LTSS Care Manager — Care Coordination & Outcomes

Molina Healthcare, Inc.; London (KY); Presencial; USD 33 000 - 64 000; Tempo integral

Vantagens oferecidas por esta oferta de emprego

Competitive benefits package

Resumo da oferta

Molina Healthcare seeks a care management professional to support LTSS care coordination and interdisciplinary collaboration across the continuum of member care. You will work with a multidisciplinary team to ensure outcomes and cost-effective care for high-need members.

Responsibilities include comprehensive assessments, waiver enrollment, care plan development, monitoring, and collaboration with care teams, caregivers, and physicians. Travel as required by state contracts is anticipated.

Qualificações

• 2+ years health care experience, including LTSS experience.
• License/certification as required by state contract or licensing mandates.
• Valid driver's license and reliable transportation for travel.
• Experience working with diverse populations and care coordination.
• Proficiency with Microsoft Office and online portals/databases.

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 document interventions.
• Promote integration of LTSS with behavioral health and community resources.
• Assess medical necessity and authorize waiver services.
• Participate in interdisciplinary care team meetings for approval/denial of services.
• Identify barriers to care and coordinate support for psycho/social, financial, and medical needs.
• Travel 25-40% as required by state/contractual requirements.

Conhecimentos

Care coordination

Communication skills

Time management

Problem-solving

Independence

Microsoft Office

Formação académica

Bachelor's degree (healthcare related)

Ferramentas

Microsoft Office

Descrição da oferta de emprego

Molina Healthcare seeks a care management professional to support LTSS care coordination and interdisciplinary collaboration across the continuum of member care. You will work with a multidisciplinary team to ensure outcomes and cost-effective care for high-need members.

Responsibilities include comprehensive assessments, waiver enrollment, care plan development, monitoring, and collaboration with care teams, caregivers, and physicians. Travel as required by state contracts is anticipated.