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

***Remote and can journey all through Columbia County, WI***

JOB DESCRIPTION 

Job Summary

Provides help for care administration/care coordination long-term providers 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 acceptable well being care professionals and member help community to deal with the member wants and objectives.
• Performs ongoing monitoring of care plan to judge effectiveness, doc interventions and objective achievement, and counsel adjustments accordingly.
• Promotes integration of providers for members together with behavioral well being care and long-term providers and helps (LTSS) and residential and group sources to reinforce continuity of care.
• Assesses for medical necessity and authorizes all acceptable waiver providers.
• Evaluates lined advantages and advises appropriately relating to funding sources.
• Facilitates interdisciplinary care workforce (ICT) conferences for approval or denial of providers and casual ICT collaboration.
• Uses motivational interviewing and Molina medical guideposts to coach, help and encourage change throughout member contacts.
• Assesses for obstacles to care and supplies care coordination and help to members to deal with 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 no less than 1 yr of expertise working with individuals with disabilities/power situations long-term providers and helps (LTSS), and 1 yr 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 follow.

• 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 satisfactory auto insurance coverage for job associated journey necessities, except in any other case required by legislation.

• Demonstrated data of group sources.

• Ability to work inside quite a lot of settings and modify fashion as wanted – working with numerous populations, varied personalities and private conditions.

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

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

• Ability to display 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 expertise, and skill to deal with a number of initiatives concurrently and adapt to alter.

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

• Strong verbal and written communication expertise.

• 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 area 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 follow.
• Experience working with populations that obtain waiver providers.

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 could fluctuate from posting based mostly on geographic location, work expertise, schooling and/or talent stage.

Molina Healthcare is a nationwide fortune 500 group with a mission to offer high quality healthcare to folks receiving authorities help. If you’re looking 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 abilities and collectively we will 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 05/26/2026