LTSS Care Manager: Integrated Care & Waiver Planning

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

Job summary

Molina Healthcare, Inc. is seeking a care coordination professional to support LTSS services. You will collaborate with a multidisciplinary team to ensure high-need members receive integrated care and progress toward outcomes.

The role involves conducting assessments, developing and monitoring care plans, and facilitating waiver processes while navigating resources and barriers. Travel up to 40% may be required. Strong communication and organizational skills are essential.

Qualifications

• At least 2 years of health care experience with LTSS is required.
• Clinical licensure and/or certification only if required by state contract.
• Valid driver's license and dependable transportation for travel.
• Experience with diverse populations and interdisciplinary teams.
• Knowledge of community resources.
• Ability to work independently with minimal supervision.

Responsibilities

• Completes comprehensive member assessments within regulated timelines, including in-person home visits.
• Facilitates waiver enrollment and disenrollment processes.
• Develops and implements care plans with members, caregivers, physicians and support network to address member needs and goals.
• Monitors care plan effectiveness and documents interventions and goal achievement.
• Promotes integration of LTSS and behavioral health services.
• Assesses medical necessity and authorizes waiver services.
• Evaluates benefits and funding sources.
• Facilitates interdisciplinary care team meetings for approval or denial of services.
• Uses motivational interviewing to educate, support and motivate change.
• Identifies barriers to care and coordinates care across psycho/social, financial, medical aspects.
• Collaborates with licensed care managers as needed.
• Travel 25-40% depending on state requirements.

Skills

Healthcare experience

Care management

Communication skills

Disability LTSS knowledge

Education

Bachelor's degree in health care or related field

Tools

Microsoft Office

Job description

Molina Healthcare, Inc. is seeking a care coordination professional to support LTSS services. You will collaborate with a multidisciplinary team to ensure high-need members receive integrated care and progress toward outcomes.

The role involves conducting assessments, developing and monitoring care plans, and facilitating waiver processes while navigating resources and barriers. Travel up to 40% may be required. Strong communication and organizational skills are essential.