Medicaid Care Manager: Care Coordination & Travel

Molina Healthcare; Midvale (UT); Hybrid; USD 33,000 - 64,000; Full time

Job summary

Molina Healthcare is seeking a Care Coordination Specialist to review Utah Medicaid claims data and identify members meeting Restriction Program criteria. You will manage a 12-month intervention caseload, coordinate with providers, and promote appropriate utilization of benefits.

Responsibilities include care plan development, telephonic and home visits, and collaboration with interdisciplinary teams. Travel 25-40% may be required; strong communication and problem-solving skills are essential.

Qualifications

• 2+ years in health care or care management.
• Clinical licensure/certification required ONLY if required by state contract, regulation, or licensing mandates.
• Valid driver’s license, reliable transportation, and auto insurance for job-related travel.
• Knowledge of community resources.
• Strong communication and time-management skills.

Responsibilities

• Reviews Medicaid claims data to identify members who meet care coordination criteria.
• Develops and implements care plans with member, caregivers, and health professionals.
• Conducts telephonic, in-person, or home visits as required.
• Monitors care plans and documents interventions and goal achievement.
• Manages an assigned caseload for a 12-month intervention period.
• Coordinates with providers to implement and maintain lock-in to a provider and pharmacy.
• Facilitates interdisciplinary care team meetings and collaboration.
• Educates and motivates members during contacts using motivational interviewing.
• Assesses barriers to care and provides assistance to address concerns.
• Collaborates with care managers and leadership as needed.
• Travel 25-40% based on state/contract requirements.

Skills

Care coordination

Communication skills

Time management

Problem solving

Independent work

Travel readiness

Education

Bachelor’s degree in health care

Tools

Microsoft Office

Job description

Molina Healthcare is seeking a Care Coordination Specialist to review Utah Medicaid claims data and identify members meeting Restriction Program criteria. You will manage a 12-month intervention caseload, coordinate with providers, and promote appropriate utilization of benefits.

Responsibilities include care plan development, telephonic and home visits, and collaboration with interdisciplinary teams. Travel 25-40% may be required; strong communication and problem-solving skills are essential.