Remote LTSS Care Manager - Waiver & Care Coordination

Molina Healthcare, Inc.; Jefferson (WI); Remote; USD 33.000 - 64.000; Vollzeit

Zusammenfassung

Molina Healthcare, Inc. is seeking a Care Coordinator in Jefferson County, WI. This remote role requires travel to member homes and close collaboration with the care management team to coordinate LTSS and support high-need members toward desired outcomes.

You will complete assessments, enroll in waivers, create and monitor care plans, facilitate ICT meetings, coordinate with providers, and promote behavioral health integration. 25–40% travel is anticipated.

Qualifikationen

• 2+ years healthcare experience including LTSS

Aufgaben

• Complete comprehensive member assessments within regulated timelines.
• Facilitate comprehensive waiver enrollment and disenrollment processes.
• Develop and implement care plans with members, caregivers, physicians and care team.
• Monitor care plan effectiveness and adjust as needed.
• Promote integration of services including behavioral health and LTSS.
• Assess medical necessity and authorize waiver services.
• Evaluate covered benefits and funding sources.
• Facilitate ICT meetings for approval/denial of services.
• Educate and motivate members using motivational interviewing.
• Identify barriers to care and coordinate psycho/social, financial, and medical support.
• Identify critical incidents and develop prevention plans.
• Collaborate with licensed care managers as needed.
• Travel 25-40% depending on state contracts.

Kenntnisse

Healthcare experience

LTSS experience

Communication skills

Time management

Travel readiness

Driver's license

Independent work

Problem-solving

Team collaboration

Proactive

Ausbildung

Bachelor's degree in health-related field

Tools

Microsoft Office

EHR systems

Jobbeschreibung

Molina Healthcare, Inc. is seeking a Care Coordinator in Jefferson County, WI. This remote role requires travel to member homes and close collaboration with the care management team to coordinate LTSS and support high-need members toward desired outcomes.

You will complete assessments, enroll in waivers, create and monitor care plans, facilitate ICT meetings, coordinate with providers, and promote behavioral health integration. 25–40% travel is anticipated.