Care Manager, LTSS - Field Travel in Milwaukee County, WI
Molina Healthcare
Kenosha, WI
2 days ago
$24 - $46.81
Job Description
Join Molina Healthcare as a Care Manager, LTSS, where you will play a crucial role in coordinating care for members with high needs, ensuring they receive quality and cost-effective services. Your expertise in case management will help improve outcomes for individuals with disabilities and chronic conditions.
Key Responsibilities
Completes face-to-face comprehensive assessments of members per regulated timelines
Facilitates comprehensive waiver enrollment and disenrollment processes
Develops and implements a case management plan in collaboration with the member and healthcare professionals
Performs ongoing monitoring of the care plan to evaluate effectiveness
Promotes integration of services for members including behavioral health care and long-term services and supports
Assesses for medical necessity and authorizes appropriate waiver services
Conducts face-to-face or home visits as required
Facilitates interdisciplinary care team meetings
Uses motivational interviewing to educate and support members
Assesses for barriers to care and provides care coordination
Identifies critical incidents and develops prevention plans
50-75% local travel required
Required Qualifications
Bachelor's or master’s degree in a social science, psychology, gerontology, public health or social work
At least 1 year of experience working with persons with disabilities/chronic conditions and Long Term Services & Supports
1-3 years in case management, disease management, managed care or medical or behavioral health settings
Preferred Qualifications
3-5 years in case management, disease management, managed care or medical or behavioral health settings
1 year experience working with population who receive waiver services
Active and unrestricted Certified Case Manager (CCM)
Active, unrestricted State Nursing license (LVN/LPN) OR Clinical Social Worker license in good standing