LTSS Care Manager: Care Coordination & Home Visits

Molina Healthcare, Inc.; Cincinnati (OH); On-site; USD 33,000 - 64,000; Full time

Job summary

Molina Healthcare, Inc. is seeking a care management professional to support LTSS and care coordination across the continuum. You will collaborate with a multidisciplinary team to ensure member progress toward outcomes while contributing to strategies for quality and cost-effective care.

You will conduct comprehensive member assessments, assist with waiver enrollment, develop and monitor care plans, and promote service integration across behavioral health and LTSS. Local travel will be required.

Qualifications

• At least 2 years of health care experience, including 1 year with persons with disabilities/chronic conditions LTSS, and 1 year in care management.
• Clinical licensure and/or certification required only if state contract/regulation mandates; active and unrestricted if licensed.
• Bachelors degree in a health care related field may be required in some states.
• Valid driver7s license, reliable transportation, and adequate auto insurance for job-related travel.

Responsibilities

• Complete comprehensive member assessments within regulated timelines, including in-person home visits.
• Facilitate waiver enrollment and disenrollment processes.
• Develop and implement care plans with members, caregivers, physicians, and care professionals to address needs and goals.
• Monitor care plans, document interventions and progress, and suggest changes as needed.
• Promote integration of behavioral health and LTSS, and connect members with home and community resources.
• Assess medical necessity and authorize appropriate waiver services, evaluate benefits and funding sources.
• Facilitate ICT meetings for approval/denial of services and collaboration.
• Educate and motivate members using motivational interviewing and Molina clinical guideposts.
• Identify barriers to care and provide coordination to address psycho/social, financial, and medical obstacles.
• Identify critical incidents and develop prevention plans for member health and welfare.
• Collaborate with licensed care managers/leadership as needed; travel 25-40% may be required.

Skills

Care coordination

Home visits

Interdisciplinary collaboration

Motivational interviewing

Communication skills

Time management

Driver's license

Microsoft Office

Education

Health care related bachelor7s degree (state dependent)

Tools

Microsoft Office

Job description

Molina Healthcare, Inc. is seeking a care management professional to support LTSS and care coordination across the continuum. You will collaborate with a multidisciplinary team to ensure member progress toward outcomes while contributing to strategies for quality and cost-effective care.

You will conduct comprehensive member assessments, assist with waiver enrollment, develop and monitor care plans, and promote service integration across behavioral health and LTSS. Local travel will be required.