Care Manager, LTSS - Field travel in Southwest Wisconsin

Molina Healthcare • Kenosha, WI • 4h ago

JOB DESCRIPTION Job Summary Provides support for care management/care coordination long-term services and supports specific activities and collaborates with multidisciplinary team coordinating integrated delivery of member care across the continuum for members with high-need potential. Strives to ensure member progress toward desired outcomes and contributes to overarching strategy to provide 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/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. • 25-40% estimated local travel may be required (based upon state/contractual requirements). Required Qualifications • At least 2 years 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 experience in a medical and/or behavioral health setting, or equivalent combination of relevant education and experience. •Licensed Practical Nurse (LPN) or Licensed Vocational Nurse (LVN). Clinical licensure and/or certification required ONLY if required by state contract, regulation, business operating model, or state board licensing mandates. If licensed, license must be active and unrestricted in state of practice. • In some states, a bachelor's degree in a health care related field may be required (dependent upon state/contractual requirements). • Valid and unrestricted driver's license, reliable transportation, and adequate auto insurance for job related travel requirements, unless otherwise required by law. • 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 prioritization 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. • In some states, a bachelor's degree in a health care related field may be required (dependent upon state/contractual requirements). Preferred Qualifications • Certified Case Manager (CCM), Licensed Vocational Nurse (LVN) or Licensed Practical Nurse (LPN). License must be active and unrestricted in state of practice. • Experience working with populations that receive 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 PJHS HTF Pay Range: $24 - $46.81 / HOURLY *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

Similar Jobs

Customer Service Analyst

ULINE INC • Kenosha, WI • 2h ago

Management & Administrative

JOB REQUIREMENTS: Customer Service Analyst Kenosha Branch 12355 Uline Way, Kenosha, WI 53144 Elevate the customer experience at Uline! As a Customer Service Analyst at our Corporate Headquarters, you\'ll turn our contact...

2h ago

Go to Apply

Commander, Navy Installations • Great Lakes, IL • 1d ago

Management & Administrative

Summary This position is located within the Naval Station Great Lakes, Business Office, Morale, Welfare and Recreation (MWR) Department. The purpose of this position is to provide a variety of functions within Business O...

1d ago

Go to Apply

Adventure Manager

THE SALVATION ARMY-WI /UPPER MI DIV • Salem, WI • 1d ago

Management & Administrative

JOB REQUIREMENTS: THE SALVATION ARMY North and Central Illinois Division Wonderland Camp and Conference Center POSITION TITLE: Adventure Manager/Senior Counselor LOCATION/DEPT: Wonderland Camp and Conference Center REPOR...

1d ago

Go to Apply

Manager, Sustaining Manufacturing Engineering

Whirlpool Corporation • Racine, WI • 2d ago

Management & Administrative

Requisition ID: 70546 About Whirlpool Corporation Whirlpool Corporation (NYSE: WHR) is a leading home appliance company, in constant pursuit of improving life at home. As the only major U.S.-based manufacturer of kitchen...

2d ago

Go to Apply

Business Development Manager Remote

API HEAT TRANSFER INC • Franklin, WI • 2d ago

Management & Administrative

JOB REQUIREMENTS: Join Our Growth Journey: Business Development Manager - General ThermoDynamics and Airtech Travel: Up to 50% Domestic Department: Sales & Business Development Reports To: VP of Sales Preferred Home...

2d ago

Go to Apply

Subscribe to get new jobs sent directly to you
(no charge, cancel anytime)

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.