As a Care Manager, you will play a crucial role in supporting care management and coordination for long-term services, specifically for individuals with high-need potential. You will work within a multidisciplinary team to ensure integrated delivery of member care across various settings, striving to achieve desired outcomes and contribute to the overarching strategy for quality and cost-effective care. What You'll Do as a Care Manager Complete comprehensive member assessments within regulated timelines, including in-person home visits as required. Facilitate comprehensive waiver enrollment and disenrollment processes. Develop and implement care plans, including a waiver service plan in collaboration with members, caregivers, physicians, and other appropriate health care professionals and member support network to address member needs and goals. Perform ongoing monitoring of care plans to evaluate effectiveness, document interventions and goal achievement, and suggest changes accordingly. Promote integration of services for members, including behavioural health care and long-term services and supports (LTSS) and home and community resources to enhance continuity of care. Assess for medical necessity and authorise all appropriate waiver services. Evaluate covered benefits and advise appropriately regarding funding sources. Facilitate interdisciplinary care team (ICT) meetings for approval or denial of services and informal ICT collaboration. Use motivational interviewing and Molina clinical guideposts to educate, support, and motivate change during member contacts. Assess for barriers to care and provide care coordination and assistance to members to address psycho/social, financial, and medical obstacles concerns. Identify critical incidents and develop prevention plans to assure member health and welfare. Collaborate 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're Looking For We are seeking a dedicated Care Manager, Long Term Support Services, with at least two years of healthcare experience, including specific experience with individuals with disabilities or chronic conditions, and in care management. The ideal candidate will possess a valid LPN or LVN license if required by state regulations, along with a valid driver's license and reliable transportation for local travel. You should have a strong understanding of community resources, be adaptable to diverse situations, and demonstrate proactive, detail-oriented work. Essential qualities include the ability to work independently, maintain professional relationships, and exhibit excellent time-management, problem-solving, and communication skills. Proficiency in Microsoft Office and online databases is also required. At least 2 years of health care experience, including at least 1 year of experience working with persons with disabilities/chronic conditions long-term services and supports (LTSS), and 1 year of experience in care management, or equivalent combination of relevant 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, regulation, or licensing mandates. A bachelor's degree in a health care related field may be required in some states. Valid and unrestricted driver's license, reliable transportation, and adequate auto insurance for job-related travel requirements. Demonstrated knowledge of community resources. Ability to work within a variety of settings and adjust style as needed, working with diverse populations, various personalities, and personal 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 and prioritisation skills, and ability to focus on multiple projects simultaneously and adapt to change. Excellent problem-solving and critical-thinking skills. Strong verbal and written communication skills. Microsoft Office suite/applicable software program proficiency and ability to navigate online portals and databases. What You Can Expect Opportunity to work with a multidisciplinary team Engage in integrated delivery of member care Contribute to quality and cost-effective member care Utilise motivational interviewing techniques Collaborate with licensed care managers and leadership Local travel may be required (25-40%) Make a Difference in Long-Term Care As a Care Manager, Long Term Support Services, you will play a crucial role in coordinating integrated care for members with high-need potential. This position offers a competitive compensation package and the chance to make a significant impact on member well-being through comprehensive assessments, care plan development, and ongoing support.