LTSS Care Manager: Integrated Care & Waiver Specialist

Jobtome; Cincinnati (OH); On-site; USD 33,000 - 64,000; Full time

Job summary

Molina Healthcare is seeking a care coordination professional to support LTSS activities and collaborate with multidisciplinary teams to coordinate integrated member care across the continuum.

The role involves comprehensive assessments, waiver enrollment processes, care plan development, and ongoing monitoring to ensure quality outcomes and cost-effective member care. Travel may be required to visit members. Equal opportunity employer.

Qualifications

• 2+ years health care experience, incl 1 year with LTSS or care management.
• Licensure/certification required if mandated by state contract/regulation.
• In some states, a bachelor's degree in health care may be required.
• Valid driver's license, reliable transportation for travel.
• Familiarity with community resources.
• Ability to work independently and manage multiple projects.

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 and health professionals.
• Monitors care plan effectiveness and documents progress.
• Promotes integration of LTSS with behavioral health and community resources.
• Assesses medical necessity and authorizes waiver services.

Skills

Care coordination

Disabilities experience

Communication skills

Time management

Problem solving

Self-motivation

Education

Bachelor's degree in health care field

Tools

Microsoft Office

Job description

Molina Healthcare is seeking a care coordination professional to support LTSS activities and collaborate with multidisciplinary teams to coordinate integrated member care across the continuum.

The role involves comprehensive assessments, waiver enrollment processes, care plan development, and ongoing monitoring to ensure quality outcomes and cost-effective member care. Travel may be required to visit members. Equal opportunity employer.