LTSS Care Manager - Remote with Travel

Molina Healthcare, Inc.; Hudson (WI); Remote; USD 33.000 - 64.000; Vollzeit

Zusammenfassung

Molina Healthcare, Inc. is seeking a remote-based care management professional to support LTSS coordination and member care across Wisconsin, with travel for member visits.

You will collaborate with interdisciplinary teams to ensure high-quality, cost-effective care and to implement care plans aligned with member goals. Responsibilities include comprehensive assessments, waiver processes, and ICT facilitation, with emphasis on proactive communication and resource navigation for diverse

Qualifikationen

• Healthcare experience with LTSS and disability/chronic conditions preferred.
• Valid driver’s license, reliable transportation and travel readiness.
• Bachelor’s degree in a healthcare field may be required by state contract.
• Strong written and verbal communication and ability to work independently.

Aufgaben

• Perform comprehensive member assessments within timelines, including home visits as required.
• Coordinate waiver enrollment and disenrollment processes.
• Develop and implement care plans with members and care team.
• Monitor care plans and adjust as needed; document interventions and outcomes.
• Promote integration of services across behavioral health and LTSS.
• Assess medical necessity and authorize appropriate waiver services.
• Lead ICT meetings for approval/denial of services.
• Travel 25-40% for local member visits as required.

Kenntnisse

Care coordination

Care management

Communication skills

Time management

Independent work

Proactive work

Microsoft Office

Travel readiness

Ausbildung

Bachelor's degree in healthcare field

Tools

Microsoft Office

Online portals and databases

Jobbeschreibung

Molina Healthcare, Inc. is seeking a remote-based care management professional to support LTSS coordination and member care across Wisconsin, with travel for member visits.

You will collaborate with interdisciplinary teams to ensure high-quality, cost-effective care and to implement care plans aligned with member goals. Responsibilities include comprehensive assessments, waiver processes, and ICT facilitation, with emphasis on proactive communication and resource navigation for diverse