LTSS Care Manager – Waiver & Care Coordination

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

Job summary

Molina Healthcare is seeking a care coordination professional to support LTSS activities and collaborative care management. You will work with a multidisciplinary team to ensure high-need members progress toward outcomes and access integrated services across the care continuum.

Responsibilities include comprehensive assessments, waiver enrollment, care plan development, and ongoing monitoring. Travel to local regions (25-40%) is required, with strong emphasis on community resources and

Qualifications

• At least 2 years of health care experience including LTSS
• Clinical licensure and/or certification may be required by state contract
• Bachelor’s degree may be required in some states depending on contract
• Valid driver's license and reliable transportation for travel requirements
• Knowledge of community resources
• Ability to work independently with minimal supervision
• Strong verbal and written communication skills
• Proficiency with Microsoft Office and online portals/databases
• Experience with substance use disorder populations in some states

Responsibilities

• Complete comprehensive member assessments within regulated timelines including in-person home visits
• Facilitate waiver enrollment and disenrollment processes
• Develop and implement care plans with members, caregivers and providers
• Monitor care plans, document interventions and adjust as needed
• Promote integration of LTSS with behavioral health and community resources
• Assess medical necessity and authorize waiver services
• Evaluate benefits and advise on funding sources
• Lead interdisciplinary care team meetings for approvals/denials
• Educate and motivate members using motivational interviewing
• Identify barriers to care and coordinate support
• Identify critical incidents and develop prevention plans
• Collaborate with licensed care managers as needed
• Travel 25-40% as required

Skills

Health care experience

LTSS experience

Care management

Communication skills

Self-motivation

Time management

Tools

Microsoft Office

Online portals/databases

Job description

Molina Healthcare is seeking a care coordination professional to support LTSS activities and collaborative care management. You will work with a multidisciplinary team to ensure high-need members progress toward outcomes and access integrated services across the care continuum.

Responsibilities include comprehensive assessments, waiver enrollment, care plan development, and ongoing monitoring. Travel to local regions (25-40%) is required, with strong emphasis on community resources and