Care Manager, LTSS – Subject journey in Jackson, La Crosse, & Monroe Counties, WI at Molina Healthcare

***Remote with subject journey all through Jackson, La Crosse, & Monroe Counties, WI***

JOB DESCRIPTION 

Job Summary

Provides assist 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 offer high quality and cost-effective member care.

Essential Job Duties

• Completes complete member assessments inside regulated timelines, together with in-person residence 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 applicable well being care professionals and member assist community to deal with the member wants and targets.
• Performs ongoing monitoring of care plan to judge effectiveness, doc interventions and objective achievement, and recommend adjustments accordingly.
• Promotes integration of companies for members together with behavioral well being care and long-term companies and helps (LTSS) and residential and neighborhood sources to reinforce continuity of care.
• Assesses for medical necessity and authorizes all applicable waiver companies.
• Evaluates lined advantages and advises appropriately concerning 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, assist and encourage change throughout member contacts.
• Assesses for limitations to care and gives care coordination and help to members to deal with psycho/social, monetary, and medical obstacles issues.
• Identifies vital 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 a minimum of 1 12 months of expertise working with individuals with disabilities/persistent circumstances 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 schooling and expertise. 

•Licensed Practical Nurse (LPN) or Licensed Vocational Nurse (LVN). Clinical licensure and/or certification required ONLY if required by state contract, regulation, enterprise working mannequin, or state board licensing mandates. If licensed, license should be energetic and unrestricted in state of apply.

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

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

• Demonstrated information of neighborhood sources.

• Ability to work inside a wide range of settings and regulate type as wanted – working with various populations, numerous 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 skill to concentrate on 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 skill to navigate on-line portals and databases.

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

Preferred Qualifications

• Certified Case Manager (CCM), Licensed Vocational Nurse (LVN) or Licensed Practical Nurse (LPN). License should be energetic and unrestricted in state of apply.
• 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 affords a aggressive advantages and compensation package deal. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V

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

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

Job Type Full Time

Posting Date 04/27/2026