Waiver Coordination Specialist

Molina Healthcare; Honolulu (HI); Remote; USD 18,473 - 40,033; Full time

Benefits offered by this job

Competitive benefits

Equal Opportunity Employer (EOE)

Job summary

Molina Healthcare Services (HCS) provides non‑clinical support to coordinate waiver services and improve access to care for members with high‑need conditions. The role supports waiver referrals, initial assessments, and transition planning in collaboration with LTSS coordinators and state partners.

The position emphasizes multi‑tasking, strong communication, and adherence to HIPAA, with a focus on timely enrollment and care coordination for individuals transitioning from facility to community

Qualifications

• Required: HS Diploma or GED.
• 1–3 years’ experience in an administrative support role in healthcare; strong multi‑tasking, prioritization, and problem solving.
• Preferred: Associate degree or higher.

Responsibilities

• Provide non‑clinical operational support for Waiver coordination.
• Facilitate communication between Waiver coordinators and the State Program Support Unit.
• Receive initial State referrals for waiver services and schedule the initial assessment with LTSS Coordinator.
• Monitor status for initial assessment, reassessment, and transition assessments for members.
• Interface with the State agency that determines eligibility and the LTSS Coordinator to process and obtain approval of Waiver services.
• Monitor transition process of nursing facility members to return to the community under Money Follows the Person program.
• Initiate referrals for Medicare and Waiver processes when needed.
• Track referrals and documents via designated state systems.
• Report results to coordinators, supervisors, and the State agency.
• Ensure Medicaid and Waiver eligibility have been requested/received from state partners.

Education

HS Diploma or GED

Associate degree

Job description

Molina Healthcare Services (HCS) provides non‑clinical support to coordinate waiver services and improve access to care for members with high‑need conditions. The role supports waiver referrals, initial assessments, and transition planning in collaboration with LTSS coordinators and state partners.

The position emphasizes multi‑tasking, strong communication, and adherence to HIPAA, with a focus on timely enrollment and care coordination for individuals transitioning from facility to community