LTSS Care Manager – Waiver & Care Coordination

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

Job summary

Molina Healthcare is seeking a care management professional to provide support for LTSS-specific activities, coordinating with a multidisciplinary team to deliver high-need member care. You will work toward desired outcomes and contribute to strategic care quality and cost-effectiveness.

Travel up to 40% may be required across specified counties. The role emphasizes comprehensive assessments, care planning, and collaboration with caregivers, physicians, and the care team to ensure integrated

Qualifications

• At least 2 years health care experience incl LTSS.
• Valid driver’s license and reliable transportation.
• Ability to work independently with minimal supervision.
• Excellent verbal and written communication.

Responsibilities

• Completes comprehensive member assessments within regulated timelines, including in-person home visits as required.
• Facilitates waiver enrollment and disenrollment processes.
• Develops and implements care plans with members, caregivers, physicians and others.
• Monitors care plan effectiveness and documents interventions and outcomes.
• Promotes integration of services across LTSS and community resources.
• Assesses medical necessity and authorizes waiver services.
• Evaluates benefits and advises on funding sources.
• Facilitates ICT meetings for service approvals/denials.
• Uses motivational interviewing to educate and motivate change.
• Identify barriers to care and provide coordination to address obstacles.
• Identify critical incidents and develop prevention plans.
• Collaborates with licensed care managers as required.
• 25-40% local travel may be required.

Skills

Communication skills

Time management

Problem solving

Microsoft Office

Independent work

Education

Bachelor's degree in health care

Licensure / certification (where required)

Tools

Microsoft Office

Online portals & databases

Job description

Molina Healthcare is seeking a care management professional to provide support for LTSS-specific activities, coordinating with a multidisciplinary team to deliver high-need member care. You will work toward desired outcomes and contribute to strategic care quality and cost-effectiveness.

Travel up to 40% may be required across specified counties. The role emphasizes comprehensive assessments, care planning, and collaboration with caregivers, physicians, and the care team to ensure integrated