Care Manager, LTSS (Remote in Idaho)

Job Summary We are seeking a Care Manager who lives in Idaho. This position does not require an LPN or LVN license. The Care Manager will support Idaho Medicaid, manage a case load, and coordinate care for members enrolled in the program. Experience with managed care or case management of the geriatric population is essential. Excellent computer skills, multitasking between systems, and strong phone communication are required. Field work involves face‑to‑face assessments in members’ homes. Travel: Approximately 30% of the work will involve visits to members in surrounding areas of Idaho (Mileage is reimbursed). Locations include Lewiston, Coeur d’Alene, Pocatello, Idaho Falls, Twin Falls, and Post Falls. Schedule: Monday through Friday, 8:00 AM to 5:00 PM MST. No weekends or holidays. Essential Job Duties 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 health care professionals. Monitor care plans continuously, evaluating effectiveness, documenting interventions and goal achievement, and suggesting changes. Promote integration of services for members, including behavioral health care, long‑term services and supports (LTSS), and community resources to enhance continuity of care. Assess medical necessity and authorize all appropriate waiver services. Evaluate covered benefits and advise members about funding sources. Facilitate interdisciplinary care team meetings for service approval or denial. Use motivational interviewing and Molina clinical guideposts to educate, support, and motivate change during member contacts. Identify barriers to care and provide coordination and assistance to address psycho/social, financial, and medical obstacles. Identify critical incidents and develop prevention plans to ensure member health and welfare. Collaborate with licensed care managers/leadership as needed. Local travel may be required up to 25–40% based on state or contract requirements. Required Qualifications At least 2 years of health care experience, including at least 1 year working with persons with disabilities or chronic conditions in LTSS, and 1 year of care management experience. Licensed Practical Nurse (LPN) or Licensed Vocational Nurse (LVN) only if required by state contract, regulation, or business model. Licensure must be active and unrestricted in the state of practice. Valid and unrestricted driver’s license, reliable transportation, and adequate auto insurance. Demonstrated knowledge of community resources. Ability to work in diverse settings and adapt style as needed. Proactive, detail‑oriented work style. Ability to work independently with minimal supervision and self‑motivation. Effective communication and composure in high‑pressure situations. Ability to build and maintain professional relationships. Excellent time‑management, prioritization, and multitasking skills. Strong problem‑solving and critical‑thinking skills. Strong verbal and written communication skills. Proficiency with Microsoft Office suite and navigation of online portals and databases. Bachelor’s degree in a health care related field may be required in some states. Preferred Qualifications Certified Case Manager (CCM), LPN, or LVN with active and unrestricted license. Experience working with populations receiving waiver services. Benefits and Compensation Molina Healthcare offers a competitive benefits and compensation package. Pay Range: $21.60 – $46.81 per hour (Actual compensation may vary by location, experience, education, and skill level). Equal Opportunity Employer Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V. #J-18808-Ljbffr Molina Healthcare