LTSS Care Manager: Waiver Services & Coordination

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

Benefits offered by this job

Competitive benefits

Travel opportunities

Job summary

Molina Healthcare is seeking a care management professional to support LTSS activities and collaborate with a multidisciplinary team to coordinate member care across the continuum. You will help ensure progress toward outcomes and contribute to strategies for quality and cost-effective care.

Responsibilities include conducting comprehensive member assessments, facilitating waiver enrollment, developing care plans, monitoring progress, and coordinating services to address psycho/social,

Qualifications

• At least 2 years of health care experience, including LTSS exposure.
• Clinical licensure and/or certification may be required by state contract or regulation.
• Bachelor's degree in a health care field may be required in some states.

Responsibilities

• Completes comprehensive member assessments within regulated timelines, including in-person home visits.
• Facilitates waiver enrollment and disenrollment processes.
• Develops and implements care plans with members, families, and providers.
• Monitors care plans, documents interventions, and adjusts goals as needed.
• Promotes integration of services to enhance continuity of care.
• Assesses medical necessity and authorizes waiver services.
• Facilitates ICT meetings for service approvals and collaboration.
• Uses motivational interviewing and clinical guidelines to support change.
• Identifies barriers to care and coordinates psycho/social, financial, and medical support.

Skills

Care coordination

Multidisciplinary teamwork

Communication skills

Time management

Documentation

Education

Bachelor's degree in health care

Tools

Microsoft Office

Job description

Molina Healthcare is seeking a care management professional to support LTSS activities and collaborate with a multidisciplinary team to coordinate member care across the continuum. You will help ensure progress toward outcomes and contribute to strategies for quality and cost-effective care.

Responsibilities include conducting comprehensive member assessments, facilitating waiver enrollment, developing care plans, monitoring progress, and coordinating services to address psycho/social,