Care Manager, LTSS - Field travel in Dodge County, WI

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    "ExternalDescriptionStr": "<p>JOB DESCRIPTION&nbsp;</p>\n<p>Family Care with My Choice Wisconsin</p>\n<p>Job Summary</p>\n<p>Provides support for care management/care coordination long-term services and supports specific activities and collaborates with multidisciplinary team coordinating integrated delivery of member care across the continuum for members with high-need potential. Strives to ensure member progress toward desired outcomes and contributes to overarching strategy to provide quality and cost-effective member care.<br><br>\n &nbsp;</p>\n<p>Essential Job Duties</p>\n<p><br>\n • Completes comprehensive member assessments within regulated timelines, including in-person home visits as required.<br>\n • Facilitates comprehensive waiver enrollment and disenrollment processes.<br>\n • Develops and implements care plans, including a waiver service plan in collaboration with members, caregivers, physicians and/or other appropriate health care professionals and member support network to address the member needs and goals.<br>\n • Performs ongoing monitoring of care plan to evaluate effectiveness, document interventions and goal achievement, and suggest changes accordingly.<br>\n • Promotes integration of services for members including behavioral health care and long-term services and supports (LTSS) and home and community resources to enhance continuity of care.<br>\n • Assesses for medical necessity and authorizes all appropriate waiver services.<br>\n • Evaluates covered benefits and advises appropriately regarding funding sources.<br>\n • Facilitates interdisciplinary care team (ICT) meetings for approval or denial of services and informal ICT collaboration.<br>\n • Uses motivational interviewing and Molina clinical guideposts to educate, support and motivate change during member contacts.<br>\n • Assesses for barriers to care and provides care coordination and assistance to members to address psycho/social, financial, and medical obstacles concerns.<br>\n • Identifies critical incidents and develops prevention plans to assure member health and welfare.<br>\n • Collaborates with licensed care managers/leadership as needed or required.<br>\n • 25-40% estimated local travel may be required (based upon state/contractual requirements).<br><br>\n &nbsp;</p>\n<p>Required Qualifications</p>\n<p>• At least 2 years health care experience, including at least 1 year of experience working with persons with disabilities/chronic conditions long-term services and supports (LTSS), and 1 year of experience in care management, or experience in a medical and/or behavioral health setting, or equivalent combination of relevant education and experience.&nbsp;</p>\n<p>• In some states, a bachelor's degree in a health care related field may be required (dependent upon state/contractual requirements).</p>\n<p>• Valid and unrestricted driver's license, reliable transportation, and adequate auto insurance for job related travel requirements, unless otherwise required by law.</p>\n<p>• Demonstrated knowledge of community resources.</p>\n<p>• Ability to work within a variety of settings and adjust style as needed - working with diverse populations, various personalities and personal situations.</p>\n<p>• Ability to operate proactively and demonstrate detail-oriented work.</p>\n<p>• Ability to work independently, with minimal supervision and self-motivation.</p>\n<p>• Ability to demonstrate responsiveness in all forms of communication, and remain calm in high-pressure situations.</p>\n<p>• Ability to develop and maintain professional relationships.</p>\n<p>• Excellent time-management and prioritization skills, and ability to focus on multiple projects simultaneously and adapt to change.</p>\n<p>• Excellent problem-solving, and critical-thinking skills.</p>\n<p>• Strong verbal and written communication skills.</p>\n<p>• Microsoft Office suite/applicable software program proficiency, and ability to navigate online portals and databases.</p>\n<p>• In some states, a bachelor's degree in a health care related field may be required (dependent upon state/contractual requirements).<br><br><br><strong>Preferred Qualifications</strong></p>\n<p>• Certified Case Manager (CCM).<br>\n • Experience working with populations that receive waiver services.<br><br>\n &nbsp;</p>\n<p>&nbsp;</p>\n<p>To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board.<br><br>\n Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V</p>",
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