LTSS Care Manager: Coordinated Health & Waiver Services

Molina Healthcare, Inc.; Heath (TX); Sur place; USD 33 000 - 64 000; Plein temps

Avantages offerts par ce poste

Competitive benefits

Résumé du poste

Molina Healthcare seeks a qualified care coordination professional to support LTSS and care management activities. You will collaborate with a multidisciplinary team to coordinate member care across the continuum and drive progress toward outcomes.

Responsibilities include comprehensive assessments, waiver enrollment, care plan development, and ongoing monitoring, with significant travel as required by state contracts. Prior experience with LTSS and care coordination strongly preferred.

Qualifications

• 2+ years healthcare experience, including LTSS.
• Care management or medical/behavioral health experience.
• Valid driver's license and reliable transportation.
• Bachelor's degree may be required depending on state.
• Knowledge of community resources.
• Ability to work independently and manage multiple projects.

Responsabilités

• Completes comprehensive member assessments within regulated timelines, including in-person home visits as required.
• Facilitates comprehensive waiver enrollment and disenrollment processes.
• Develops and implements care plans with members, caregivers, physicians and others to address needs and goals.
• Monitors care plan effectiveness and documents interventions and goal achievement.
• Promotes integration of services including behavioral health and LTSS to improve continuity of care.
• Assesses medical necessity and authorizes waiver services as appropriate.
• Evaluates covered benefits and advises on funding sources.
• Facilitates ICT meetings for approval/denial of services and collaboration.
• Uses motivational interviewing and Molina clinical guideposts to educate and motivate change.
• Identifies barriers to care and assists with psycho/social, financial, and medical obstacles.
• Identifies critical incidents and develops prevention plans for member welfare.
• Collaborates with licensed care managers/leadership as needed.
• 25-40% estimated local travel may be required.

Connaissances

Healthcare experience

LTSS experience

Care management

Communication skills

Time management

Driver's license

Formation

Bachelor's degree in healthcare or related field

Outils

Microsoft Office

Description du poste

Molina Healthcare seeks a qualified care coordination professional to support LTSS and care management activities. You will collaborate with a multidisciplinary team to coordinate member care across the continuum and drive progress toward outcomes.

Responsibilities include comprehensive assessments, waiver enrollment, care plan development, and ongoing monitoring, with significant travel as required by state contracts. Prior experience with LTSS and care coordination strongly preferred.