Care Manager - Must Reside In Wi

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

Job summary

Molina Healthcare, Inc. is seeking a care coordination specialist to support management activities and collaborate with a multidisciplinary team. You will help coordinate integrated member care and track progress toward outcomes, contributing to strategy for quality and cost-effective care.

Responsibilities include assessments, care plan development, travel for member visits, and ongoing monitoring. Requires 2+ years in health care, valid license, and travel readiness; strong communication and

Qualifications

• 2+ years in health care, preferably care management or related setting.
• Clinical licensure and/or certification only if required by contract or regulation.
• Valid driver's license, reliable transportation, and adequate auto insurance for travel.
• Knowledge of community resources.
• Able to work proactively with strong detail orientation.
• Able to adapt to diverse settings and populations, with minimal supervision.
• Strong verbal and written communication skills.
• Proficiency with Microsoft Office and relevant software.

Responsibilities

• Provide support for care management and care coordination with a multidisciplinary team.
• Complete member assessments and determine eligibility for care coordination.
• Develop and implement care plans with member, caregivers, and health professionals.
• Conduct telephonic, in-person, or home visits as needed.
• Monitor care plans, document interventions, and adjust as required.
• Maintain ongoing member caseload and outreach.
• Promote integration of services across behavioral health, LTSS, and community resources.
• Facilitate ICT meetings and collaboration.
• Use motivational interviewing and Molina guidelines to educate and motivate change.
• Identify barriers to care and provide assistance to address concerns.
• Collaborate with licensed care managers as needed.
• Travel 25–40% locally as required by state/contractual needs.

Skills

Communication skills

Time management

Problem solving

Attention to detail

Independent work

Tools

Microsoft Office

Electronic health records

Job description

JOB DESCRIPTION

Job Summary

Provides support for care management/care coordination activities and collaborates with multidisciplinary team coordinating integrated delivery of member care across the continuum. 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 assessments of members per regulated timelines and determines who may qualify for care coordination/care management based on triggers identified in assessments.
• Develops and implements care plan in collaboration with member, caregiver, physician and/or other appropriate health care professionals and member support network to address member needs and goals.
• 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, long-term services and supports (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).

Required Qualifications

• At least 2 years experience in health care, preferably in care management, or experience in a medical and/or behavioral health setting, or equivalent combination of relevant education and experience.
• Clinical licensure and/or certification required ONLY if required by state contract, regulation, business operating model, or state board licensing mandates.
• Valid and unrestricted driver's license, reliable transportation, and adequate auto insurance for job related travel requirements, unless otherwise required by law.
• Demonstrated knowledge of community resources.
• Ability to operate proactively and demonstrate detail-oriented work.
• Ability to work within a variety of settings and adjust style as needed - working with diverse populations, various personalities and personal situations
• .• Ability to work independently, with minimal supervision and self-motivation.
• Ability to demonstrate responsiveness in all forms of communication, and remain calm in high-pressure situations.
• Ability to develop and maintain professional relationships.
• Excellent time-management and prioritization skills, and ability to focus on multiple projects simultaneously and adapt to change.
• Excellent problem-solving and critical-thinking skills.
• Strong verbal and written communication skills.
• Microsoft Office suite/applicable software program(s) proficiency.
• In some states, a bachelor's degree in a health care related field may be required (dependent upon state/contractual requirements).

Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V

Pay Range: $24 - $46.81 / HOURLY

*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.