LTSS Care Coordination Specialist

Molina Talent Acquisition; Wisconsin Dells (WI); Presencial; USD 60.000 - 85.000; Jornada completa

Descripción de la vacante

Molina Healthcare seeks an experienced care manager to support LTSS activities and coordinate member care across the continuum. You will work with a multidisciplinary team to help members reach their goals and ensure quality, cost-effective care.

You will conduct comprehensive assessments, facilitate waiver processes, develop care plans with members and caregivers, monitor progress, and promote service integration. Travel 25-40% may be required based on state contracts.

Formación

• 2+ years health care experience with LTSS or related field.
• Experience with disability/chronic conditions and care management.
• Ability to work across diverse settings and populations.
• Valid driver's license and willingness to travel.

Responsabilidades

• Completes comprehensive member assessments within regulated timelines.
• Facilitates waiver enrollment and disenrollment processes.
• Develops and implements care plans with members and care team.
• Monitors care plans and documents interventions and outcomes.
• Promotes integration of LTSS, behavioral health, and community resources.
• Assesses medical necessity and authorizes waiver services.
• Evaluates benefits and funding sources.
• Facilitates ICT meetings for approval/denial of services.
• Uses motivational interviewing to educate and motivate change.
• Addresses psycho/social, financial, and medical barriers to care.
• Identifies critical incidents and develops prevention plans.
• Collaborates with licensed care managers as needed.
• Travel 25-40% as required.

Conocimientos

Care coordination

Communication skills

Time management

Problem solving

Independent work

Educación

Bachelor's degree in health care

Clinical licensure/certification (if required by state)

Herramientas

Microsoft Office

Descripción del empleo

Molina Healthcare seeks an experienced care manager to support LTSS activities and coordinate member care across the continuum. You will work with a multidisciplinary team to help members reach their goals and ensure quality, cost-effective care.

You will conduct comprehensive assessments, facilitate waiver processes, develop care plans with members and caregivers, monitor progress, and promote service integration. Travel 25-40% may be required based on state contracts.