LTSS Care Manager: Integrated Care & Waiver Liaison

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

Job summary

Molina Healthcare, Inc. is seeking a care management professional to support LTSS activities, coordinate with multidisciplinary teams, and ensure member progress toward outcomes. The role covers a wide geography including several counties and involves in-person home visits and waiver enrollment.

You will monitor care plans, promote integration of services, assess medical necessity, and participate in ICT meetings. Local travel up to 25-40% may be required depending on state contracts.

Qualifications

• 2+ years health care experience including LTSS or care management experience.
• Clinical licensure/certification if required by state contract/regulation.
• Valid driver's license and reliable transportation for travel.
• Experience with diverse populations and multiple care settings.
• Proficiency navigating online portals/databases.

Responsibilities

• Completes comprehensive member assessments within timelines, including home visits.
• Facilitates waiver enrollment and disenrollment processes.
• Develops and implements care plans with members, caregivers, and providers.
• Monitors care plan effectiveness and updates interventions as needed.
• Promotes service integration across behavioral health and LTSS.
• Assesses medical necessity and authorizes waiver services.
• Participates in ICT meetings for approvals and collaboration.
• Utilizes motivational interviewing to educate and motivate members.
• Addresses barriers to care and coordinates psycho/social, financial, and medical support.
• Conducts travel as required (25-40% depending on state requirements).

Skills

Health care experience

Care management

LTSS knowledge

Disabilities & chronic conditions

Communication skills

Time management

Microsoft Office

Education

Bachelor's degree in health care related field

Tools

Microsoft Office

Job description

Molina Healthcare, Inc. is seeking a care management professional to support LTSS activities, coordinate with multidisciplinary teams, and ensure member progress toward outcomes. The role covers a wide geography including several counties and involves in-person home visits and waiver enrollment.

You will monitor care plans, promote integration of services, assess medical necessity, and participate in ICT meetings. Local travel up to 25-40% may be required depending on state contracts.