LTSS Care Manager - Care Coordination & Waiver Services

Molina Healthcare, Inc.; Newark (OH); On-site; USD 33,000 - 64,000; Full time

Job summary

Molina Healthcare, Inc. is seeking a Care Coordinator to support care management and LTSS activities.

You will collaborate with a multidisciplinary team to coordinate member care across the continuum, ensuring progress toward outcomes and aligning with cost-effective strategies. Responsibilities include completing assessments, facilitating waiver enrollment, developing care plans with members and providers, monitoring progress, and promoting integration of services.

Qualifications

• 2+ years health care experience, LTSS experience preferred.
• Clinical licensure or certification required by state contract or license mandates.
• Valid driver''s license and reliable transportation for travel.
• Ability to work independently and with diverse populations.

Responsibilities

• Complete comprehensive member assessments within required timelines, including home visits.
• Facilitate waiver enrollment and disenrollment processes.
• Develop and implement care plans with members, caregivers, physicians, and care team.
• Monitor care plan effectiveness and document interventions and outcomes.
• Promote service integration across LTSS, behavioral health, and home/community resources.
• Assess medical necessity and authorize appropriate waiver services.
• Travel 25-40% as required by state/contractual requirements.

Skills

Healthcare experience

Care management

Communication

Time management

Problem solving

Independent work

Travel readiness

Microsoft Office

Education

Bachelor's degree in health care field

Tools

Microsoft Office

Online portals

Job description

Molina Healthcare, Inc. is seeking a Care Coordinator to support care management and LTSS activities.

You will collaborate with a multidisciplinary team to coordinate member care across the continuum, ensuring progress toward outcomes and aligning with cost-effective strategies. Responsibilities include completing assessments, facilitating waiver enrollment, developing care plans with members and providers, monitoring progress, and promoting integration of services.