LTSS Care Manager: Care Coordination Specialist

Molina Healthcare, Inc.; Columbus (OH); Presencial; USD 33.000 - 64.000; Jornada completa

Descripción de la vacante

Molina Healthcare, Inc. is seeking a Care Management professional to support LTSS care coordination across diverse settings in Columbus, OH.

You will collaborate with a multidisciplinary team to design and implement waiver service plans, monitor outcomes, and promote integrated care for high-need members. The role requires working with members, caregivers and health professionals, with travel as needed and the ability to adapt to changing state contracts and regulatory requirements.

Formación

• At least 2 years of healthcare experience with LTSS or related settings.
• Licensure/certification required only if state contract mandates it; if licensed, must be active.
• Bachelor's degree may be required in some states.
• Valid driver's license, reliable transportation, and auto insurance for required travel.
• Strong knowledge of community resources and ability to work with diverse populations.
• Excellent written and verbal communication; proactive and detail-oriented.

Responsabilidades

• Complete comprehensive member assessments within regulatory timelines, including in-person visits.
• Facilitate waiver enrollment/disenrollment processes.
• Develop and monitor care plans with members and care network.
• Coordinate care to integrate behavioral health and LTSS services.
• Assess medical necessity and authorize waiver services.
• Lead ICT meetings for service approval/denial and collaboration.
• Travel locally 25-40% as required by state contracts.

Conocimientos

Healthcare experience

Care coordination

Driver's license

Communication skills

Microsoft Office

Educación

Bachelor's degree

Herramientas

Microsoft Office

Descripción del empleo

Molina Healthcare, Inc. is seeking a Care Management professional to support LTSS care coordination across diverse settings in Columbus, OH.

You will collaborate with a multidisciplinary team to design and implement waiver service plans, monitor outcomes, and promote integrated care for high-need members. The role requires working with members, caregivers and health professionals, with travel as needed and the ability to adapt to changing state contracts and regulatory requirements.