LTSS Care Manager: Integrated Care & Waiver Services

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

Benefits offered by this job

Competitive benefits

Job summary

Molina Healthcare, Inc. is hiring to support care management and coordination for high-need members across the LTSS continuum. You will work with a multidisciplinary team to ensure quality, cost-effective care and improve member outcomes.

Responsibilities include comprehensive assessments, waiver enrollment, care plan development, coordination with caregivers and providers, and active care coordination with ICTs. Local travel may be required (25–40%).

Qualifications

• 2+ years healthcare experience, LTSS exposure preferred.
• Valid driver's license and reliable transportation.
• Bachelor's degree in health-related field may be required in some states.

Responsibilities

• Complete comprehensive member assessments within regulatory timelines, including in-person home visits as required.
• Coordinate waiver enrollment/disenrollment processes.
• Develop and implements care plans with members, caregivers, physicians and the care team.
• Monitor care plan effectiveness and adjust as needed.
• Promote integrated services across LTSS and behavioral health to enhance continuity of care.
• Assess medical necessity and authorize waiver services.
• Collaborate with ICT meetings for service decisions.
• Travel 25-40% as required by state contracts.

Skills

Healthcare exp

Care management

Driver's license

Communication

Microsoft Office

Education

Bachelor's degree in health field

Tools

EHR systems

CRM software

Job description

Molina Healthcare, Inc. is hiring to support care management and coordination for high-need members across the LTSS continuum. You will work with a multidisciplinary team to ensure quality, cost-effective care and improve member outcomes.

Responsibilities include comprehensive assessments, waiver enrollment, care plan development, coordination with caregivers and providers, and active care coordination with ICTs. Local travel may be required (25–40%).