Care Manager, LTSS - Field Travel in Milwaukee County, WI
Molina Healthcare
Racine, WI
3 days ago
$24 - $46.81
Job Description
Join Molina Healthcare as a Care Manager, LTSS, where you will coordinate care for members with high needs, ensuring they receive quality, cost-effective services. Your role will involve assessments, case management, and promoting service integration to enhance member outcomes.
Key Responsibilities
Completes face-to-face comprehensive assessments of members
Facilitates comprehensive waiver enrollment and disenrollment processes
Develops and implements a case management plan
Performs ongoing monitoring of the care plan
Promotes integration of services for members
Assesses for medical necessity and authorizes waiver services
Evaluates covered benefits and advises on funding sources
Conducts face-to-face or home visits
Facilitates interdisciplinary care team meetings
Uses motivational interviewing to educate and support members
Assesses for barriers to care and provides 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
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