LTSS Care Manager: Waiver & Care Coordination

Jobtome; Ashville (NY); On-site; USD 33,000 - 64,000; Full time

Job summary

Molina Healthcare is seeking a care management professional to support LTSS coordination and collaborate with a multidisciplinary team to deliver integrated member care. The role emphasizes home visits, waiver processes, and care-plan development to meet member needs and goals.

Responsibilities include assessing medical necessity, coordinating across services, and guiding through ICT decisions while maintaining strong communication and organizational skills; travel 25-40% may be required.

Qualifications

• At least 2 years of health care experience with LTSS; 1 year in care management or related settings.
• Clinical licensure/certification required only if state contract mandates; active/unrestricted if licensed.
• In some states, a healthcare bachelor’s degree may be required.
• Valid driver's license, reliable transportation and adequate auto insurance for travel.
• Demonstrated knowledge of community resources; able to work across diverse settings.
• Strong communication skills and time-management; multitask in high-pressure environments.
• In some states, at least 1 year experience with individuals with substance use disorders.
• Preferred: CCM, LVN or LPN license; experience with waiver services is a plus.
• Proficient with computers and online portals; able to navigate databases.

Responsibilities

• Completes comprehensive member assessments within regulated timelines, including in-person home visits.
• Facilitates comprehensive waiver enrollment and disenrollment processes.
• Develops and implements care plans with members, caregivers, physicians and care networks.
• Monitors care plans to evaluate effectiveness, document interventions and outcomes.
• Promotes integration of LTSS, behavioral health, and community resources for continuity of care.
• Assesses medical necessity and authorizes appropriate waiver services.
• Evaluates benefits and advises on funding sources.
• Facilitates ICT meetings for service decisions and coordination.
• Uses motivational interviewing and Molina guidelines to educate and motivate change.
• Identifies barriers to care and provides coordination for psycho/social, financial, and medical obstacles.
• Travel 25-40% as required by state/contractual requirements.

Skills

Verbal and written communication

Time-management

Microsoft Office

Care coordination

Independent work

Interdisciplinary collaboration

Education

Bachelor's degree in healthcare field

Tools

Microsoft Office

Job description

Molina Healthcare is seeking a care management professional to support LTSS coordination and collaborate with a multidisciplinary team to deliver integrated member care. The role emphasizes home visits, waiver processes, and care-plan development to meet member needs and goals.

Responsibilities include assessing medical necessity, coordinating across services, and guiding through ICT decisions while maintaining strong communication and organizational skills; travel 25-40% may be required.