LTSS Care Manager: Integrated Care & Waivers

Molina Healthcare, Inc.; Richwood (LA); Presencial; USD 33 000 - 64 000; Tempo integral

Vantagens oferecidas por esta oferta de emprego

Competitive benefits

Resumo da oferta

Molina Healthcare, Inc. is hiring a Care Manager to coordinate long-term services and supports (LTSS) and manage care across a multidisciplinary team. You will assess members, develop and monitor care plans with input from family, physicians, and other providers, and ensure high-quality, cost-effective care.

Travel up to 25–40% may be required. The role requires licensure or certification where mandated by state contracts and strong skills in communication, organization, and Microsoft Office.

Qualificações

• 2+ years health care experience, LTSS exposure preferred.
• Care management experience or equivalent background.
• Strong communication, problem-solving, and organizational skills.
• Proficiency in Microsoft Office and online portals.
• Ability to travel 25–40% as required.

Responsabilidades

• Complete comprehensive member assessments within timelines, including home visits.
• Facilitate waiver enrollment/disenrollment and develop care plans with providers.
• Monitor care plan effectiveness, document interventions, and adjust as needed.
• Coordinate LTSS and behavioral health services to ensure continuity of care.
• Assess medical necessity, authorize services, and explain funding sources.
• Lead ICT meetings for approval/denial of services and team collaboration.
• Support members through barriers to care and coordinate with care teams.

Descrição da oferta de emprego

Molina Healthcare, Inc. is hiring a Care Manager to coordinate long-term services and supports (LTSS) and manage care across a multidisciplinary team. You will assess members, develop and monitor care plans with input from family, physicians, and other providers, and ensure high-quality, cost-effective care.

Travel up to 25–40% may be required. The role requires licensure or certification where mandated by state contracts and strong skills in communication, organization, and Microsoft Office.