LTSS Care Manager — Care Coordination & Outcomes (Travel)

Molina Healthcare, Inc.; Wheaton (IL); Hybrid; USD 35.000 - 68.000; Vollzeit

Zusammenfassung

Molina Healthcare is seeking a Care Manager to support LTSS care coordination and ensure high-need members progress toward outcomes.

You will collaborate with a multidisciplinary team to coordinate services, assess needs, and implement effective care plans across settings.

The role requires travel and experience with LTSS, care management, and diverse populations, with strong communication skills and clinical awareness.

Qualifikationen

• At least 2 years of health care experience, including LTSS care management.
• Clinical licensure/certification required only if state contract/regulation mandates it.
• Bachelor's degree in health care may be required depending on state/contractual requirements.
• Valid driver's license, reliable transportation for travel.
• Knowledge of community resources.
• Ability to work in diverse settings and with varied personalities.
• Strong communication and time-management skills.
• Experience with substance use disorders in some states may be required.

Aufgaben

• Complete comprehensive member assessments within regulated timelines, including in-person home visits as required.
• Facilitate waiver enrollment and disenrollment processes.
• Develop and implement care plans with members and providers.
• Monitor care plan effectiveness and document progress.
• Promote integrated LTSS and behavioral health services for continuity of care.
• Assess medical necessity and authorize waiver services.
• Evaluate benefits and potential funding sources.
• Lead ICT meetings for service approvals/denials.
• Educate and motivate members using motivational interviewing techniques.
• Identify barriers to care and provide psycho/social/financial support.
• Identify incidents and develop prevention plans.
• Collaborate with licensed care managers as needed.
• Travel up to 25–40% based on state requirements.

Kenntnisse

Healthcare experience

Care management

Disabilities awareness

Communication skills

Time management

Ausbildung

Bachelor's degree in health care field

Tools

Microsoft Office

Jobbeschreibung

Molina Healthcare is seeking a Care Manager to support LTSS care coordination and ensure high-need members progress toward outcomes.

You will collaborate with a multidisciplinary team to coordinate services, assess needs, and implement effective care plans across settings.

The role requires travel and experience with LTSS, care management, and diverse populations, with strong communication skills and clinical awareness.