Care Coordination Specialist

Molina Healthcare, Inc.; Madison (WI); On-site; USD 33,000 - 64,000; Full time

Job summary

Molina Healthcare, Inc. in Wisconsin is seeking a Care Coordination Specialist to support care management activities and collaborate with a multidisciplinary team to coordinate member care.

The role includes assessments, care plan development, travel to member sites, and monitoring outcomes to improve quality and reduce costs. Eligible candidates have 2+ years in health care, a valid driver's license, and strong communication skills; travel up to 40% may be required.

Qualifications

• 2+ years of health care experience in care management or related setting.
• Licensure/certification required only if state contract mandates.
• Valid driver's license and reliable transportation for travel.
• Knowledge of community resources and service networks.
• Ability to work independently with minimal supervision.
• Strong verbal and written communication skills.
• Proficiency with Microsoft Office and related software.

Responsibilities

• Completes assessments of members per regulated timelines and determines who may qualify for care coordination/care management.
• Develops and implements care plan in collaboration with member, caregiver, physician and/or other appropriate health care professionals and member support network.
• Conducts telephonic, face-to-face or home visits as required.
• Performs ongoing monitoring of care plan to evaluate effectiveness, document interventions and goal achievement, and suggest changes accordingly.
• Maintains ongoing member caseload for regular outreach and management.
• Promotes integration of services for members including behavioral health, LTSS, and home and community resources to enhance continuity of care.
• Facilitates interdisciplinary care team (ICT) meetings 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 concerns.
• Collaborates with licensed care managers/leadership as needed or required.
• 25- 40% estimated local travel may be required (based upon state/contractual requirements).

Skills

Care coordination

Healthcare experience

Communication skills

Time management

Self-motivation

Education

Bachelor's degree in health care related field

Tools

Microsoft Office

Job description

Molina Healthcare, Inc. in Wisconsin is seeking a Care Coordination Specialist to support care management activities and collaborate with a multidisciplinary team to coordinate member care.

The role includes assessments, care plan development, travel to member sites, and monitoring outcomes to improve quality and reduce costs. Eligible candidates have 2+ years in health care, a valid driver's license, and strong communication skills; travel up to 40% may be required.