LTSS Care Manager: High-Impact Care Coordination

Jobtome; Sunbury (OH); On-site; USD 33,000 - 64,000; Full time

Benefits offered by this job

Competitive benefits

Travel opportunities

Job summary

Molina Healthcare is hiring for a care management/care coordination role focused on LTSS. The position collaborates with a multidisciplinary team to deliver integrated member care across settings and to drive quality and cost-effective outcomes.

The ideal candidate has 2+ years in health care, with LTSS or care management experience, and possesses strong communication and organizational skills. A valid driver's license and ability to travel is required.

Qualifications

• At least 2 years of health care experience with LTSS and care management.
• Clinical licensure and/or certification required only if state contract requires it.
• Bachelor's degree in a health care related field may be required depending on state.
• Valid driver's license and reliable transportation for job-related travel.
• Ability to work with diverse populations and in high-pressure situations.
• Proficiency with Microsoft Office and online portals.

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, including a waiver service plan with members, caregivers, physicians and/or other health professionals.
• Performs ongoing monitoring of care plan to evaluate effectiveness and document interventions and goal achievement.
• Promotes integration of services for members to enhance continuity of care.
• Assesses for medical necessity and authorizes waiver services.
• Evaluates covered benefits and advises regarding funding sources.
• Facilitates interdisciplinary care team meetings for approval/denial of services.
• Uses motivational interviewing and Molina clinical guideposts to educate and motivate change.
• Assesses barriers to care and provides care coordination addressing psycho/social, financial, and medical obstacles.
• Identifies critical incidents and develops prevention plans.
• Collaborates with licensed care managers/leadership as needed.
• 25-40% estimated local travel may be required.

Skills

Health care experience

Communication skills

Time management

Problem solving

Independent work

Education

Bachelor's degree in health care

Tools

Microsoft Office

Job description

Molina Healthcare is hiring for a care management/care coordination role focused on LTSS. The position collaborates with a multidisciplinary team to deliver integrated member care across settings and to drive quality and cost-effective outcomes.

The ideal candidate has 2+ years in health care, with LTSS or care management experience, and possesses strong communication and organizational skills. A valid driver's license and ability to travel is required.