M

Care Manager, LTSS - Field travel in LaCrosse County, WI

Molina Healthcare

Holmen, WI
8 days ago
$24 - $46.81

Job Description

Molina Healthcare seeks a Care Manager for LTSS to assess and coordinate integrated care for high-need members. The role involves comprehensive assessments, case management, and promoting continuity of care through local travel.

Key Responsibilities

  • Complete comprehensive assessments of members per regulated timelines
  • Facilitate waiver enrollment and disenrollment processes
  • Develop and implement case management plans with members and healthcare professionals
  • Monitor care plans and suggest changes as needed
  • Promote integration of services for members
  • Assess medical necessity and authorize waiver services
  • Conduct home visits and interdisciplinary care team meetings
  • Use motivational interviewing to support member change
  • Identify barriers to care and provide coordination
  • Develop prevention plans for critical incidents
  • 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 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 Clinical Social Worker license in good standing
  • Valid driver’s license with good driving record

Benefits & Perks

Competitive benefits and compensation package