LTSS Care Navigator & Outcome Strategist

Jobtome; Elgin Township (IA); In loco; USD 35.000 - 68.000; Tempo pieno

Vantaggi offerti da questo lavoro

Competitive benefits

Descrizione del lavoro

Molina Healthcare seeks a Care Coordination Specialist to support LTSS care management through home visits and coordination with a multidisciplinary team. You will develop comprehensive care plans with members and caregivers and monitor outcomes to ensure quality and cost-effective care.

The role requires experience in healthcare, licensure if mandated, and ability to travel 25-40% locally. Strong communication skills and proficiency with Microsoft Office are essential.

Competenze

• At least 2 years of health care experience with LTSS preferred.
• Clinical licensure and/or certification if required by state contract/regulation.
• Bachelor’s degree may be required in some states.
• Valid driver’s license and reliable transportation for travel.

Mansioni

• Provides support for care management and care coordination for LTSS.
• Collaborates with multidisciplinary team to coordinate member care across the care continuum.
• Develops and implements care plans with members, caregivers, physicians, and support network.
• Monitors care plan effectiveness and suggests changes as needed.
• Promotes integration of services including behavioral health and LTSS.
• Assesses medical necessity and authorizes waiver services.
• Facilitates ICT meetings for service approvals/denials.
• Uses motivational interviewing to educate and motivate members.
• Identifies barriers to care and provides coordination to address psycho/social, financial, and medical issues.
• Assesses for safety risks and develops prevention plans.

Conoscenze

Communication

Independent work

MS Office

Care coordination

Travel readiness

Formazione

Clinical licensure/certification

Bachelor’s degree (state dependent)

Strumenti

Online portals & databases

Descrizione del lavoro

Molina Healthcare seeks a Care Coordination Specialist to support LTSS care management through home visits and coordination with a multidisciplinary team. You will develop comprehensive care plans with members and caregivers and monitor outcomes to ensure quality and cost-effective care.

The role requires experience in healthcare, licensure if mandated, and ability to travel 25-40% locally. Strong communication skills and proficiency with Microsoft Office are essential.