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Case Manager - Field Travel in Milwaukee County, WI
Molina Healthcare • Wauwatosa, WI 53222 • Posted 24 days ago
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In-person • Full-time • $21.60-$46.81/hr • Junior Level
Job Highlights
Using AI ⚡ to summarize the original job post
Molina Healthcare Services (HCS) Case Managers work with members, providers, and multidisciplinary team members to assess, facilitate, plan, and coordinate an integrated delivery of care across the continuum, including behavioral health and long-term care, for members with high need potential. The role involves completing clinical assessments, developing and implementing case management plans, conducting visits, and promoting integration of services to enhance continuity of care.
Responsibilities
- Completes clinical assessments of members per regulated timelines and determines who may qualify for case management based on clinical judgment.
- Develops and implements a case management plan in collaboration with the member, caregiver, physician, and/or other appropriate healthcare professionals.
- Conducts telephonic, face-to-face or home visits as required.
- Performs ongoing monitoring of the care plan to evaluate effectiveness and suggest changes.
- Maintains ongoing member case load for regular outreach and management.
- Promotes integration of services for members including behavioral health care and long term services and supports.
- May implement specific Molina wellness programs such as asthma and depression disease management.
- Facilitates interdisciplinary care team 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.
- Collaborates with RN case managers/supervisors as needed or required.
Qualifications
Required
- Bachelor's or Master's Degree in a social science, psychology, gerontology, public health, or social work or related field.
- 1-3 years in case management, disease management, managed care or medical or behavioral health settings.
- Active, unrestricted and in good standing license if required for the job.
- Valid driver's license with good driving record and reliable transportation.
Preferred
- 3-5 years in case management, disease management, managed care or medical or behavioral health settings.
- Licensed Clinical Social Worker (LCSW), Advanced Practice Social Worker (APSW), Certified Case Manager (CCM), Certified in Health Education and Promotion (CHEP), Licensed Professional Counselor (LPC/LPCC), Respiratory Therapist, or Licensed Marriage and Family Therapist (LMFT).
About Molina Healthcare
Molina Healthcare is a Fortune 500 managed care company operating in the United States. They offer Medicaid, Medicare, and Marketplace health plans, focusing on providing affordable, quality healthcare to underserved populations. The company has expanded through acquisitions, such as acquiring Magellan Complete Care to enter the Florida market and enhance their services.
Full Job Description
**JOB DESCRIPTION**
**Family Care with My Choice Wisconsin**
**Job Summary**
Molina Healthcare Services (HCS) works with members, providers and multidisciplinary team members to assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long term care, for members with high need potential. HCS staff work to ensure that patients progress toward desired outcomes with quality care that is medically appropriate and cost-effective based on the severity of illness and the site of service.
**KNOWLEDGE/SKILLS/ABILITIES**
+ Completes clinical assessments of members per regulated timelines and determines who may qualify for case management based on clinical judgment, changes in member's health or psychosocial wellness, and triggers from the assessment.
+ Develops and implements a case management plan in collaboration with the member, caregiver, physician and/or other appropriate healthcare professionals and member's support network to address the member needs and goals.
+ Conducts telephonic, face-to-face or home visits as required.
+ Performs ongoing monitoring of the care plan to evaluate effectiveness, document interventions and goal achievement, and suggest changes accordingly.
+ Maintains ongoing member case load for regular outreach and management.
+ Promotes integration of services for members including behavioral health care and long term services and supports to enhance the continuity of care for Molina members.
+ May implement specific Molina wellness programs i.e. asthma and depression disease management.
+ Facilitates interdisciplinary care team 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 RN case managers/supervisors as needed or required
+ Case managers in Behavioral Health and Social Science fields may provide consultation, resources and recommendations to peers as needed
+ Local travel of up to 40% may be required, depending on the complexity level of the assigned members, particular state-specific regulations, or whether the Case Manager position is located within Molina's Central Programs unit.
