Senior Care Manager, LTSS & Care Coordination

Molina Healthcare, Inc.; Town of Grafton (WI); On-site; USD 38,000 - 74,000; Full time

Benefits offered by this job

Competitive benefits

EOE employer

Job summary

Molina Healthcare, Inc. is seeking a skilled Care Manager to support LTSS care coordination and collaboration with a multidisciplinary team to deliver high-quality, cost-effective member care.

The role involves comprehensive assessments, care planning, and monitoring to achieve member outcomes. A valid social work license and 2+ years in health care are required, with 25–40% local travel anticipated.

Qualifications

• 2+ years in health care, incl. care management and LTSS.
• Active license as listed: LCSW/LMSW/APSW/CHES/LPC/LPCC/LMFT/PhD/PsyD or equivalent.
• Valid driver’s license and reliable transportation.
• Ability to work independently and manage multiple projects.
• Strong verbal and written communication skills.

Responsibilities

• Completes comprehensive member assessments within regulated timelines, including in-person home visits as required.
• Facilitates waiver enrollment and disenrollment processes.
• Develops and implements care plans with members and care networks.
• Monitors care plan effectiveness and suggests changes.
• Promotes integration of LTSS and behavioral health services.
• Assesses medical necessity and authorizes waiver services.
• Facilitates ICT meetings for service approval/denial.
• Travel 25–40% locally as required.

Skills

Care coordination

Communication

Independent work

Time management

Education

Licensed social worker (LCSW/LMSW/APSW) or equivalent

Health care-related degree

Tools

Microsoft Office

Job description

Molina Healthcare, Inc. is seeking a skilled Care Manager to support LTSS care coordination and collaboration with a multidisciplinary team to deliver high-quality, cost-effective member care.

The role involves comprehensive assessments, care planning, and monitoring to achieve member outcomes. A valid social work license and 2+ years in health care are required, with 25–40% local travel anticipated.