Care Manager - Must reside in WI

Molina Healthcare•Long Beach, WI

About The Position

Provides support for care management and care coordination activities, collaborating with a multidisciplinary team to coordinate integrated member care across the continuum. The role promotes member progress toward desired outcomes and contributes to the strategy of delivering quality, cost-effective care. The Care Manager maintains a member caseload, assesses and coordinates member needs, and works with members, caregivers, health care professionals, and community resources. The position requires residing in Wisconsin and may involve an estimated 25–40% local travel, based on state or contractual requirements.

Requirements

At least 2 years of experience in health care, preferably in care management, or experience in a medical and/or behavioral health setting, or an equivalent combination of relevant education and experience.
Clinical licensure and/or certification 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, unless otherwise required by law.
Demonstrated knowledge of community resources.
Ability to work proactively and with attention to detail.
Ability to work in varied settings and adjust work style when serving diverse populations and people with different personalities and personal situations.
Ability to work independently with minimal supervision and demonstrate self-motivation.
Ability to respond to communications and remain calm in high-pressure situations.
Ability to develop and maintain professional relationships.
Excellent time-management and prioritization skills, including the ability to manage multiple projects and adapt to change.
Excellent problem-solving and critical-thinking skills.
Strong verbal and written communication skills.
Proficiency with Microsoft Office suite and applicable software programs.
Reside in Wisconsin.

Responsibilities

Complete member assessments within regulated timelines and identify potential eligibility for care coordination or care management based on assessment triggers.
Develop and implement care plans collaboratively with members, caregivers, physicians, other health care professionals, and the member’s support network.
Conduct telephonic, face-to-face, or home visits as required.
Monitor care plans on an ongoing basis, evaluate effectiveness, document interventions and goal achievement, and recommend changes as appropriate.
Maintain an ongoing member caseload and provide regular outreach and management.
Promote integration of behavioral health, long-term services and supports (LTSS), and home and community resources to enhance continuity of care.
Facilitate interdisciplinary care team (ICT) meetings and informal ICT collaboration.
Use motivational interviewing and Molina clinical guideposts to educate, support, and motivate members during contacts.
Assess barriers to care and provide care coordination and assistance to address member concerns.
Collaborate with licensed care managers and leadership as needed or required.
Travel locally, estimated at 25–40%, when required by state or contractual requirements.