Lead Care Manager, LTSS & Care Coordination

Jobtome; Jerseyville (NJ); On-site; USD 35,000 - 68,000; Full time

Benefits offered by this job

Competitive benefits package

Job summary

Molina Healthcare is seeking a care management professional to support LTSS activities across the care continuum for high-need members. You will collaborate with a multidisciplinary team to coordinate services and strive for outcomes that balance quality and cost effectiveness.

Responsibilities include comprehensive assessments, waiver enrollment, care-plan development, ongoing monitoring, and ICT facilitation. Some local travel is required.

Qualifications

• At least 2 years of health care experience, LTSS exposure preferred.
• Licensure/certification required only if state contract/regulation mandates.
• Bachelor's degree may be required in some states/contractual requirements.
• Valid driver's license and reliable transportation for field travel.
• Proven knowledge of community resources and ability to work independently.

Responsibilities

• Complete comprehensive member assessments within required timelines, including home visits.
• Manage waiver enrollment/disenrollment processes.
• Develop and implement care plans with members and care team.
• Monitor care plan effectiveness and adjust interventions as needed.
• Promote integration of LTSS with behavioral health and community resources.
• Assess medical necessity and authorize waiver services.
• Facilitate ICT meetings for service approvals and collaboration.
• Address barriers to care across psycho/social, financial, and medical domains.
• Travel up to 25–40% as required by state contracts.

Skills

Care coordination

Multidisciplinary teamwork

Communication skills

Time management

Problem solving

Education

Bachelor's degree in healthcare field

Tools

Microsoft Office

Job description

Molina Healthcare is seeking a care management professional to support LTSS activities across the care continuum for high-need members. You will collaborate with a multidisciplinary team to coordinate services and strive for outcomes that balance quality and cost effectiveness.

Responsibilities include comprehensive assessments, waiver enrollment, care-plan development, ongoing monitoring, and ICT facilitation. Some local travel is required.