LTSS Care Manager & Coordination Specialist

Jobtome; Elgin Township (IA); Sur place; USD 35 000 - 68 000; Plein temps

Résumé du poste

Molina Healthcare is seeking a Care Manager/Coordinator to support LTSS and care coordination efforts. You will collaborate with a multidisciplinary team to ensure integrated member care, oversee waiver processes, and develop individualized care plans aligned with member goals.

The role requires at least 2 years in health care, strong communication, and the ability to navigate community resources. Travel up to 40% locally may be required, with focus on quality and cost-effective care delivery.

Qualifications

• 2+ years of health care experience with LTSS or related settings.
• Active license if required by state contract/regulation.
• Bachelor’s degree may be required depending on state rules.
• Valid driver’s license and reliable transportation for travel.
• Strong knowledge of community resources and care coordination.

Responsabilités

• Completes comprehensive member assessments within regulated timelines, including in-person visits.
• Facilitates waiver enrollment and disenrollment processes.
• Develops and implements care plans with members, caregivers and providers.
• Monitors care plan effectiveness and documents interventions.
• Promotes integration of behavioral health and LTSS with community resources.
• Assesses medical necessity and authorizes waiver services.
• Evaluates benefits and funding sources.
• Facilitates ICT meetings for approvals or denials.
• Uses motivational interviewing and clinical guidelines to support change.
• Identifies barriers to care and provides coordination to address psychosocial, financial, and medical obstacles.
• Identifies critical incidents and develops prevention plans.
• Collaborates with licensed care managers as needed.
• Willingness to travel 25-40% locally as required.

Connaissances

Health care experience

Driver's license

Communication skills

Professional collaboration

Formation

Bachelor's degree in a health care related field

Clinical licensure/certification, if required by state

Outils

Microsoft Office

Health information systems

Description du poste

Molina Healthcare is seeking a Care Manager/Coordinator to support LTSS and care coordination efforts. You will collaborate with a multidisciplinary team to ensure integrated member care, oversee waiver processes, and develop individualized care plans aligned with member goals.

The role requires at least 2 years in health care, strong communication, and the ability to navigate community resources. Travel up to 40% locally may be required, with focus on quality and cost-effective care delivery.