Remote LTSS Care Manager – Wisconsin Travel

Jobtome; Chippewa Falls (WI); Remote; USD 33,000 - 64,000; Full time

Job summary

Molina Healthcare in Wisconsin seeks a care management coordinator to support LTSS activities across the care continuum. You will collaborate with an interdisciplinary team to coordinate member care, including home visits and waiver services, while working remotely with travel across Chippewa and Eau Claire Counties.

The role emphasizes assessing medical necessity, developing and monitoring care plans, coordinating resources, and communicating effectively with members, caregivers, and providers.

Qualifications

• At least 2 years of healthcare experience with LTSS exposure and care management.

Responsibilities

• Complete comprehensive member assessments within regulated timelines, including in-person home visits.
• Facilitate waiver enrollment and disenrollment processes.
• Develop and implement care plans with members and providers.
• Monitor care plans and document progress toward goals.
• Promote integration of LTSS and behavioral health services.
• Assess medical necessity and authorize waiver services.
• Evaluate benefits and advise on funding sources.
• Facilitate ICT meetings for approval/denial of services.
• Educate and motivate members using motivational interviewing.
• Identify barriers and coordinate psychosocial, financial, and medical support.
• Identify critical incidents and develop prevention plans.
• Collaborate with licensed care managers as needed.
• Travel 25-40% locally as required.

Skills

Strong communication skills

Independent worker

Time management

Microsoft Office proficiency

Interdisciplinary coordination

Motivational interviewing

Travel readiness

Education

Bachelor’s degree in healthcare or related field

Tools

Microsoft Office

Job description

Molina Healthcare in Wisconsin seeks a care management coordinator to support LTSS activities across the care continuum. You will collaborate with an interdisciplinary team to coordinate member care, including home visits and waiver services, while working remotely with travel across Chippewa and Eau Claire Counties.

The role emphasizes assessing medical necessity, developing and monitoring care plans, coordinating resources, and communicating effectively with members, caregivers, and providers.