LTSS Care Coordinator | Waiver Services & Care Planning

Molina Healthcare; Portage (WI); On-site; USD 33,000 - 63,000; Full time

Job summary

Molina Healthcare in Wisconsin seeks a Care Manager to support LTSS care coordination, collaborating with a multidisciplinary team to ensure high-need members receive integrated services and achieve outcomes.

You will assess needs, develop and monitor care plans, facilitate waiver processes, and communicate effectively across settings; travel 25-40% as required. Requires 2+ years healthcare experience and valid driver’s license.

Qualifications

• 2+ years of health care experience, including LTSS and care management.
• Clinical licensure/certification required only if mandated by state contract or regulation.

Responsibilities

• Completes comprehensive member assessments within regulated timelines.
• Facilitates comprehensive waiver enrollment and disenrollment processes.
• Develops and implements care plans, including a waiver service plan with members and care network.
• Monitors care plan effectiveness and documents interventions.
• Promotes integration of services across LTSS and behavioral health.
• Assesses medical necessity and authorizes waiver services.
• Evaluates benefits and funding sources; commu­nicates accordingly.
• Facilitates ICT meetings for approval/denial of services.
• Uses motivational interviewing to educate and motivate change.
• Assesses barriers to care and coordinates support.
• Identifies incidents and develops prevention plans.
• Collaborates with licensed care managers as needed.
• 25-40% travel may be required.

Job description

Molina Healthcare in Wisconsin seeks a Care Manager to support LTSS care coordination, collaborating with a multidisciplinary team to ensure high-need members receive integrated services and achieve outcomes.

You will assess needs, develop and monitor care plans, facilitate waiver processes, and communicate effectively across settings; travel 25-40% as required. Requires 2+ years healthcare experience and valid driver’s license.