LTSS Care Manager - Waiver & Care Coordination

Molina Healthcare, Inc.; Sunbury (OH); Sur place; USD 33 000 - 64 000; Plein temps

Résumé du poste

Molina Healthcare, Inc. seeks a care coordination professional to support LTSS programs and oversee integrated member care. You will collaborate with a multidisciplinary team to drive outcomes and ensure cost-effective quality care across the continuum.

Responsibilities include completing assessments, managing waiver processes, developing care plans, monitoring progress, and engaging with members and caregivers. Domestic travel may be required depending on state contracts.

Qualifications

• 2+ years of health care experience including LTSS and care management.
• Licensure/certification required only if state contract mandates it.
• Bachelor's degree in health care may be required in some states.
• Valid driver's license with reliable transportation.

Responsabilités

• Complete comprehensive member assessments within regulated timelines, including home visits.
• Facilitate waiver enrollment and disenrollment processes.
• Develop and implement care plans with members, caregivers, physicians and staff.
• Monitor care plans and document interventions and outcomes.
• Coordinate LTSS and behavioral health services for continuity of care.
• Assess medical necessity and authorize waiver services.
• Travel 25-40% as required based on state/contractual requirements.

Connaissances

Communication

Time management

Problem solving

Independence

Formation

Bachelor's degree in a health care related field

Outils

Microsoft Office

Description du poste

Molina Healthcare, Inc. seeks a care coordination professional to support LTSS programs and oversee integrated member care. You will collaborate with a multidisciplinary team to drive outcomes and ensure cost-effective quality care across the continuum.

Responsibilities include completing assessments, managing waiver processes, developing care plans, monitoring progress, and engaging with members and caregivers. Domestic travel may be required depending on state contracts.