Senior Care Manager, LTSS & Care Coordination

Jobtome; Plano (KY); Hybrid; USD 35,000 - 68,000; Full time

Job summary

Molina Healthcare is seeking a care management professional to support LTSS coordination and integrated member care. Responsibilities include conducting home visits, developing care plans with clinicians and caregivers, and monitoring outcomes across a high-need population.

The role emphasizes proactive collaboration, strong communication, and navigating community resources while maintaining compliant care delivery. Travel will be required in most assignments.

Qualifications

• At least 2 years of health care experience, including at least 1 year with disabilities/ LTSS, and 1 year in care management or related setting.
• Clinical licensure and/or certification required only if mandated by state contract/regulation.
• Bachelor’s degree in a health care field may be required in some states.
• Valid and unrestricted driver’s license and ability to travel as required.

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 and care networks.
• Monitor care plans to evaluate effectiveness and adjust as needed.
• Promote integration of services across behavioral health and LTSS.
• Assess medical necessity and authorize waiver services.
• Facilitate interdisciplinary care team meetings for approvals/denials.
• Travel 25-40% locally as required.

Skills

Care coordination

Communication skills

Time management

Independent work

Community resources knowledge

Microsoft Office

Travel

Problem-solving

Driver's license

Education

Bachelor’s degree in a healthcare field

Clinical licensure/certification (if required)

Tools

Online portals/databases

Job description

Molina Healthcare is seeking a care management professional to support LTSS coordination and integrated member care. Responsibilities include conducting home visits, developing care plans with clinicians and caregivers, and monitoring outcomes across a high-need population.

The role emphasizes proactive collaboration, strong communication, and navigating community resources while maintaining compliant care delivery. Travel will be required in most assignments.