LTSS Care Manager: Care Coordination & Outcomes

Jobtome; Grove City (OH); Sur place; USD 33 000 - 64 000; Plein temps

Résumé du poste

Molina Healthcare is seeking a Care Coordinator to support LTSS and care management programs. You will coordinate comprehensive assessments, develop and monitor care plans, and work with members, caregivers, and providers to meet health and social needs.

The role requires travel up to 40% locally and involves collaboration with licensed care managers to ensure high-quality, cost-effective member care.

Qualifications

• 2+ years of health care experience with LTSS or disability populations.
• Experience in care management or medical/behavioral health settings preferred.
• Must have or be eligible for clinical licensure if required by state contract/regulation.

Responsabilités

• Complete comprehensive member assessments within regulated timelines, including home visits when required.
• Facilitate waiver enrollment and disenrollment processes.
• Develop and implement care plans with members and care networks.
• Monitor care plans, document outcomes, and adjust as needed.
• Coordinate services across behavioral health and LTSS to ensure continuity of care.
• Assess medical necessity and authorize waiver services; review benefits and funding sources.
• Lead ICT meetings for approval/denial of services; collaborate with care teams.
• Travel 25-40% locally as required by state contracts.

Connaissances

Care management

Disability/LTSS experience

Communication skills

Time management

Travel willingness

MS Office proficiency

Formation

Bachelor’s degree in healthcare-related field

Outils

Microsoft Office

Description du poste

Molina Healthcare is seeking a Care Coordinator to support LTSS and care management programs. You will coordinate comprehensive assessments, develop and monitor care plans, and work with members, caregivers, and providers to meet health and social needs.

The role requires travel up to 40% locally and involves collaboration with licensed care managers to ensure high-quality, cost-effective member care.