LTSS Care Manager: Integrated Care & Outcomes

Molina Healthcare; Detroit (MI); On-site; USD 33,000 - 65,000; Full time

Job summary

Molina Healthcare in Detroit is seeking a dedicated Care Coordinator to support LTSS and care management for high-need members. This role involves travel within the local service area to complete assessments and coordinate services.

You will develop and monitor individualized care plans, enroll and disenroll waiver services, and collaborate with members, caregivers, physicians, and an interdisciplinary team to improve outcomes and ensure high-quality, cost-effective care.

Qualifications

• Minimum 2 years in health care, LTSS and care management experience.
• Licensure/certification required only if state contract mandates; active if licensed.
• Bachelor's degree may be required in some states depending on rules.
• Valid driver's license and reliable transportation for travel.
• Knowledge of community resources and service coordination.
• Ability to work independently in diverse settings with minimal supervision.
• Strong written and verbal communication skills.
• Experience with substance use disorders preferred in some states.

Responsibilities

• Complete comprehensive member assessments within regulated timelines, including home visits.
• Facilitate waiver enrollment/disenrollment processes.
• Develop and implement care plans with members and care network.
• Monitor care plan effectiveness and adjust as needed.
• Coordinate services across LTSS, behavioral health and community resources.
• Assess medical necessity and authorize waiver services.
• Lead ICT meetings for approvals/denials and collaboration.
• Identify barriers to care and address psycho/social obstacles.
• Travel locally 25-40% as required by state/contractual rules.

Skills

Care coordination

LTSS experience

Care management

Communication skills

Driver's license

Diversity and inclusion

Tools

Microsoft Office

Job description

Molina Healthcare in Detroit is seeking a dedicated Care Coordinator to support LTSS and care management for high-need members. This role involves travel within the local service area to complete assessments and coordinate services.

You will develop and monitor individualized care plans, enroll and disenroll waiver services, and collaborate with members, caregivers, physicians, and an interdisciplinary team to improve outcomes and ensure high-quality, cost-effective care.