LTSS Care Manager: Care Coordination & Outcomes

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

Job summary

Molina Healthcare, Inc. is seeking a care coordination professional to support LTSS activities and collaborate with a multidisciplinary team to deliver integrated member care. Focus areas include assessments, care planning, waiver services, and ensuring outcomes within regulated timelines.

The role emphasizes monitoring effectiveness, coordinating with physicians, caregivers, and support networks, and leveraging motivational interviewing to guide member progress while traveling as required.

Qualifications

• At least 2 years health care experience with LTSS.
• Valid driver's license and reliable transportation.
• Strong communication and problem-solving skills.
• Experience with waiver services preferred.

Responsibilities

• 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, including a waiver service plan with the member and care network.
• Performs ongoing monitoring of care plan to evaluate effectiveness and document progress.
• Promotes integration of services across care teams to support LTSS and community resources.
• Assess for medical necessity and authorize applicable waiver services.
• Facilitates ICT meetings for approval/denial of services and collaboration.
• Uses motivational interviewing to educate, support and motivate change during contacts.
• Assess barriers to care and provide coordination to address psycho/social, financial, and medical obstacles.
• Collaborates with licensed care managers and leadership as needed; travel may be 25-40%.

Skills

Care coordination

LTSS experience

Clinical licensure

Driver's license

Education

Bachelor's degree

Tools

Microsoft Office

Job description

Molina Healthcare, Inc. is seeking a care coordination professional to support LTSS activities and collaborate with a multidisciplinary team to deliver integrated member care. Focus areas include assessments, care planning, waiver services, and ensuring outcomes within regulated timelines.

The role emphasizes monitoring effectiveness, coordinating with physicians, caregivers, and support networks, and leveraging motivational interviewing to guide member progress while traveling as required.