LTSS Care Manager: Field-Based Care Coordination

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

Job summary

Molina Healthcare, Inc. in Ohio seeks a Care Coordination Specialist to support LTSS programs. You will collaborate with multidisciplinary teams, complete member assessments, facilitate waiver enrollment, develop and monitor care plans, and promote integration of services to improve outcomes.

Responsibilities include traveling 25-40% locally, working with diverse populations, and maintaining accurate documentation while prioritizing member welfare and cost-effective care.

Qualifications

• Minimum 2 years healthcare experience, including LTSS/care management exposure.
• Licensure/certification required only if mandated by state contract or regulation.
• Bachelor’s degree may be required in some states.

Responsibilities

• Complete comprehensive member assessments within timelines, including home visits.
• Facilitate waiver enrollment/disenrollment processes.
• Develop and implement care plans with members, families, and providers.
• Monitor and update care plans to reflect progress and changes.
• Promote integrated care across behavioral health and LTSS.
• Assess medical necessity and authorize waiver services.
• Collaborate with ICT for approvals and care decisions.
• Utilize motivational interviewing to support member changes.
• Identify barriers and coordinate psycho/social and medical support.
• Identify critical incidents and develop prevention plans.
• Collaborate with licensed care managers as needed.
• Travel 25–40% locally as required by state/contract.

Skills

Healthcare experience

Care coordination

Communication skills

Multidisciplinary teamwork

Time management

Education

Bachelor’s degree in healthcare

Clinical licensure/certification if required

Tools

Microsoft Office

Job description

Molina Healthcare, Inc. in Ohio seeks a Care Coordination Specialist to support LTSS programs. You will collaborate with multidisciplinary teams, complete member assessments, facilitate waiver enrollment, develop and monitor care plans, and promote integration of services to improve outcomes.

Responsibilities include traveling 25-40% locally, working with diverse populations, and maintaining accurate documentation while prioritizing member welfare and cost-effective care.