Care Manager, LTSS - Field travel in Monroe County, WI
Molina Healthcare
Tomah, WI
28 days ago
$24 - $46.81
Job Description
Molina Healthcare is seeking a Care Manager, LTSS to assess and coordinate care for members with high needs. This role involves developing comprehensive care plans, facilitating service enrollment, and monitoring member progress, with 50-75% local travel required.
Key Responsibilities
Complete face-to-face comprehensive assessments of members.
Facilitate comprehensive waiver enrollment and disenrollment processes.
Develop and implement a case management plan.
Monitor care plan effectiveness and suggest changes.
Promote integration of services including behavioral health care.
Assess medical necessity and authorize waiver services.
Conduct face-to-face or home visits as required.
Facilitate interdisciplinary care team meetings.
Provide care coordination and address barriers to care.
Identify critical incidents and develop prevention plans.
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) certification.
Active, unrestricted Clinical Social Worker license in good standing.