LTSS Care Manager: Expert Care Coordination & Waiver Support

Molina Talent Acquisition; Kenosha (WI); On-site; USD 58,000 - 72,000; Full time

Job summary

Molina Healthcare is seeking a Care Coordination professional to support long-term services and supports (LTSS) with a multidisciplinary team in Wisconsin. You will coordinate care, conduct assessments, develop and monitor care plans, and ensure services meet medical necessity and quality outcomes.

Travel up to 40% may be required as you collaborate with caregivers, physicians, and other health professionals.

Qualifications

• At least 2 years healthcare experience, including LTSS and care management.
• Valid and unrestricted driver’s license and reliable transportation for travel.
• Ability to work across diverse settings with various populations and personal situations.
• Strong verbal and written communication and time-management skills.
• Knowledge of community resources and ability to navigate online portals and databases.

Responsibilities

• 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, and health professionals.
• Monitors care plan effectiveness, documents interventions, and updates accordingly.
• Promotes integration of services (behavioral health, LTSS, home/community resources).
• Assesses medical necessity and authorizes waiver services.
• Evaluates benefits and advises on funding sources.
• Facilitates ICT meetings for approval/denial of services and collaboration.
• Uses motivational interviewing to educate and motivate change.
• Addresses psycho/social, financial, and medical barriers to care.
• Identifies critical incidents and develops prevention plans.
• Collaborates with licensed care managers as needed.
• Travel 25-40% may be required.

Skills

Healthcare experience

LTSS knowledge

Care management

Communication skills

Driving license

Microsoft Office proficiency

Dependable / self-motivated

Substance use disorders experience

Education

Bachelor's degree in health-related field

Clinical licensure/certification (if required)

Job description

Molina Healthcare is seeking a Care Coordination professional to support long-term services and supports (LTSS) with a multidisciplinary team in Wisconsin. You will coordinate care, conduct assessments, develop and monitor care plans, and ensure services meet medical necessity and quality outcomes.

Travel up to 40% may be required as you collaborate with caregivers, physicians, and other health professionals.