**JOB QUALIFICATIONS**
**REQUIRED EDUCATION:**
Any of the following:
Bachelor's or Master's Degree (preferably in a social science, psychology, gerontology, public health or social work or related
**REQUIRED EXPERIENCE:**
1-3 years in case management, disease management, managed care or medical or behavioral health settings.
**REQUIRED LICENSE, CERTIFICATION, ASSOCIATION:**
If license required for the job, license must be active, unrestricted and in good standing.
Must have valid driver's license with good driving record and be able to drive within applicable state or locality with reliable transportation.
**STATE SPECIFIC REQUIREMENTS:**
Roles serving Family Care and Family Care Partnership in the State of Wisconsin are required to have a Bachelor's Degree and a minimum of one year of professional experience.
**PREFERRED EXPERIENCE:**
3-5 years in case management, disease management, managed care or medical or behavioral health settings.
**PREFERRED LICENSE, CERTIFICATION, ASSOCIATION:**
Any of the following:
Licensed Clinical Social Worker (LCSW), Advanced Practice Social Worker (APSW), Certified Case Manager (CCM), Certified in Health Education and Promotion (CHEP), Licensed Professional Counselor (LPC/LPCC), Respiratory Therapist, or Licensed Marriage and Family Therapist (LMFT).
To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
Pay Range: $21.6 - $46.81 / HOURLY
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
**Family Care with My Choice Wisconsin**
**Job Summary**
Molina Healthcare Services (HCS) works with members, providers and multidisciplinary team members to assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long term care, for members with high need potential. HCS staff work to ensure that patients progress toward desired outcomes with quality care that is medically appropriate and cost-effective based on the severity of illness and the site of service.
**KNOWLEDGE/SKILLS/ABILITIES**
+ Completes clinical assessments of members per regulated timelines and determines who may qualify for case management based on clinical judgment, changes in member's health or psychosocial wellness, and triggers from the assessment.
+ Develops and implements a case management plan in collaboration with the member, caregiver, physician and/or other appropriate healthcare professionals and member's support network to address the member needs and goals.
+ Conducts telephonic, face-to-face or home visits as required.
+ Performs ongoing monitoring of the care plan to evaluate effectiveness, document interventions and goal achievement, and suggest changes accordingly.
+ Maintains ongoing member case load for regular outreach and management.
+ Promotes integration of services for members including behavioral health care and long term services and supports to enhance the continuity of care for Molina members.
+ May implement specific Molina wellness programs i.e. asthma and depression disease management.
+ Facilitates interdisciplinary care team 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 RN case managers/supervisors as needed or required
+ Case managers in Behavioral Health and Social Science fields may provide consultation, resources and recommendations to peers as needed
+ Local travel of up to 40% may be required, depending on the complexity level of the assigned members, particular state-specific regulations, or whether the Case Manager position is located within Molina's Central Programs unit.
**JOB QUALIFICATIONS**
**REQUIRED EDUCATION:**
Any of the following:
Bachelor's or Master's Degree (preferably in a social science, psychology, gerontology, public health or social work or related
**REQUIRED EXPERIENCE:**
1-3 years in case management, disease management, managed care or medical or behavioral health settings.
**REQUIRED LICENSE, CERTIFICATION, ASSOCIATION:**
If license required for the job, license must be active, unrestricted and in good standing.
Must have valid driver's license with good driving record and be able to drive within applicable state or locality with reliable transportation.
**STATE SPECIFIC REQUIREMENTS:**
Roles serving Family Care and Family Care Partnership in the State of Wisconsin are required to have a Bachelor's Degree and a minimum of one year of professional experience.
**PREFERRED EXPERIENCE:**
3-5 years in case management, disease management, managed care or medical or behavioral health settings.
**PREFERRED LICENSE, CERTIFICATION, ASSOCIATION:**
Any of the following:
Licensed Clinical Social Worker (LCSW), Advanced Practice Social Worker (APSW), Certified Case Manager (CCM), Certified in Health Education and Promotion (CHEP), Licensed Professional Counselor (LPC/LPCC), Respiratory Therapist, or Licensed Marriage and Family Therapist (LMFT).
To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
Pay Range: $21.6 - $46.81 / HOURLY
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
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