Employer (EOE)

Job summary

Molina Healthcare is seeking a Care Manager to support LTSS activities and care coordination for high-need members. You will collaborate with a multidisciplinary team to deliver integrated care while monitoring plans and ensuring progress toward outcomes.

This role requires at least 2 years of health care experience, licensure as needed, strong communication, and travel up to 40% within the state. A valid driver's license and reliable transportation are required.

Qualifications

• At least 2 years of health care experience, incl. LTSS and care management.
• Licensure/certification required only if state contract/regulation requires it; active license if applicable.
• Bachelor's degree may be required depending on state contract requirements.
• Valid driver’s license with reliable transportation for travel requirements.
• Demonstrated knowledge of community resources and ability to work with diverse populations.
• Proactive, detail-oriented, able to work independently with minimal supervision.

Responsibilities

• Completes comprehensive member assessments within regulated timelines, including home visits.
• Facilitates waiver enrollment/disenrollment processes.
• Develops and implements care plans with members, caregivers, and providers.
• Monitors care plan effectiveness and documents interventions and outcomes.
• Promotes integration of LTSS and behavioral health services and community resources.
• Assesses medical necessity and authorizes waiver services as needed.
• Facilitates ICT meetings for service approvals/denials.
• Uses motivational interviewing and clinical guidelines to support change.
• Identifies barriers and assists with psycho/social, financial, and medical challenges.
• Collaborates with licensed care managers and leadership as required.
• Travel 25-40% may be required depending on state/contractual needs.

Skills

LTSS experience

Care coordination

Multidisciplinary teamwork

Travel readiness

Communication skills

Education

Bachelor's degree in a health care related field

Tools

Microsoft Office

Online portals

Job description

Molina Healthcare is seeking a Care Manager to support LTSS activities and care coordination for high-need members. You will collaborate with a multidisciplinary team to deliver integrated care while monitoring plans and ensuring progress toward outcomes.

This role requires at least 2 years of health care experience, licensure as needed, strong communication, and travel up to 40% within the state. A valid driver's license and reliable transportation are required.