Remote Care Manager LTSS & Waiver Coordination

Molina Healthcare; Chippewa Falls (WI); Remote; USD 33,000 - 63,000; Full time

Job summary

Molina Healthcare is seeking a Care Coordinator to support long-term services and supports (LTSS), coordinating care across a multidisciplinary team and visiting members in their homes as required.

This role involves assessing needs, developing care plans with members and providers, facilitating waiver processes, and monitoring outcomes. Travel to Chippewa Falls/Eau Claire areas is required, with remote duties supporting field visits and care coordination.

Qualifications

• 2+ years healthcare experience including LTSS
• Care management experience or related medical/behavioral health background
• Valid and unrestricted driver’s license and reliable transportation

Responsibilities

• Complete comprehensive member assessments within regulatory timelines, including in-person home visits
• Facilitate waiver enrollment and disenrollment processes
• Develop and implement care plans with members, caregivers, physicians and team
• Monitor care plan effectiveness and document interventions
• Promote integration of services across behavioral health and LTSS
• Assess medical necessity and authorize waiver services
• Lead interdisciplinary care team meetings for approvals/denials
• Use motivational interviewing to educate and motivate members
• Identify barriers to care and address psycho/social, financial, and medical obstacles
• Collaborate with licensed care managers as needed
• Travel 25-40% locally as required by contract

Skills

Healthcare experience

Care management

Communication skills

Driver's license

Travel readiness

Microsoft Office

Education

Bachelor's degree in health-related field

Tools

Microsoft Office

Job description

Molina Healthcare is seeking a Care Coordinator to support long-term services and supports (LTSS), coordinating care across a multidisciplinary team and visiting members in their homes as required.

This role involves assessing needs, developing care plans with members and providers, facilitating waiver processes, and monitoring outcomes. Travel to Chippewa Falls/Eau Claire areas is required, with remote duties supporting field visits and care coordination.