LTSS Care Manager - Complex Care & Waiver Coordination

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

Job summary

Molina Healthcare is seeking a Care Manager to support LTSS-enabled care coordination and care management for high-need members. You will collaborate with a multidisciplinary team to ensure quality, cost-effective care across the continuum, including waiver services and home visits.

You will assess medical necessity, coordinate services, and maintain care plans while traveling as required by state contracts. Strong communication and organizational skills are essential.

Qualifications

• At least 2 years of health care experience, including LTSS exposure.
• Experience in care management or related medical/behavioral health setting preferred.
• Valid, unrestricted driver’s license and reliable transportation.

Responsibilities

• Conduct comprehensive member assessments within required timelines, including in-person visits.
• Coordinate waiver enrollment/disenrollment and develop care plans with members and health professionals.
• Monitor and adjust care plans based on progress and changing needs.
• Promote integrated care across LTSS, behavioral health, and community resources.
• Assess medical necessity and authorize appropriate waiver services.
• Collaborate with care team to ensure quality and cost-effective care delivery.
• Travel 25–40% as required by state contract.

Skills

Care management

LTSS

Communication

Time management

Driver's license

Education

Bachelor's degree in a health care related field

Job description

Molina Healthcare is seeking a Care Manager to support LTSS-enabled care coordination and care management for high-need members. You will collaborate with a multidisciplinary team to ensure quality, cost-effective care across the continuum, including waiver services and home visits.

You will assess medical necessity, coordinate services, and maintain care plans while traveling as required by state contracts. Strong communication and organizational skills are essential.