LTSS Care Manager - Idaho

For this position we are seeking a Care Manager who lives in Idaho. Care Manager will support Idaho Medicaid and manage a case load of members enrolled in this program. We are looking for a Care Manager with experience in managed care populations, case management roles, and the geriatric population. Excellent computer skills and diligence are especially important to multitask between systems, talk with members on the phone, and enter accurate contact notes. This is a fast‑paced position and productivity is vital. Members’ assessments require field work and face‑to‑face visits in homes. Travel (30%): visits in surrounding areas are required; mileage is reimbursed. Locations: Lewiston, Coeur d’ Alene, Pocatello, Idaho Falls, Twin Falls, Post Fallas. Schedule – Monday through Friday, 8:00 AM to 5:00 PM MST (no weekends or holidays). Job Summary Provides support for care management / care coordination long‑term services and supports. Collaborates with multidisciplinary teams to coordinate integrated delivery of member care across the continuum for members with high‑need potential, ensuring progress toward desired outcomes and contributing to strategy for quality and cost‑effective member care. Essential Job Duties 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 other appropriate health care professionals and member support network. Performs ongoing monitoring of care plans 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 the 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. Identifies critical incidents and develops prevention plans to assure member health and welfare. Collaborates with licensed care managers/leadership as needed or required. Estimated local travel 25–40% based on state or contractual requirements. Required Qualifications At least 2 years of health care experience, including at least 1 year working with persons with disabilities or chronic conditions and 1 year in care management or a medical/behavioral health setting. Licensed Practical Nurse (LPN) or Licensed Vocational Nurse (LVN). Clinical licensure and/or certification required only if mandated by state contract or regulation. 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 as needed to work with diverse populations. Proactive, detail‑oriented, and self‑motivated work style. Responsive communication and calm demeanor in high‑pressure situations. Ability to develop and maintain professional relationships. Excellent time‑management, prioritization, and adaptability skills. Strong problem‑solving, critical‑thinking, verbal, and written communication skills. Proficiency with Microsoft Office suite and online portals/databases. Tentatively, a bachelor’s degree in a health‑care related field may be required per state or contract. Preferred Qualifications Certified Case Manager (CCM), Licensed Vocational Nurse (LVN), or Licensed Practical Nurse (LPN). License must be active and unrestricted. Experience working with populations receiving waiver services. To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V. Pay Range: $21.60 – $46.81 per hour. Actual compensation may vary from posting based on geographic location, work experience, education, and/or skill level. #J-18808-Ljbffr