LTSS Care Manager: Integrated Care & Outcomes

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

Job summary

Molina Healthcare, Inc. is seeking a care coordination professional in the United States to support LTSS services and coordinate member care with a multidisciplinary team.

You will strive to achieve desired outcomes while aligning with cost-effective strategies across the care continuum. Responsibilities include comprehensive assessments, waiver enrollment/disenrollment, care plan development and monitoring, advocacy for medical necessity, and participation in interdisciplinary care team

Qualifications

• At least 2 years of healthcare experience, with LTSS/care management exposure.
• If licensed, license must be active and unrestricted.
• Valid driver's license and reliable transportation.
• Knowledge of community resources.
• Ability to work independently and manage multiple projects.

Responsibilities

• Complete member assessments within timelines, including in-person visits.
• Coordinate waiver enrollment and disenrollment processes.
• Develop and monitor care plans with members, caregivers and providers.
• Evaluate medical necessity and coordinate ICT meetings.
• Travel 25-40% as required.

Skills

Healthcare experience

Care management

LTSS knowledge

Communication skills

Travel ability

Education

Bachelor's degree in healthcare-related field

Tools

Microsoft Office

Job description

Molina Healthcare, Inc. is seeking a care coordination professional in the United States to support LTSS services and coordinate member care with a multidisciplinary team.

You will strive to achieve desired outcomes while aligning with cost-effective strategies across the care continuum. Responsibilities include comprehensive assessments, waiver enrollment/disenrollment, care plan development and monitoring, advocacy for medical necessity, and participation in interdisciplinary care team