Remote LTSS Care Manager & Care Coordination

Molina Healthcare, Inc.; Oregon; Hybrid; USD 55,000 - 75,000; Full time

Job summary

Molina Healthcare, Inc. seeks a field-based care coordination professional to support LTSS activities and collaborate with a multidisciplinary team to deliver integrated member care. The role emphasizes comprehensive assessments, care planning, and coordination across continuum services.

The position requires travel to local areas, excellent communication, and strong knowledge of community resources. A healthcare background and independent work capability are essential for success.

Qualifications

• At least 2 years of health care experience, including LTSS and care management.
• Clinical licensure and/or certification required only if state mandates; active license if licensed.
• Bachelor’s degree in a health care field may be required by state.
• Valid driver’s license, reliable transportation, and adequate auto insurance for travel.
• Strong knowledge of community resources.
• Ability to work independently with minimal supervision.
• Strong communication and problem-solving skills.
• Proficiency with Microsoft Office and online portals.
• Experience with individuals with substance use disorders may be required in some states.

Responsibilities

• Completes comprehensive member assessments within regulated timelines, including in-person home visits.
• Facilitates waiver enrollment and disenrollment processes.
• Develops and implements care plans in collaboration with members and providers.
• Monitors care plan effectiveness and documents interventions.
• Promotes integration of behavioral health, LTSS, and home/community resources.
• Assesses medical necessity and authorizes waiver services.
• Evaluates benefits and advises on funding sources.
• Facilitates ICT meetings for service approval or denial.
• Uses motivational interviewing and Molina guidelines to support change.
• Addresses psycho/social, financial, and medical obstacles in care coordination.
• Identifies critical incidents and develops prevention plans.
• Collaborates with licensed care managers as needed.
• 25-40% local travel may be required.

Skills

Care management

LTSS experience

Healthcare experience

Communication skills

Time management

Driver's license

Education

Bachelor’s degree

Health care degree

Tools

Microsoft Office

Online portals access

Database navigation

Job description

Molina Healthcare, Inc. seeks a field-based care coordination professional to support LTSS activities and collaborate with a multidisciplinary team to deliver integrated member care. The role emphasizes comprehensive assessments, care planning, and coordination across continuum services.

The position requires travel to local areas, excellent communication, and strong knowledge of community resources. A healthcare background and independent work capability are essential for success.