Remote LTSS Care Manager with Travel

Molina Healthcare, Inc.; Jefferson (MD); Remote; USD 33,000 - 64,000; Full time

Job summary

Molina Healthcare is seeking a care management professional to support LTSS coordination and member care across settings, including in-home visits. You will collaborate with a multidisciplinary team to ensure high-need members receive integrated services and achieve desired outcomes.

The role involves assessing needs, developing care plans with stakeholders, and traveling regionally (25-40%) to complete visits and coordinate services with providers.

Qualifications

• At least 2 years of health care experience with LTSS/care management.
• Valid/unrestricted driver's license and reliable transportation.
• Ability to work independently with minimal supervision.
• Strong verbal and written communication skills; able to work in high-pressure situations.
• Experience with individuals with substance use disorders is a plus in some states.

Responsibilities

• Complete comprehensive member assessments within regulated timelines, including in-person home visits.
• Facilitate waiver enrollment and disenrollment processes.
• Develop and implement care plans with members, caregivers, physicians and staff.
• Monitor care plan effectiveness and adjust interventions as needed.
• Promote integration of LTSS and behavioral health services for continuity of care.
• Assess medical necessity and authorize waiver services.
• Coordinate ICT meetings for service approvals/denials.
• Travel 25-40% as required by state/contractual requirements.

Skills

Healthcare experience

Care management

Communication skills

Time management

Multitasking

Independence

Problem solving

Microsoft Office proficiency

Substance use disorders experience

Education

Bachelor's degree in a health care related field

Tools

Microsoft Office

Job description

Molina Healthcare is seeking a care management professional to support LTSS coordination and member care across settings, including in-home visits. You will collaborate with a multidisciplinary team to ensure high-need members receive integrated services and achieve desired outcomes.

The role involves assessing needs, developing care plans with stakeholders, and traveling regionally (25-40%) to complete visits and coordinate services with providers.