LTSS Care Manager - Integrated Care & Outcomes

Molina Healthcare, Inc.; Westerville (OH); Presencial; USD 33 000 - 64 000; Tempo integral

Vantagens oferecidas por esta oferta de emprego

Competitive benefits package

Resumo da oferta

Molina Healthcare is seeking a care management professional to support LTSS and care coordination activities. You will collaborate with a multidisciplinary team to ensure high-need members receive integrated, quality care across the continuum and achieve optimal outcomes.

Responsibilities include comprehensive assessments, waiver processes, and development of individualized care plans, with travel as required by state contracts. Strong communication and organizational skills are essential.

Qualificações

• 2+ years health care experience, LTSS or care management exposure preferred.
• Clinical licensure/certification required only if state contract mandates it.
• Valid driver's license and reliable transportation for travel requirements.
• Experience with community resources and working with diverse populations.
• Strong written and verbal communication skills.

Responsabilidades

• Complete comprehensive member assessments within timelines, including in-person home visits when required.
• Facilitate waiver enrollment/disenrollment processes where applicable.
• Develop and implement care plans with members and care networks.
• Monitor care plan effectiveness and adjust interventions as needed.
• Promote service integration across behavioral health, LTSS, and community resources.
• Assess medical necessity and authorize waiver services.
• Coordinate interdisciplinary care team meetings for approvals.
• Support members with psycho/social, financial, and medical barriers.

Conhecimentos

Care coordination

Communication skills

Time management

Independent work

Travel readiness

Formação académica

Bachelor's degree in health care field

Ferramentas

Microsoft Office

Online portals

Descrição da oferta de emprego

Molina Healthcare is seeking a care management professional to support LTSS and care coordination activities. You will collaborate with a multidisciplinary team to ensure high-need members receive integrated, quality care across the continuum and achieve optimal outcomes.

Responsibilities include comprehensive assessments, waiver processes, and development of individualized care plans, with travel as required by state contracts. Strong communication and organizational skills are essential.