LTSS Care Manager | Care Coordination & Waiver Specialist

Jobtome; Lebanon (TN); On-site; USD 33,000 - 64,000; Full time

Benefits offered by this job

Competitive benefits

Job summary

Molina Healthcare is seeking a care management professional to support LTSS coordination and waiver services. You will work with a multidisciplinary team to ensure high-need members receive integrated care across the continuum, aligning with quality and cost objectives.

Strong communication and organizational skills are essential. Role includes travel (25-40%) to local sites, home visits as needed, and collaboration with care managers and physicians to develop effective care plans for members

Qualifications

• 2+ years health care experience including LTSS
• Licensure/certification required only if state contract requires it
• Bachelor’s degree in health care field may be required in some states
• Valid driver’s license and transportation for travel
• Strong communication, organizational, and problem-solving skills
• Experience with substance use disorders is a plus

Responsibilities

• Complete comprehensive member assessments within timelines and during home visits
• Facilitate waiver enrollment/disenrollment processes
• Develop and implement care plans with members and care network
• Monitor and adjust care plans based on outcomes
• Coordinate LTSS, behavioral health, and community resources
• Assess medical necessity and authorize waiver services
• Explain benefits and funding sources to members
• Lead interdisciplinary care team meetings
• Manage 25-40% local travel as required

Skills

Care coordination

Excellent communication

Microsoft Office

Time management

Travel readiness

Education

Health care degree (preferred)

Tools

Microsoft Office

Job description

Molina Healthcare is seeking a care management professional to support LTSS coordination and waiver services. You will work with a multidisciplinary team to ensure high-need members receive integrated care across the continuum, aligning with quality and cost objectives.

Strong communication and organizational skills are essential. Role includes travel (25-40%) to local sites, home visits as needed, and collaboration with care managers and physicians to develop effective care plans for members