This role provides essential support for care management and coordination of long-term services, collaborating with a multidisciplinary team to deliver integrated care for members with high-need potential. You will work to ensure members achieve desired outcomes and contribute to strategies for quality and cost-effective care. What You Will Do as a Care Manager Completes comprehensive member assessments within regulated timelines, including in-person home visits as required. Facilitates comprehensive waiver enrollment and disenrollment processes. Develops and implements care plans, including a waiver service plan in collaboration with members, caregivers, physicians and/or other appropriate health care professionals and member support network to address the member needs and goals. Performs ongoing monitoring of care plan to evaluate effectiveness, document interventions and goal achievement, and suggest changes accordingly. Promotes integration of services for members including behavioral health care and long-term services and supports (LTSS) and home and community resources to enhance continuity of care. Assesses for medical necessity and authorizes all appropriate waiver services. Evaluates covered benefits and advises appropriately regarding funding sources. Facilitates interdisciplinary care team (ICT) meetings for approval or denial of services and informal ICT collaboration. Uses motivational interviewing and Molina clinical guideposts to educate, support and motivate change during member contacts. Assesses for barriers to care and provides care coordination and assistance to members to address psycho/social, financial, and medical obstacles concerns. Identifies critical incidents and develops prevention plans to assure member health and welfare. Collaborates with licensed care managers/leadership as needed or required. Why Join Our Team? Competitive benefits package Competitive compensation package Why Join Our Team? Molina Healthcare offers a competitive benefits and compensation package to its employees, ensuring a supportive work environment. Who We Are Looking For We are seeking a dedicated and experienced Care Manager, Long Term Support Services, who possesses a strong background in healthcare, particularly with individuals with disabilities or chronic conditions. The ideal candidate will be a Licensed Practical Nurse (LPN) or Licensed Vocational Nurse (LVN) with an active and unrestricted license, if required by state regulations. You should be adept at working independently, demonstrating proactive and detail-oriented work, and possess excellent communication and problem-solving skills. A valid driver's license and reliable transportation are essential due to travel requirements, with 25-40% estimated local travel potentially required (based upon state/contractual requirements). We value candidates who can adapt their approach to diverse populations and situations, maintain professional relationships, and effectively manage their time and priorities. At least 2 years of healthcare experience, including 1 year with persons with disabilities/chronic conditions in long-term services and supports 1 year of experience in care management or a medical/behavioral health setting, or an equivalent combination of education and experience Licensed Practical Nurse (LPN) or Licensed Vocational Nurse (LVN) with an active and unrestricted license in the state of practice (if required by state contract) Valid and unrestricted driver's license, reliable transportation, and adequate auto insurance for job-related travel Demonstrated knowledge of community resources Ability to work within a variety of settings and adjust style for diverse populations and situations Ability to operate proactively and demonstrate detail-oriented work Ability to work independently with minimal supervision and self-motivation Ability to demonstrate responsiveness in all forms of communication and remain calm in high-pressure situations Ability to develop and maintain professional relationships Excellent time-management, prioritization, problem-solving, and critical-thinking skills Strong verbal and written communication skills Proficiency in Microsoft Office suite/applicable software programs and ability to navigate online portals and databases A bachelor's degree in a healthcare-related field may be required in some states What's in It for You? Opportunity to work with a multidisciplinary team Contribute to quality and cost-effective member care Work with diverse populations and personal situations Ability to work independently with minimal supervision Professional relationships development Focus on helping underserved communities Purpose-driven culture with a clear service mission Values integrity, accountability, and teamwork Member and community-focused environment Make a Difference as a Care Manager As a Care Manager, Long Term Support Services, you will play a crucial role in supporting members with high-need potential, coordinating integrated care, and ensuring their progress towards desired outcomes. This position offers a chance to make a significant impact within a purpose-driven organization, supported by a competitive compensation and benefits package.