LTSS Care Manager: Care Coordination & Outcomes

Molina Healthcare, Inc.; North Baltimore (OH); On-site; USD 33,000 - 64,000; Full time

Job summary

Molina Healthcare is seeking a care coordination professional to support LTSS activities and coordinate member care across multiple settings. This role collaborates with a multidisciplinary team to ensure timely assessments, care plan development, and ongoing monitoring to achieve desired member outcomes.

Required experience includes health care exposure with LTSS, strong communication and organizational skills, and the ability to travel as needed.

Qualifications

• At least 2 years in health care with LTSS/care management exposure.
• Clinical licensure/certification required only if state contract mandates.
• Valid driver's license and reliable transportation for travel requirements.

Responsibilities

• Completes comprehensive member assessments within regulated timelines, including home visits as required.
• Facilitates waiver enrollment/disenrollment processes.
• Develops and implements care plans in collaboration with members and care network.
• Monitors care plan effectiveness and documents interventions and outcomes.
• Promotes integration of LTSS and behavioral health services for continuity of care.
• Assesses medical necessity and authorizes waiver services as appropriate.
• Interdisciplinary care team meetings for approval/denial of services.

Skills

Communication skills

Time management

Problem-solving

Detail-oriented

Self-motivation

Driver's license

Independence

Education

Bachelor's degree in healthcare or related field

CCM/LVN/LPN preferred

Tools

MS Office

Online portals

Job description

Molina Healthcare is seeking a care coordination professional to support LTSS activities and coordinate member care across multiple settings. This role collaborates with a multidisciplinary team to ensure timely assessments, care plan development, and ongoing monitoring to achieve desired member outcomes.

Required experience includes health care exposure with LTSS, strong communication and organizational skills, and the ability to travel as needed.