LTSS Care Manager | Care Coordination & Waiver Services

Molina Healthcare; California; Presencial; USD 35.000 - 68.000; Jornada completa

Ventajas ofrecidas por este puesto de trabajo

Competitive benefits

Equal Opportunity Employer

Descripción de la vacante

Molina Healthcare is looking for a Care Manager/Coordinator to support LTSS activities and coordinate member care across the continuum. You will work with a multidisciplinary team to ensure progress toward outcomes and align with cost-effective, quality care strategies.

Responsibilities include conducting assessments, developing and monitoring care plans, and coordinating waiver services and ICT meetings. Some travel to member sites will be required.

Formación

• At least 2 years of health care experience, incl. 1 year with persons with disabilities or LTSS.
• Clinical licensure/certification required only if state contract/regulation requires it.
• In some states, a health-care related bachelor's degree may be required.
• Valid and unrestricted driver's license with reliable transportation for travel.

Responsabilidades

• Completes comprehensive member assessments within regulated timelines, including in-person home visits.
• Facilitates comprehensive waiver enrollment and disenrollment processes.
• Develops and implements care plans, including a waiver service plan with members and care networks.
• Monitors care plan effectiveness, documents interventions and goal achievement.
• Promotes integration of services across behavioral health, LTSS, and home resources.
• Assesses medical necessity and authorizes waiver services as appropriate.
• Evaluates benefits and advises on funding sources.
• Facilitates ICT meetings for service approvals/denials and collaboration.
• Uses motivational interviewing and Molina clinical guideposts to support change.
• Assesses barriers to care and coordinates psycho/social, financial, and medical assistance.
• Identifies critical incidents and develops prevention plans for member welfare.
• Collaborates with licensed care managers/leadership as needed.
• Travel 25-40% locally based on state/contract requirements.

Conocimientos

Healthcare experience

Care management

Driver's license

Microsoft Office

Herramientas

Microsoft Office

Descripción del empleo

Molina Healthcare is looking for a Care Manager/Coordinator to support LTSS activities and coordinate member care across the continuum. You will work with a multidisciplinary team to ensure progress toward outcomes and align with cost-effective, quality care strategies.

Responsibilities include conducting assessments, developing and monitoring care plans, and coordinating waiver services and ICT meetings. Some travel to member sites will be required.