Remote LTSS Care Manager — Travel in WI

Molina Healthcare, Inc.; Oregon; Hybrid; USD 54,000 - 76,000; Full time

Benefits offered by this job

Competitive benefits

Job summary

Molina Healthcare, Inc. is seeking a dedicated care management professional to support LTSS activities and coordinate member care across settings. The role collaborates with a multidisciplinary team to drive quality and cost-effective outcomes, with a focus on waiver services and care planning.

This remote position requires travel to member locations, including home visits, and may involve 25–40% travel. You will assess needs, authorize services, and promote integrated care while navigating

Qualifications

• At least 2 years of health care experience, including LTSS and care management.
• Clinical licensure and/or certification required only if state contract/regulation requires it.
• In some states, a bachelor's degree in a health care related field may be required.
• Valid and unrestricted driver’s license, reliable transportation, and adequate auto insurance for job-related travel.
• Demonstrated knowledge of community resources and ability to work across diverse settings.

Responsibilities

• Completes comprehensive member assessments within regulated timelines, including in-person home visits.
• Facilitates comprehensive waiver enrollment and disenrollment processes.
• Develops and implements care plans with members, caregivers, physicians and others to address needs and goals.
• Monitors care plan effectiveness and documents interventions and goal achievement.
• Promotes integration of services across behavioral health and LTSS for continuity of care.
• Assesses medical necessity and authorizes waiver services as appropriate.
• Facilitates interdisciplinary care team meetings for service decisions.
• Uses motivational interviewing and Molina guidelines to educate, support and motivate change.
• Identifies barriers to care and provides coordination to address psycho/social, financial, and medical obstacles.
• Collaborates with licensed care managers/leadership as needed.
• 25-40% estimated local travel may be required.

Skills

Care management

LTSS knowledge

Care coordination

Communication skills

Travel readiness

Education

Bachelor's degree in health care

Licensure/certification (as required)

Job description

Molina Healthcare, Inc. is seeking a dedicated care management professional to support LTSS activities and coordinate member care across settings. The role collaborates with a multidisciplinary team to drive quality and cost-effective outcomes, with a focus on waiver services and care planning.

This remote position requires travel to member locations, including home visits, and may involve 25–40% travel. You will assess needs, authorize services, and promote integrated care while navigating