LTSS Care Manager: Coordinated Care & Waiver Services

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

Benefits offered by this job

Competitive benefits package

Job summary

Molina Healthcare in Ohio is seeking a care coordinator to support care management and LTSS activities, collaborating with a multidisciplinary team to coordinate member care across the continuum and ensure progress toward outcomes.

The role covers counties including Cuyahoga, Geauga, Lake, Lorain, Medina, Portage, Stark, Summit, and Wayne, with 25-40% local travel; you will assess needs, develop and monitor care plans, and facilitate waiver enrollment.

Qualifications

• 2+ years of health care experience, LTSS exposure preferred.
• Experience with care management or medical/behavioral health settings considered.
• Licensure only if required by state contract or mandates.

Responsibilities

• Completes comprehensive member assessments within timelines, including home visits.
• Facilitates waiver enrollment and disenrollment processes.
• Develops and implements care plans with members and care network.
• Monitors care plan effectiveness and documents progress.
• Promotes integrated care across behavioral health and LTSS.
• Assesses medical necessity and authorizes waiver services.
• Supports interdisciplinary care team meetings for approvals.
• Educates and motivates members using clinical guidelines.
• Identifies barriers to care and assists with psycho/social obstacles.
• Collaborates with licensed care managers as needed.
• Travel requirement of 25-40% locally.

Skills

Health care experience

Communication skills

Time-management

Independent work

Detail-oriented

Proficiency in Microsoft Office

Education

Bachelor's degree in a health care related field

Tools

Microsoft Office

Job description

Molina Healthcare in Ohio is seeking a care coordinator to support care management and LTSS activities, collaborating with a multidisciplinary team to coordinate member care across the continuum and ensure progress toward outcomes.

The role covers counties including Cuyahoga, Geauga, Lake, Lorain, Medina, Portage, Stark, Summit, and Wayne, with 25-40% local travel; you will assess needs, develop and monitor care plans, and facilitate waiver enrollment.