Care Manager, LTSS (RN) - Field travel in Milwaukee County,WI

JOB DESCRIPTION Job Summary

Provides support for care management / care

coordination long-term services and supports specific activities

and collaborates with multidisciplinary team coordinating

integrated delivery of member care across the continuum for members

with high-need potential. Strives to ensure member progress toward

desired outcomes and contributes to overarching strategy to provide

quality and cost-effective member

care.

Essential

Job Duties

• Completes comprehensive

member assessments within regulated timelines, including in-person

home visits as required.

Facilitates comprehensive waiver enrollment and disenrollment

processes.

implements care plans, including a waiver service plan in

collaboration with members, caregivers, physicians and / or other

appropriate health care professionals and member support network to

address the member needs and

goals.

monitoring of care plan to evaluate effectiveness, document

interventions and goal achievement, and suggest changes

accordingly.

integration of services for members including behavioral health

care and long-term services and supports (LTSS) and home and

community resources to enhance continuity of

care.

necessity and authorizes all appropriate waiver

services.

benefits and advises appropriately regarding funding

sources.

interdisciplinary care team (ICT) meetings for approval or denial

of services and informal ICT

collaboration.

motivational interviewing and Molina clinical guideposts to

educate, support and motivate change during member

contacts.

to care and provides care coordination and assistance to members to

address psycho / social, financial, and medical obstacles

concerns.

incidents and develops prevention plans to assure member health and

welfare.

consultation, resources and recommendations to peers as

needed.

assigned complex member cases and medication

regimens.

conduct medication reconciliation as

needed.

travel may be required (based upon state / contractual

requirements).

Required Qualifications

health care, including at least 1 year experience in care

management, managed care, and / or experience in a medical or

behavioral health setting, and at least 1 year of experience

working with persons with disabilities, chronic conditions,

substance abuse disorders, and long-term services and supports

(LTSS), or equivalent combination of relevant education and

experience.

(RN). License must be active and unrestricted in state of

practice.

unrestricted driver's license, reliable transportation, and

adequate auto insurance for job related travel requirements, unless

otherwise required by law.

Ability to operate proactively and demonstrate detail-oriented

work.

community resources.

work within a variety of settings and adjust style as needed -

working with diverse populations and various personalities and

personal situations.

work independently, with minimal supervision and demonstrate

self-motivation.

in all forms of communication, and ability to remain calm in

high-pressure situations.

Ability to develop and maintain professional

relationships.

time-management and prioritization skills, and ability to focus on

multiple projects simultaneously and adapt to

change.

problem-solving and critical-thinking

skills.

written communication skills.

Microsoft Office suite / applicable software program(s)

proficiency.

must have at least one year of experience working directly with

individuals with substance use

disorders.

Preferred Qualifications

(CCM).

populations that receive waiver

services.

To all

current Molina employees : If you are interested in applying for

this position, please apply through the Internal Job

Board.

Molina

Healthcare offers a competitive benefits and compensation package.

Molina Healthcare is an Equal Opportunity Employer (EOE)

M / F / D / V

Pay Range : $26.41 - $51.49

/ HOURLY

on geographic location, work experience, education and / or skill

level.