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

Molina Healthcare

Dakota, MN
1 month ago
$25.2 - $49.15

Job Description

Join Molina Healthcare as a Care Manager, LTSS, where you will work with a multidisciplinary team to coordinate care for members with high needs. Utilize your skills in case management and collaboration to help improve patient outcomes and ensure quality care across various services.

Key Responsibilities

  • Complete face-to-face comprehensive assessments of members
  • Facilitate comprehensive waiver enrollment and disenrollment processes
  • Develop and implement a case management plan in collaboration with members and healthcare professionals
  • Perform ongoing monitoring of the care plan
  • Promote integration of services for members including behavioral health care and long-term services and supports
  • Assess for medical necessity and authorize appropriate 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 for barriers to care and provide coordination and assistance
  • Identify critical incidents and develop 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)
  • Clinical Social Worker license in good standing
  • Valid driver’s license with good driving record

Benefits & Perks

Competitive benefits and compensation package