Care Manager, LTSS – Subject journey in Racine/Kenosha County, WI at Molina Healthcare

JOB DESCRIPTION

Family Care with My Choice Wisconsin

Job Summary

Provides help for care administration/care coordination long-term providers and helps (LTSS)-specific actions.  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 judge effectiveness, doc interventions and purpose achievement, and counsel modifications 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 boost 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 scientific guideposts to coach, help and inspire change throughout member contacts.
• Assesses for boundaries to care and gives care coordination and help to members to handle 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 (primarily based upon state/contractual necessities).

Required Qualifications

• At least 2 years of well being care expertise, together with not less than 1 12 months of expertise working with individuals with disabilities/power situations long-term providers 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.
• 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 sufficient auto insurance coverage for job associated journey necessities, except in any other case required by regulation.
• Demonstrated data of group sources.
• Ability to work inside a wide range of settings and alter type as wanted – working with numerous populations, varied personalities and private conditions.
• Ability to function proactively and reveal detail-oriented work.
• Ability to work independently, with minimal supervision and self-motivation.
• Ability to reveal responsiveness in all types of communication and stay calm in high-pressure conditions.
• Ability to develop and preserve skilled relationships.
• Time-management and prioritization abilities, and talent to give attention to a number of initiatives concurrently and adapt to vary.
• Problem-solving 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, should have not less than one 12 months of expertise working immediately with people with substance use issues.

Preferred Qualifications

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

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

Molina Healthcare provides 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 could differ from posting primarily based on geographic location, work expertise, schooling and/or ability degree.

Molina Healthcare is a nationwide fortune 500 group with a mission to supply high quality healthcare to folks receiving authorities help. If you might be 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 provides 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 07/02/2026