Care Manager, LTSS - Field travel in Green County, WI
Molina Healthcare
Scioto Mills, IL
1 month ago
$25.2 - $49.15
Job Description
Join Molina Healthcare as a Care Manager, LTSS, where you'll coordinate integrated care for members with high needs, ensuring quality outcomes. Utilize your expertise in case management while working closely with members and healthcare professionals to enhance service delivery.
Key Responsibilities
Complete comprehensive assessments of members
Facilitate waiver enrollment and disenrollment processes
Develop and implement case management plans
Monitor care plans for effectiveness and suggest changes
Promote integration of services for members
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 educate and support members
Assess barriers to care and provide coordination
Identify critical incidents and develop prevention plans
Travel locally 50-75%
Required Qualifications
Bachelor's or master’s degree in social science, psychology, gerontology, public health or social work
At least 1 year of experience working with persons with disabilities/chronic conditions
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 working with population who receive waiver services
Active and unrestricted Certified Case Manager (CCM)