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Care Manager, LTSS - Field Travel in Price and Sawyer County, WI

Molina Healthcare

Medford, MA
2 days ago
$24 - $46.81

Job Description

Join Molina Healthcare as a Care Manager, LTSS, where you'll coordinate integrated care for members with high needs. Leverage your expertise in case management and work collaboratively with a multidisciplinary team to ensure quality and cost-effective care.

Key Responsibilities

  • Complete face-to-face comprehensive assessments of members
  • Facilitate waiver enrollment and disenrollment processes
  • Develop and implement case management plans
  • Conduct ongoing monitoring of care plans
  • Promote integration of services including behavioral health care
  • Assess for medical necessity and authorize waiver services
  • Conduct face-to-face or home visits as required
  • Facilitate interdisciplinary care team meetings
  • Use motivational interviewing to support member change
  • Identify critical incidents and develop prevention plans
  • Travel locally 50-75% of the time

Required Qualifications

  • Bachelor's or master’s degree in social science, psychology, gerontology, public health, or social work
  • At least 1 year of experience with persons with disabilities/chronic conditions and Long Term Services & Supports
  • 1-3 years in case management, disease management, managed care or medical/behavioral health settings

Preferred Qualifications

  • 3-5 years in case management, disease management, managed care or medical/behavioral health settings
  • 1 year experience with population receiving waiver services
  • Active and unrestricted Certified Case Manager (CCM)
  • Active, unrestricted State Nursing license (LVN/LPN) or Clinical Social Worker license in good standing

Benefits & Perks

Competitive benefits and compensation package