LTSS Care Manager & Care Coordination Specialist

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

Job summary

Molina Healthcare is seeking a Care Management Specialist to support LTSS coordination across the care continuum. The role involves assessments, care-plan development, and ongoing monitoring to achieve positive member outcomes.

You will collaborate with a multidisciplinary team, coordinate waiver services, and promote service integration to improve quality and cost-effectiveness. Local travel is required.

Qualifications

• 2+ years health care experience, LTSS experience preferred.
• Clinical licensure and/or certification required only if mandated by state contract or licensing rules.
• Bachelor’s in health care field may be required in some states.

Responsibilities

• Completes comprehensive member assessments within regulated timelines, including in-person home visits as required.
• Facilitates waiver enrollment/disenrollment processes.
• Develops and implements care plans with members, caregivers, and health professionals.
• Monitors care plan effectiveness and documents progress toward goals.
• Promotes integration of LTSS with behavioral health and community resources to ensure continuity of care.
• Assesses medical necessity and authorizes waivers; evaluates benefits and funding sources.
• Facilitates interdisciplinary care team meetings for service decisions.
• Educates and motivates members using motivational interviewing techniques.
• Identifies barriers to care and coordinates support to address psycho-social, financial, and medical challenges.
• Collaborates with licensed care managers and leadership as needed.

Skills

Healthcare experience

Care management

Communication skills

Time management

Detail-oriented

Independent work

MS Office proficiency

Education

Clinical licensure/certification (if required)

Health care related degree

Tools

Microsoft Office

Online portals

Databases

Job description

Molina Healthcare is seeking a Care Management Specialist to support LTSS coordination across the care continuum. The role involves assessments, care-plan development, and ongoing monitoring to achieve positive member outcomes.

You will collaborate with a multidisciplinary team, coordinate waiver services, and promote service integration to improve quality and cost-effectiveness. Local travel is required.