LTSS Care Manager: Care Coordination & Outcomes

Molina Healthcare, Inc.; Findlay (GA); Presencial; USD 35 000 - 68 000; Tempo integral

Resumo da oferta

Molina Healthcare, Inc. is seeking a care management professional to support LTSS coordination and waiver services. You will collaborate with a multidisciplinary team to ensure timely assessments, accurate care plans, and effective care transitions for members with high-need potential.

Responsibilities include coordinating waiver enrollment, monitoring outcomes, and educating members to overcome barriers to care. Travel may be required to deliver home visits and collaborate with local providers.

Qualificações

• 2+ years health care experience, LTSS or disability care preferred.
• Clinical licensure/certification if required by state contract/regulation.
• Bachelor's degree may be required in some states.
• Valid driver's license and reliable transportation for travel.

Responsabilidades

• Complete comprehensive member assessments within regulated timelines, including home visits.
• Facilitate waiver enrollment/disenrollment processes.
• Develop and implement care plans with members and care team.
• Monitor care plan effectiveness and adjust as needed.
• Promote integration of LTSS with behavioral health and community resources.
• Assess medical necessity and authorize waiver services.
• Coordinate interdisciplinary care team meetings for approvals/denials.
• Educate and motivate members using motivational interviewing and Molina guidelines.
• Identify barriers to care and arrange support across psycho/social, financial, and medical areas.
• Identify critical incidents and develop prevention plans.
• Travel 25-40% may be required.

Conhecimentos

Care coordination

Member advocacy

Communication skills

Time management

Travel readiness

Formação académica

Bachelor's degree in health care field

Descrição da oferta de emprego

Molina Healthcare, Inc. is seeking a care management professional to support LTSS coordination and waiver services. You will collaborate with a multidisciplinary team to ensure timely assessments, accurate care plans, and effective care transitions for members with high-need potential.

Responsibilities include coordinating waiver enrollment, monitoring outcomes, and educating members to overcome barriers to care. Travel may be required to deliver home visits and collaborate with local providers.