LTSS Care Manager & Care Coordination

Molina Talent Acquisition; Town of Grafton (WI); On-site; USD 52,000 - 75,000; Full time

Benefits offered by this job

Competitive benefits

Equal Opportunity Employer (EOE)

Job summary

Molina Healthcare seeks a care coordination professional to support LTSS activities and care management. You will work with a multi-disciplinary team to coordinate member care across the continuum, ensuring progress toward outcomes and cost-effective services.

Responsibilities include comprehensive assessments, waiver processes, care plan development, and monitoring, with 25-40% travel as required. Strong communication and independent work style are essential.

Qualifications

• At least 2 years health care experience, LTSS and care management, or equivalent.
• Clinical licensure/certification required only if state contract mandates.
• Ability to work with diverse populations and settings.

Responsibilities

• Complete comprehensive member assessments within regulated timelines, including home visits.
• Facilitate comprehensive waiver enrollment and disenrollment processes.
• Develop and implement care plans with members, caregivers, physicians and network.
• Monitor care plans and adjust interventions to meet outcomes.
• Coordinate services across LTSS, behavioral health and community resources.
• Assess for medical necessity and authorize waiver services.
• Share information with ICT and support teams, maintaining documentation.
• Travel up to 25-40% as required by state/contractual needs.

Skills

Care coordination

Communication skills

Time management

Problem-solving

Microsoft Office

Education

Bachelor's degree in health care field

Clinical licensure/certification if required by state

Tools

Microsoft Office

Electronic health records / online portals

Job description

Molina Healthcare seeks a care coordination professional to support LTSS activities and care management. You will work with a multi-disciplinary team to coordinate member care across the continuum, ensuring progress toward outcomes and cost-effective services.

Responsibilities include comprehensive assessments, waiver processes, care plan development, and monitoring, with 25-40% travel as required. Strong communication and independent work style are essential.