Remote Care Manager — LTSS & Care Coordination

Jobtome; Tipton (IN); Remote; USD 38.000 - 74.000; Vollzeit

Zusammenfassung

Molina Healthcare is seeking an experienced care management professional to support LTSS activities and coordinate member care across the continuum. You will work with a multidisciplinary team to improve outcomes and ensure cost-effective care.

Responsibilities include comprehensive assessments, waiver processes, care plan development, and monitoring. Travel is 25–40% based on state requirements; strong communication and organizational skills are essential.

Qualifikationen

• Minimum 2 years in health care with care management/ LTSS exposure.
• Licensure: LCSW, LMSW, APSW, CHES, LPC, LPCC, LMFT, PhD/PsyD or state-equivalent.
• State requirements may need a bachelor’s degree in health care field.
• Valid driver's license and auto insurance for travel.
• Experience with diverse populations and disabilities is valued.
• Community resource knowledge is a plus.

Aufgaben

• Complete member assessments within regulated timelines, including home visits.
• Facilitate waiver enrollment and disenrollment processes.
• Develop and implement care plans with members and care networks.
• Monitor care plan effectiveness and document progress.
• Promote integration of LTSS and behavioral health services.
• Assess medical necessity and authorize waiver services.
• Evaluate benefits and funding sources; coordinate ICT meetings.
• Educate and motivate members using motivational interviewing.
• Identify barriers and coordinate psycho/social/financial support.
• Identify incidents and create prevention plans; provide peer guidance as needed.
• Travel 25–40% as required by state/contract.

Kenntnisse

Communication skills

Microsoft Office

Time management

Detail-oriented

Self-motivation

Ability to work independently

Ausbildung

Bachelor's degree in a health care field

Tools

Microsoft Office Suite

Jobbeschreibung

Molina Healthcare is seeking an experienced care management professional to support LTSS activities and coordinate member care across the continuum. You will work with a multidisciplinary team to improve outcomes and ensure cost-effective care.

Responsibilities include comprehensive assessments, waiver processes, care plan development, and monitoring. Travel is 25–40% based on state requirements; strong communication and organizational skills are essential.