Case Manager
Company: Molina Healthcare
Location: Milwaukee
Posted on: June 25, 2022
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Job Description:
JOB DESCRIPTION We are looking for (APSW, LCSW, LPC, or RN)
located and licensed in the state of WI. The Case Manager will be
working with our Medicaid population doing telephonic phone visits
as well as small amount of field visits (5 to 10 a month) Home
office with internet connectivity of high speed required. Schedule:
Monday thru Friday 8:00AM to 5:00PM or 8:00 AM to 4:30 PM/ 1 hour
or 30-minute lunch break. We are looking for candidates who are
flexible with work hours 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: Completion
of an accredited Licensed Vocational Nurse (LVN) or Licensed
Practical Nurse (LPN) Program OR 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 licensed, 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. 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.
Keywords: Molina Healthcare, Milwaukee , Case Manager, Executive , Milwaukee, Wisconsin
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