LTSS Care Manager: Care Coordination & Outcomes

Jobtome; Wooster (OH); On-site; USD 33,000 - 64,000; Full time

Benefits offered by this job

Competitive benefits package

Job summary

Molina Healthcare is seeking an experienced care management professional to support LTSS activities and coordinate services across multiple settings. The role emphasizes collaboration with multidisciplinary teams to ensure member progress toward outcomes and cost-effective care.

Responsibilities include member assessments, waiver enrollment processes, care plan development, ongoing monitoring, and coordination of LTSS and behavioral health services, with 25–40% travel to counties across the

Qualifications

• 2+ years health care experience, LTSS exposure, and care management or equivalent.
• Bachelor's degree in a health care related field may be required in some states.
• Valid and unrestricted driver's license and reliable transportation for travel.
• Strong communication and ability to work with diverse populations.

Responsibilities

• Completes comprehensive member assessments within regulated timelines, including in-person home visits as required.
• Facilitates comprehensive waiver enrollment and disenrollment processes.
• Develops and implements care plans with members and care network to address needs and goals.
• Monitors care plan effectiveness, documents interventions, and suggests changes.
• Promotes integration of services including behavioral health and LTSS to improve continuity of care.
• Assesses medical necessity and authorizes appropriate waiver services.

Skills

Healthcare experience

Care management

LTSS experience

Disabilities or chronic conditions

Communication skills

Microsoft Office

Education

Bachelor's degree in health care related field

CCM or LVN/LPN credential preferred

Tools

EHR systems

Microsoft Office

Job description

Molina Healthcare is seeking an experienced care management professional to support LTSS activities and coordinate services across multiple settings. The role emphasizes collaboration with multidisciplinary teams to ensure member progress toward outcomes and cost-effective care.

Responsibilities include member assessments, waiver enrollment processes, care plan development, ongoing monitoring, and coordination of LTSS and behavioral health services, with 25–40% travel to counties across the