Remote LTSS Care Manager: Waiver & Care Coordination

Molina Talent Acquisition; Madison (WI); Remote; USD 55,000 - 75,000; Full time

Benefits offered by this job

Competitive benefits package

Job summary

Molina Healthcare in Wisconsin is seeking a care management professional to support long-term services and supports (LTSS) coordination for high-need members. The role requires collaboration with a multidisciplinary team and may include in-person home visits, with 25–40% local travel.

You will assess needs, develop and implement care plans, monitor progress, coordinate waiver enrollment/disenrollment, and promote integration of behavioral health, LTSS, and community resources to improve outcomes

Qualifications

• 2+ years of health care experience with LTSS and care management exposure.
• Licensure/certification required only if state contract mandates.
• Bachelor's degree in a health care field may be required by state.
• Valid driver's license, reliable transportation, and auto insurance for travel.
• Knowledge of community resources.
• Ability to work independently with minimal supervision.
• Strong verbal and written communication.
• Proficiency in Microsoft Office and navigating online portals.
• Experience with substance use disorder populations preferred in some states.

Responsibilities

• Complete comprehensive member assessments within regulated timelines with home visits as required.
• Manage waiver enrollment and disenrollment processes.
• Develop and implement care plans with members and care network.
• Monitor care plans; document interventions and adjust as needed.
• Promote integration of behavioral health and LTSS across services.
• Assess medical necessity and authorize waiver services.
• Evaluate benefits and advise on funding sources.
• Facilitate ICT meetings for service decisions.
• Use motivational interviewing and Molina guidelines to educate and motivate.
• Identify barriers and coordinate support for psychosocial, financial, and medical needs.
• Identify critical incidents and develop prevention plans.
• Collaborate with licensed care managers as needed.
• Travel 25-40% local as required.

Skills

Care coordination

Health care experience

Communication skills

Team collaboration

Multitasking

Proactive work style

MS Office

Travel readiness

Independent work

Education

Bachelor's degree in health care

Clinical licensure/certification (if required)

Tools

Microsoft Office

Online portals

Databases

Job description

Molina Healthcare in Wisconsin is seeking a care management professional to support long-term services and supports (LTSS) coordination for high-need members. The role requires collaboration with a multidisciplinary team and may include in-person home visits, with 25–40% local travel.

You will assess needs, develop and implement care plans, monitor progress, coordinate waiver enrollment/disenrollment, and promote integration of behavioral health, LTSS, and community resources to improve outcomes