LTSS Care Manager: Care Coordination & Outcomes

Jobtome; Marysville (WA); On-site; USD 33,000 - 64,000; Full time

Benefits offered by this job

Competitive benefits

Job summary

Molina Healthcare is seeking a Care Coordination specialist to support LTSS-focused activities and collaborate with a multidisciplinary team to ensure quality, cost-effective member care.

The role involves comprehensive assessments, waiver management, and care plan development in various settings, with 25-40% local travel required based on contracts. Strong communication and organizational skills are essential.

Qualifications

• 2+ years of health care experience with LTSS/care management.
• Clinical licensure may be required by contract or state mandates.
• Bachelor’s degree in health care may be required by state/contract.

Responsibilities

• Perform comprehensive member assessments within regulatory timelines, including home visits.
• Coordinate waiver enrollment/disenrollment processes.
• Develop and implement care plans with member and care network to address needs.
• Monitor care plan effectiveness and document progress toward goals.
• Promote integration of LTSS with behavioral health and community resources.
• Assess medical necessity and authorize waiver services.
• Lead ICT meetings for approval/denial of services.

Skills

Health care experience

Care coordination

Communication skills

Time management

Education

Bachelor’s degree in health care

Job description

Molina Healthcare is seeking a Care Coordination specialist to support LTSS-focused activities and collaborate with a multidisciplinary team to ensure quality, cost-effective member care.

The role involves comprehensive assessments, waiver management, and care plan development in various settings, with 25-40% local travel required based on contracts. Strong communication and organizational skills are essential.