LTSS Care Manager | Care Coordination & Outcomes

Molina Healthcare, Inc.

Lewiston (MN)

On-site

USD 30,000 - 64,000

Full time

2 days ago
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Job summary

Molina Healthcare, Inc. is seeking a care coordinator to support LTSS activities and collaborate with a multidisciplinary team to drive integrated member care. You will help ensure progress toward desired outcomes and contribute to strategies for quality and cost-effective care.

You will perform comprehensive assessments, coordinate waiver services, develop and monitor care plans, and promote service integration across behavioral health and LTSS. Local travel is required based on state contracts.

Qualifications

  • At least 2 years of health care experience, LTSS focus, with care management.
  • License required only if state contract mandates; active/unrestricted in state of practice.
  • Valid driver's license, reliable transportation, adequate auto insurance for 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 team.
  • Monitor care plans and adjust as needed to achieve goals.
  • Promote integration of LTSS and behavioral health with community resources.
  • Assess medical necessity and authorize waiver services.
  • Lead ICT meetings for service approvals/denials.
  • Travel 25–40% as required by state/contractual needs.

Skills

Care management
Communication skills
Time management
Multidisciplinary collaboration
Travel readiness
Computer skills

Education

Health care degree (state dependent)
Clinical licensure/certification (if required)

Tools

Microsoft Office
Online portals/databases

Job description

Molina Healthcare, Inc. is seeking a care coordinator to support LTSS activities and collaborate with a multidisciplinary team to drive integrated member care. You will help ensure progress toward desired outcomes and contribute to strategies for quality and cost-effective care.

You will perform comprehensive assessments, coordinate waiver services, develop and monitor care plans, and promote service integration across behavioral health and LTSS. Local travel is required based on state contracts.

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