LTSS Care Manager: Integrated Care & Outcomes

Molina Healthcare, Inc.; Jeffersonville (IN); In loco; USD 33.000 - 64.000; Tempo pieno

Descrizione del lavoro

Molina Healthcare, Inc. is seeking a care manager to support LTSS and care coordination for high-need members. This role collaborates with a multidisciplinary team to deliver integrated care across settings and ensures progress toward outcomes.

The position requires 2+ years in health care with LTSS exposure, strong communication, and ability to work independently. Travel 25-40% is expected to meet state contractual requirements and member needs.

Competenze

• At least 2 years of health care experience, including at least 1 year with persons with disabilities or chronic conditions in LTSS.
• Clinical licensure and/or certification required only if mandated by state contract or regulation.
• In some states, a bachelor’s degree in a health care field may be required.
• Valid and unrestricted driver’s license and transportation for job-related travel.
• Proven knowledge of community resources and ability to work in diverse settings.

Mansioni

• Completes comprehensive member assessments within regulated timelines, including in-person home visits as required.
• Facilitates waiver enrollment and disenrollment processes.
• Develops and implements care plans with input from members, caregivers and health professionals.
• Monitors care plan effectiveness and documents interventions and goal achievement.
• Promotes integration of services across care teams and LTSS to enhance continuity of care.
• Assesses medical necessity and authorizes waiver services; evaluates benefits and funding sources.
• Facilitates ICT meetings for service approvals and collaboration.
• Uses motivational interviewing and Molina clinical guideposts in member interactions.
• Identifies barriers to care and assists with psycho-social, financial, and medical obstacles.
• Develops prevention plans for member health and welfare.
• Collaborates with licensed care managers as needed.
• Travel 25-40% may be required based on state/contractual requirements.

Conoscenze

Care management

LTSS experience

Communication skills

Independence / self-motivation

Diversity awareness

Formazione

Bachelor’s degree in health care related field

Clinical licensure/certification (where required)

Strumenti

Microsoft Office

Online portals and databases

Descrizione del lavoro

Molina Healthcare, Inc. is seeking a care manager to support LTSS and care coordination for high-need members. This role collaborates with a multidisciplinary team to deliver integrated care across settings and ensures progress toward outcomes.

The position requires 2+ years in health care with LTSS exposure, strong communication, and ability to work independently. Travel 25-40% is expected to meet state contractual requirements and member needs.