Remote LTSS Care Manager - Travel for Member Visits

Jobtome; Eau Claire (WI); Teletrabalho; USD 33 000 - 64 000; Tempo integral

Resumo da oferta

Molina Healthcare is seeking a care management professional to support LTSS activities and coordinate member care across the continuum. You will work with a multidisciplinary team to ensure outcomes and cost-effective service delivery.

The role involves home visits, waiver processes, and ongoing care plan monitoring, with 25–40% travel within Chippewa and Eau Claire Counties. Strong communication and coordination skills are essential.

Qualificações

• At least 2 years of health care experience, LTSS exposure preferred.
• Experience with disabilities/chronic conditions and care management is a plus.
• Strong verbal and written communication skills required.
• Proficiency with Microsoft Office and online portals expected.
• License/certification only if mandated by state contract or regulators.

Responsabilidades

• Conduct comprehensive member assessments within required timelines, including home visits if needed.
• Facilitate waiver enrollment/disenrollment processes.
• Develop and implement care plans with members, caregivers, and health professionals.
• Monitor care plans and adjust as needed to achieve goals.
• Coordinate services across behavioral health and LTSS.
• Assess medical necessity and authorize waiver services.
• Review benefits and funding sources with members.
• Lead ICT meetings for service approvals/denials.
• Engage members via motivational interviewing to support changes.
• Identify barriers to care and arrange support to address needs.
• Collaborate with licensed care managers as required.
• Travel 25–40% for local member visits.

Conhecimentos

Care coordination

Healthcare experience

Communication skills

Time management

Independent worker

Formação académica

Clinical licensure/certification (if required)

Ferramentas

Microsoft Office

Descrição da oferta de emprego

Molina Healthcare is seeking a care management professional to support LTSS activities and coordinate member care across the continuum. You will work with a multidisciplinary team to ensure outcomes and cost-effective service delivery.

The role involves home visits, waiver processes, and ongoing care plan monitoring, with 25–40% travel within Chippewa and Eau Claire Counties. Strong communication and coordination skills are essential.