LTSS Care Manager: Care Coordination & Waiver

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

Benefits offered by this job

Competitive benefits

Equal Opportunity Employer

Job summary

Molina Healthcare is seeking a care coordination professional to support LTSS-related activities. This role collaborates with a multidisciplinary team to coordinate integrated member care across the continuum and ensure progress toward outcomes with a focus on quality and cost-effectiveness.

Essential duties include comprehensive assessments, waiver processing, care plan development, and ongoing monitoring. Travel up to 40% may be required depending on state contracts and service area.

Qualifications

• At least 2 years of health care experience with LTSS preferred.
• Clinical licensure/certification required only if state contract/regulation requires it.
• Bachelor's degree in a 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 and disenrollment processes.
• Develops care plans with members, caregivers, physicians and team members to address needs and goals.
• Monitors care plans and documents interventions and goal achievement.
• Promotes integration of services including behavioral health and LTSS.
• Assesses medical necessity and authorizes waiver services.
• Evaluates benefits and funding sources; collaborates with ICT meetings.
• Uses motivational interviewing to educate and motivate change during contacts.
• Identifies barriers to care and coordinates support to address psycho/social, financial, and medical obstacles.
• Identifies critical incidents and develops prevention plans.
• Collaborates with licensed care managers as needed.
• 25-40% local travel may be required.

Skills

Care coordination

Disability experience

Communication

Travel readiness

Microsoft Office

Education

Bachelor's degree in health care

Tools

Microsoft Office

Online portals & databases

Job description

Molina Healthcare is seeking a care coordination professional to support LTSS-related activities. This role collaborates with a multidisciplinary team to coordinate integrated member care across the continuum and ensure progress toward outcomes with a focus on quality and cost-effectiveness.

Essential duties include comprehensive assessments, waiver processing, care plan development, and ongoing monitoring. Travel up to 40% may be required depending on state contracts and service area.