LTSS Care Manager: Care Coordination & Outcomes

Molina Healthcare, Inc.; Long Beach (CA); On-site; USD 35,000 - 68,000; Full time

Job summary

Molina Healthcare, Inc. is seeking a care management professional to support LTSS and care coordination across the continuum for members with high-need potential. You will collaborate with a multidisciplinary team to ensure quality, cost-effective member care and progress toward outcomes.

Responsibilities include comprehensive assessments, waiver enrollment, care plan development, and ongoing monitoring. Some travel is required to support field activities and in-home visits across assigned

Qualifications

• 2+ years health care experience, LTSS/care coordination preferred.
• Clinical licensure/certification required only if state contract requires it.
• Bachelor's degree in a health care related field may be required by state.
• Valid driver's license and reliable transportation for travel.
• Strong knowledge of community resources and ability to work with diverse populations.
• Experience with substance use disorder populations preferred in some states.

Responsibilities

• Perform comprehensive member assessments within regulatory timelines, including home visits.
• Facilitate waiver enrollment/disenrollment processes.
• Develop and implement care plans with members, caregivers and providers.
• Monitor care plans and adjust interventions to meet outcomes.
• Promote integrated care across behavioral health and LTSS.
• Assess medical necessity and authorize waiver services.
• Collaborate with care teams and leadership as needed.
• Travel 25-40% as required by state/contractual requirements.

Skills

Care management

Healthcare experience

Microsoft Office

Communication skills

Education

Bachelor's degree in health care

Tools

EHR systems

Job description

Molina Healthcare, Inc. is seeking a care management professional to support LTSS and care coordination across the continuum for members with high-need potential. You will collaborate with a multidisciplinary team to ensure quality, cost-effective member care and progress toward outcomes.

Responsibilities include comprehensive assessments, waiver enrollment, care plan development, and ongoing monitoring. Some travel is required to support field activities and in-home visits across assigned