LTSS Care Coordinator & Waiver Services Lead

Jobtome

Urbana Township (IA)

Sur place

USD 35 000 - 68 000

Plein temps

Il y a 5 jours
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Avantages offerts par ce poste

Competitive benefits
Equal Opportunity Employer

Résumé du poste

Molina Healthcare is seeking a care coordination professional to support LTSS activities and collaborate with a multidisciplinary team to ensure quality, cost-effective member care. You will assess needs, develop and monitor care plans, and coordinate waiver services across providers.

Strong communication, problem-solving, and organizational skills are essential, along with willingness to travel locally as required by state contracts. This role emphasizes member-centered care and outcomes.

Qualifications

  • 2+ years of health care experience including LTSS experience
  • Clinical licensure and/or certification if required by state contract/regulation
  • Valid driver’s license and reliable transportation for travel requirements
  • Experience working with diverse populations and coordinating care with multiple professionals

Responsabilités

  • Completes comprehensive member assessments within regulated timelines including in-person home visits
  • Facilitates waiver enrollment and disenrollment processes
  • Develops and implements care plans with members, caregivers, physicians and support network
  • Monitors care plan effectiveness and documents interventions
  • Promotes integration of services across behavioral health and LTSS
  • Assesses medical necessity and authorizes waiver services
  • Coordinates ICT meetings for service approvals
  • Educates and motivates members using motivational interviewing and clinical guidance
  • Identifies barriers to care and assists with psycho-social, financial, and medical obstacles
  • Develops prevention plans for member health and welfare
  • Collaborates with licensed care managers as needed
  • Local travel 25-40% may be required

Connaissances

Excellent communication skills
Time management
Care coordination experience

Formation

Bachelor's degree in health care related field

Outils

Microsoft Office Suite

Description du poste

Molina Healthcare is seeking a care coordination professional to support LTSS activities and collaborate with a multidisciplinary team to ensure quality, cost-effective member care. You will assess needs, develop and monitor care plans, and coordinate waiver services across providers.

Strong communication, problem-solving, and organizational skills are essential, along with willingness to travel locally as required by state contracts. This role emphasizes member-centered care and outcomes.

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