LTSS Care Manager & Care Coordination Lead

Jobtome; Ravenna (TX); Sur place; USD 33 000 - 64 000; Plein temps

Résumé du poste

Molina Healthcare seeks a care coordination professional to support LTSS populations with integrated care delivery. You will collaborate with a multidisciplinary team to assess needs and implement tailored care plans, promoting efficient, high-quality member outcomes.

The role includes in-person visits, travel up to 40% and responsibilities across waiver services, with a focus on medical necessity, benefits evaluation, and care management via ICT meetings.

Qualifications

• 2+ years health care experience with LTSS exposure.
• Valid and unrestricted driver's license with reliable transportation.
• Strong verbal and written communication skills.
• Proficiency with Microsoft Office and online portals/databases.
• Willingness to travel 25-40% locally as required by contract.

Responsabilités

• Completes comprehensive member assessments within regulated timelines, including in-person home visits as required.
• Facilitates comprehensive waiver enrollment and disenrollment processes.
• Develops and implements care plans with members and care networks.
• Monitors care plans and documents interventions and goal achievement.
• Promotes integration of services across LTSS and behavioral health to ensure continuity of care.
• Assesses medical necessity and authorizes waiver services.
• Evaluates benefits and advises on funding sources.
• Facilitates ICT meetings for service approvals/denials.
• Uses motivational interviewing and clinical guidelines to educate and motivate change.
• Identifies barriers to care and coordinates support for psycho/social, financial, and medical obstacles.
• Identifies critical incidents and develops prevention plans for member health.
• Collaborates with licensed care managers and leadership as needed.
• Travel 25-40% as required.

Connaissances

Health care experience

Disability LTSS experience

Care management

Communication skills

Microsoft Office

Travel readiness

Driver's license

Self-motivation

Time management

Problem-solving

Outils

Microsoft Office

Description du poste

Molina Healthcare seeks a care coordination professional to support LTSS populations with integrated care delivery. You will collaborate with a multidisciplinary team to assess needs and implement tailored care plans, promoting efficient, high-quality member outcomes.

The role includes in-person visits, travel up to 40% and responsibilities across waiver services, with a focus on medical necessity, benefits evaluation, and care management via ICT meetings.