LTSS Care Manager: Coordinated Care & Waiver Services

Jobtome; Canal Winchester (OH); On-site; USD 33,000 - 64,000; Full time

Job summary

Molina Healthcare is seeking a care coordination professional to support LTSS initiatives and interdisciplinary teams. The role focuses on comprehensive assessments, waiver management, and personalized care planning to improve member outcomes.

You'll collaborate with caregivers, physicians, and health professionals to implement effective care plans while navigating community resources. Travel up to 40% may be required, and strong communication is essential for success.

Qualifications

• 2+ years health care experience with LTSS and disabilities/chronic conditions.
• 1 year in care management or medical/behavioral health setting.
• Valid driver’s license and reliable transportation for travel.
• Active license/certification only if state requires it.
• Knowledge of community resources and diverse populations.
• Strong communication and ability to work independently.
• Experience with substance use disorders is a plus.

Responsibilities

• Complete comprehensive member assessments within timelines, including in-person visits.
• Facilitate waiver enrollment and disenrollment processes.
• Develop and implement care plans with member, caregivers, and care team.
• Monitor and document care plan effectiveness and adjust as needed.
• Promote LTSS and behavioral health integration with community resources.
• Assess medical necessity and authorize waiver services.
• Coordinate ICT meetings for approvals or denials.
• Use motivational interviewing to educate and motivate change.
• Identify barriers to care and help address psycho/social, financial, and medical issues.
• Travel 25-40% may be required based on state/contract requirements.

Skills

Verbal communication

Written communication

Time management

Problem solving

Self-motivation

Attention to detail

Interpersonal skills

MS Office

Travel readiness

Education

Bachelor's degree in health care field

Tools

MS Office

Online portals

Databases

Job description

Molina Healthcare is seeking a care coordination professional to support LTSS initiatives and interdisciplinary teams. The role focuses on comprehensive assessments, waiver management, and personalized care planning to improve member outcomes.

You'll collaborate with caregivers, physicians, and health professionals to implement effective care plans while navigating community resources. Travel up to 40% may be required, and strong communication is essential for success.