LTSS Care Manager & Waiver Services Specialist

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

Job summary

Molina Healthcare is seeking a care management professional to support LTSS coordination across the continuum, collaborating with a multidisciplinary team to ensure member progress toward outcomes. The role emphasizes care plan development, waiver service management, and integration of behavioral health services for high-need members.

The position requires clinical licensure where applicable, strong communication, and the ability to work independently with travel up to 40% locally.

Qualifications

• At least 2 years of health care experience with LTSS and care management.
• Valid driver’s license, reliable transportation, and adequate auto insurance for travel.
• Bachelor’s degree may be required depending on state contract requirements.
• Ability to work independently with minimal supervision and self-motivation.
• Strong verbal and written communication skills.

Responsibilities

• Complete comprehensive member assessments within regulated timelines and conduct in-person home visits as required.
• Facilitate waiver enrollment and disenrollment processes.
• Develop and monitor care plans with members, caregivers, physicians, and health professionals.
• Promote integration of LTSS and behavioral health services and community resources.
• Assess medical necessity and authorize waiver services; collaborate with ICT meetings.
• Travel may be required (25-40% locally) based on state/contractual requirements.

Skills

Care coordination

Communication

Time management

Problem solving

Self motivation

Microsoft Office

Travel readiness

Education

Bachelor's degree in health care related field

Tools

Microsoft Office suite

Job description

Molina Healthcare is seeking a care management professional to support LTSS coordination across the continuum, collaborating with a multidisciplinary team to ensure member progress toward outcomes. The role emphasizes care plan development, waiver service management, and integration of behavioral health services for high-need members.

The position requires clinical licensure where applicable, strong communication, and the ability to work independently with travel up to 40% locally.