LTSS Care Manager: Holistic Care & Coordination

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

Job summary

Molina Healthcare, Inc. is seeking a care management professional to support LTSS-focused activities and collaborate with multidisciplinary teams to coordinate member care across the continuum.

The role aims to ensure progress toward outcomes while contributing to high-quality, cost-effective service delivery. The position involves completing comprehensive assessments, coordinating waiver services, and developing robust care plans.

Qualifications

• Healthcare experience in care coordination or LTSS settings.
• Experience with care management processes and member advocacy.
• Knowledge of community resources and systems of care.

Responsibilities

• Supports care management/care coordination for LTSS-focused activities.
• Collaborates with multidisciplinary team to coordinate integrated member care.
• Completes comprehensive member assessments within timelines; conducts in-person home visits as required.
• Facilitates waiver enrollment and disenrollment processes.
• Develops and implements care plans with members and providers.
• Monitors care plans and documents outcomes; suggests changes as needed.
• Promotes service integration across behavioral health and LTSS.
• Assesses medical necessity and approves waiver services as appropriate.
• Supports ICT meetings for service approvals and collaboration.
• Uses motivational interviewing and Molina clinical guidelines for member education and support.
• Identifies barriers to care and coordinates resources for psycho/social, financial, and medical needs.
• Notifies and coordinates with care management leadership as required.
• Travel up to 25-40% locally as required by state contracts.

Skills

Healthcare experience

LTSS experience

Care management

Driver's license

Community resources

Communication skills

Time management

Microsoft Office

Substance use disorders experience

Education

Bachelor's degree in healthcare field

Tools

Microsoft Office

Job description

Molina Healthcare, Inc. is seeking a care management professional to support LTSS-focused activities and collaborate with multidisciplinary teams to coordinate member care across the continuum.

The role aims to ensure progress toward outcomes while contributing to high-quality, cost-effective service delivery. The position involves completing comprehensive assessments, coordinating waiver services, and developing robust care plans.