[High Salary] Care Manager, LTSS - Field travel in Dane County, WI
Company: Molina Healthcare
Location: Milwaukee
Posted on: June 25, 2025
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Job Description:
JOB DESCRIPTION Family Care with My Choice Wisconsin Job Summary
Molina Healthcare Services (HCS) works with members, providers and
multidisciplinary team members to assess, facilitate, plan and
coordinate an integrated delivery of care across the continuum,
including behavioral health and long-term care, for members with
high need potential. HCS staff work to ensure that patients
progress toward desired outcomes with quality care that is
medically appropriate and cost-effective based on the severity of
illness and the site of service. KNOWLEDGE/SKILLS/ABILITIES -
Completes face-to-face comprehensive assessments of members per
regulated timelines. - Facilitates comprehensive waiver enrollment
and disenrollment processes. - Develops and implements a case
management plan, including a waiver service plan, in collaboration
with the member, caregiver, physician and/or other appropriate
healthcare professionals and member's support network to address
the member needs and goals. - Performs ongoing monitoring of the
care plan to evaluate effectiveness, document interventions and
goal achievement, and suggest changes accordingly. - Promotes
integration of services for members including behavioral health
care and long-term services and supports, home and community to
enhance the continuity of care for Molina members. - Assesses for
medical necessity and authorize all appropriate waiver services. -
Evaluates covered benefits and advise appropriately regarding
funding source. - Conducts face-to-face or home visits as required.
- Facilitates interdisciplinary care team meetings for approval or
denial of services and informal ICT collaboration. - Uses
motivational interviewing and Molina clinical guideposts to
educate, support and motivate change during member contacts. -
Assesses for barriers to care, provides care coordination and
assistance to member to address psycho/social, financial, and
medical obstacles concerns. - Identifies critical incidents and
develops prevention plans to assure member’s health and welfare. -
50-75% local travel required. JOB QUALIFICATIONS REQUIRED
EDUCATION: - Bachelor's or master’s degree in a social science,
psychology, gerontology, public health or social work REQUIRED
EXPERIENCE: - 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
EXPERIENCE: - 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.
PREFERRED LICENSE, CERTIFICATION, ASSOCIATION: Active and
unrestricted Certified Case Manager (CCM) Clinical Social Worker
license in good standing Valid driver’s license with good driving
record and be able to drive within applicable state or locality
with reliable transportation STATE SPECIFIC REQUIREMENTS: For the
state of Wisconsin: Bachelor’s degree or more advanced degree in
the human services area and a minimum of one (1) year experience
working with at least one of the Family Care target populations; or
Bachelor’s degree or more advanced degree in any area other than
human services with a minimum of three (3) years’ experience
working with at least one of the Family Care target populations. To
all current Molina employees: If you are interested in applying for
this position, please apply through the intranet job listing.
Molina Healthcare offers a competitive benefits and compensation
package. Molina Healthcare is an Equal Opportunity Employer (EOE)
M/F/D/V. PJHS HTF Pay Range: $24 - $46.81 / HOURLY *Actual
compensation may vary from posting based on geographic location,
work experience, education and/or skill level.
Keywords: Molina Healthcare, Oak Park , [High Salary] Care Manager, LTSS - Field travel in Dane County, WI, Healthcare , Milwaukee, Illinois
