LTSS Care Manager: Coordinate Care & Outcomes

Jobtome; Granville (ND); On-site; USD 33,000 - 64,000; Full time

Job summary

Molina Healthcare is seeking a Care Manager to support LTSS care coordination, collaborating with a multidisciplinary team to ensure high-need members progress toward outcomes and receive integrated services.

The role includes comprehensive assessments, waiver enrollment, care-plans, and ongoing monitoring, with 25-40% travel. Strong communication and independent work style are essential.

Qualifications

• At least 2 years of health care experience, including 1 year with LTSS and care management.
• Clinical licensure/certification required only if state contract mandates it; license must be active/unrestricted.
• Some states require a health care related bachelor's degree depending on contract.
• Valid driver's license, reliable transportation for travel.
• Demonstrated knowledge of community resources.
• Ability to work independently and manage multiple projects.

Responsibilities

• Completes comprehensive member assessments within regulated timelines, including in-person home visits when required.
• Facilitates comprehensive waiver enrollment and disenrollment processes.
• Develops and implements care plans with members, caregivers, physicians, and care networks.
• Monitors care plan effectiveness, documents interventions, and suggests changes.
• Promotes integration of LTSS with behavioral health and community resources to improve continuity of care.
• Assesses medical necessity and authorizes waiver services; evaluates coverage and funding sources.
• Facilitates interdisciplinary care team meetings for approval/denial of services.
• Uses motivational interviewing and Molina clinical guideposts to educate, support and motivate change.
• Assesses barriers to care and provides coordination for psycho/social, financial, and medical obstacles.
• Identifies critical incidents and develops prevention plans; collaborates with care managers.
• 25-40% local travel may be required.

Skills

Care management experience

Communication skills

Time management

Problem solving

Travel readiness

Driver's license

Education

Bachelor's degree in health care related field

Tools

Microsoft Office

Job description

Molina Healthcare is seeking a Care Manager to support LTSS care coordination, collaborating with a multidisciplinary team to ensure high-need members progress toward outcomes and receive integrated services.

The role includes comprehensive assessments, waiver enrollment, care-plans, and ongoing monitoring, with 25-40% travel. Strong communication and independent work style are essential.