LTSS Care Manager - Integrated, Outcomes-Driven

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

Job summary

Molina Healthcare is hiring for a care coordination role focused on long-term services and supports (LTSS). You will conduct comprehensive member assessments, develop and monitor care plans, and coordinate waiver enrollment with a multidisciplinary team.

Travel up to 40% may be required, with emphasis on improving patient outcomes and cost-effective care. Required qualifications include 2+ years in health care with LTSS exposure, a valid driver's license, and strong communication skills.

Qualifications

• 2+ years health care experience, LTSS preferred.
• Valid driver license and reliable transportation.
• Ability to work independently and manage multiple projects.
• Strong verbal and written communication skills.

Responsibilities

• Complete comprehensive member assessments within required timelines.
• Facilitate waiver enrollment and disenrollment processes.
• Develop and monitor care plans with members and care team.
• Promote integration of LTSS and behavioral health services.
• Assess medical necessity and authorize waiver services.
• Collaborate with ICT meetings for approvals/denials.
• Travel 25-40% as required.

Skills

Care coordination

Health care experience

Communication skills

Time management

Travel willingness

Driver's license

Microsoft Office

LTSS knowledge

Licensure/certification awareness

Education

Bachelor's degree in health care field

Tools

Online portals & databases

Microsoft Office

Job description

Molina Healthcare is hiring for a care coordination role focused on long-term services and supports (LTSS). You will conduct comprehensive member assessments, develop and monitor care plans, and coordinate waiver enrollment with a multidisciplinary team.

Travel up to 40% may be required, with emphasis on improving patient outcomes and cost-effective care. Required qualifications include 2+ years in health care with LTSS exposure, a valid driver's license, and strong communication skills.