Care Manager, LTSS - Field travel in Monroe County, WI
Molina Healthcare
Tomah, WI
24 days ago
$24 - $46.81
Job Description
Molina Healthcare is seeking a Care Manager for LTSS to coordinate integrated care for members with high needs. The role involves assessments, case management, and collaboration with healthcare professionals to ensure quality care.
Key Responsibilities
Complete face-to-face comprehensive assessments of members per regulated timelines
Facilitate comprehensive waiver enrollment and disenrollment processes
Develop and implement a case management plan in collaboration with the member and healthcare professionals
Perform ongoing monitoring of the care plan to evaluate effectiveness
Promote integration of services for members including behavioral health care and long-term services
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 support and motivate change
Assess for barriers to care and provide 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)
Active, unrestricted Clinical Social Worker license in good standing