Care Manager, LTSS – Discipline journey in Inexperienced County, WI at Molina Healthcare

JOB DESCRIPTION 

Family Care with My Choice Wisconsin

Job Summary

Provides help for care administration/care coordination long-term companies and helps particular actions and collaborates with multidisciplinary workforce coordinating built-in supply of member care throughout the continuum for members with high-need potential. Strives to make sure member progress towards desired outcomes and contributes to overarching technique to supply high quality and cost-effective member care.

Essential Job Duties

• Completes complete member assessments inside regulated timelines, together with in-person dwelling visits as required.
• Facilitates complete waiver enrollment and disenrollment processes.
• Develops and implements care plans, together with a waiver service plan in collaboration with members, caregivers, physicians and/or different acceptable well being care professionals and member help community to handle the member wants and objectives.
• Performs ongoing monitoring of care plan to guage effectiveness, doc interventions and objective achievement, and recommend modifications accordingly.
• Promotes integration of companies for members together with behavioral well being care and long-term companies and helps (LTSS) and residential and group assets to boost continuity of care.
• Assesses for medical necessity and authorizes all acceptable waiver companies.
• Evaluates coated advantages and advises appropriately relating to funding sources.
• Facilitates interdisciplinary care workforce (ICT) conferences for approval or denial of companies and casual ICT collaboration.
• Uses motivational interviewing and Molina medical guideposts to teach, help and encourage change throughout member contacts.
• Assesses for limitations to care and gives care coordination and help to members to handle psycho/social, monetary, and medical obstacles issues.
• Identifies crucial incidents and develops prevention plans to guarantee member well being and welfare.
• Collaborates with licensed care managers/management as wanted or required.
• 25-40% estimated native journey could also be required (based mostly upon state/contractual necessities).

Required Qualifications

• At least 2 years well being care expertise, together with not less than 1 12 months of expertise working with individuals with disabilities/power situations long-term companies and helps (LTSS), and 1 12 months of expertise in care administration, or expertise in a medical and/or behavioral well being setting, or equal mixture of related training and expertise. 

• In some states, a bachelor’s diploma in a well being care associated area could also be required (dependent upon state/contractual necessities).

• Valid and unrestricted driver’s license, dependable transportation, and enough auto insurance coverage for job associated journey necessities, except in any other case required by legislation.

• Demonstrated data of group assets.

• Ability to work inside a wide range of settings and regulate fashion as wanted – working with numerous populations, varied personalities and private conditions.

• Ability to function proactively and show detail-oriented work.

• Ability to work independently, with minimal supervision and self-motivation.

• Ability to show responsiveness in all types of communication, and stay calm in high-pressure conditions.

• Ability to develop and preserve skilled relationships.

• Excellent time-management and prioritization abilities, and talent to give attention to a number of tasks concurrently and adapt to vary.

• Excellent problem-solving, and critical-thinking abilities.

• Strong verbal and written communication abilities.

• Microsoft Office suite/relevant software program program proficiency, and talent to navigate on-line portals and databases.

• In some states, a bachelor’s diploma in a well being care associated area could also be required (dependent upon state/contractual necessities).

Preferred Qualifications

• Certified Case Manager (CCM)
• Experience working with populations that obtain waiver companies.

To all present Molina staff: If you have an interest in making use of for this place, please apply by way of the Internal Job Board.

Molina Healthcare provides a aggressive advantages and compensation bundle. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V

Pay Range: $24 – $46.81 / HOURLY
*Actual compensation might fluctuate from posting based mostly on geographic location, work expertise, training and/or ability stage.

Molina Healthcare is a nationwide fortune 500 group with a mission to supply high quality healthcare to individuals receiving authorities help. If you might be searching for a significant alternative in a team-oriented atmosphere, come be part of a extremely engaged workforce devoted to our mission. Bring your ardour and abilities and collectively we are able to make a distinction within the lives of others. Molina Healthcare provides a aggressive advantages and compensation bundle. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.

Job Type Full Time

Posting Date 04/02/2026