LTSS Care Manager — Integrated Care & Waiver Services

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

Job summary

Molina Healthcare, Inc. seeks a care management professional to support LTSS care coordination. You will collaborate with a multidisciplinary team to deliver integrated member care across the continuum, aiming for outcomes and cost-effective services.

Responsibilities include assessing members, developing care plans, monitoring progress, and coordinating with caregivers, physicians, and support networks. Travel may be required to fulfill state contracts and ensure quality care.

Qualifications

• 2+ years healthcare experience, including LTSS/care management or related setting.
• Clinical licensure/certification required only if state contract mandates it.
• Bachelor's degree may be required in some states.
• Valid driver's license and reliable transportation for possible travel.
• Knowledge of community resources and ability to work in varied settings.

Responsibilities

• Complete comprehensive member assessments within regulated timelines, including home visits when required.
• Facilitate waiver enrollment and disenrollment processes.
• Develop and implement care plans with members, caregivers, and providers.
• Monitor and adjust care plans based on effectiveness and outcomes.
• Promote service integration across behavioral health and LTSS.
• Assess medical necessity and authorize waiver services.
• Evaluate benefits and advise on funding sources.

Skills

Care coordination

Communication

Time management

Travel readiness

自主性 / self-motivation

Education

Bachelor's degree in healthcare (may be required)

Tools

Microsoft Office

Job description

Molina Healthcare, Inc. seeks a care management professional to support LTSS care coordination. You will collaborate with a multidisciplinary team to deliver integrated member care across the continuum, aiming for outcomes and cost-effective services.

Responsibilities include assessing members, developing care plans, monitoring progress, and coordinating with caregivers, physicians, and support networks. Travel may be required to fulfill state contracts and ensure quality care.