Case Manager, LTSS- Field travel in Tomah, WI

1 month ago

Tomah, United States Molina Healthcare Full time
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 face-to-face comprehensive assessments of members per regulated timelines.
  • Facilitates comprehensive waiver enrollment and disenrollment processes.
  • Develops and implements a case management plan, including a waiver service 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.
  • Performs ongoing monitoring of the care plan to evaluate effectiveness, document interventions and goal achievement, and suggest changes accordingly.
  • Promotes integration of services for members including behavioral health care and long-term services and supports, home and community to enhance the continuity of care for Molina members.
  • Assesses for medical necessity and authorize all appropriate waiver services.
  • Evaluates covered benefits and advise appropriately regarding funding source.
  • Conducts face-to-face or home visits as required.
  • Facilitates interdisciplinary care team meetings for approval or denial of services 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 psycho/social, financial, and medical obstacles concerns.
  • Identifies critical incidents and develops prevention plans to assure member’s health and welfare.
  • 50-75% local travel required.

JOB QUALIFICATIONS

REQUIRED EDUCATION:

  • Bachelor's or master’s degree in a social science, psychology, gerontology, public health or social work  

REQUIRED EXPERIENCE:

  • At least 1 year of experience working with persons with disabilities/chronic conditions and Long Term Services & Supports.
  • 1-3 years in case management, disease management, managed care or medical or behavioral health settings.

PREFERRED EXPERIENCE:

  • 3-5 years in case management, disease management, managed care or medical or behavioral health settings.
  • 1 year experience working with population who receive waiver services.

PREFERRED LICENSE, CERTIFICATION, ASSOCIATION:

Active and unrestricted Certified Case Manager (CCM)

Active, unrestricted State Nursing license (LVN/LPN) OR Clinical Social Worker license in good standing

Valid driver’s license with good driving record and be able to drive within applicable state or locality with reliable transportation

STATE SPECIFIC REQUIREMENTS:

For the state of Wisconsin:

Bachelor’s degree or more advanced degree in the human services area and a minimum of one (1) year experience working with at least one of the Family Care target populations; or
Bachelor’s degree or more advanced degree in any area other than human services with a minimum of three (3) years’ experience working with at least one of the Family Care target populations. 

 

 

 

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.

#PJHS

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 Medicine Opportunity: Tomah, WI

    3 months ago

    Tomah, United States Archway Physician Recruitment Full time

    **Family Medicine Opportunity in Tomah, Wisconsin**-Full Time & Permanent Position.-Board Eligible or Board Certified (BE/BC) in Family Medicine.A Family Physician is needed to join eight other physicians at our growing practice in Tomah, Wisconsin. The Tomah clinic family physicians share equally in general call (will be 1:9 with the OB call being 1:5). The...

  • Family Medicine Physician Opportunity in Tomah, WI

    7 days ago

    Tomah, Wisconsin, United States Archway Physician Recruitment Full time

    Family Medicine Physician OpportunityWe are seeking a Family Medicine Physician to join our growing practice in Tomah, Wisconsin. As a Family Medicine Physician, you will be part of a team of eight physicians who share equally in general call and provide 1:9 hospitalist coverage to the local community hospital.Practice DetailsFull-time and permanent...

  • Advanced Practice Provider

    3 weeks ago

    Tomah, United States Tomah Health Full time

    POSITION DETAILS Full-time with benefits; 72 hours in the two week pay period; variable shift start times; mix of 12 hour and 8 hour shifts to includes day and pm hours; occasional weekend hours; holiday rotation required. JOB SUMMARY The Advanced Practice Provider (APP) will provide high quality, compassionate and comprehensive health care to Urgent Care...

  • Certified Nursing Assistant

    3 weeks ago

    Tomah, United States Tomah Health Full time

    JOB SUMMARY Under supervision of the registered nurse, provides direct nursing care to patients on the surgical and endoscopy units by instituting the minimum standard of care (MSOC). Full-time with benefits MAJOR JOB FUNCTION Works effectively as a team member in the delivery of care and assists in the orientation of new employees. Ambulates and...

  • MD/DO Family Medicine without Obstetrics-Tomah

    3 weeks ago

    Tomah, United States Gundersen Health System Full time

    Gundersen Health System is seeking a full-time board certified/board eligible Family Medicine Physician interested in practicing in a rural community. Join our well-established team of clinicians in Tomah, Wisconsin. The Tomah clinic is part of our regional healthcare system providing care close to home for our patients. Practice highlights: * Family...

  • Nursing Assistant

    7 days ago

    Tomah, Wisconsin, United States Tomah Health Full time

    Job SummaryAs a Certified Nursing Assistant at Tomah Health, you will play a vital role in providing direct patient care and supporting the healthcare team. Under the supervision of a registered nurse, you will be responsible for ensuring the minimum standard of care is met for patients on the surgical and endoscopy units.Key ResponsibilitiesWork effectively...

  • Infection Prevention

    1 month ago

    Tomah, United States TOMAH HEALTH Full time

    POSITION DETAILS Part-time with benefits; 64 hours in the two week pay period, Monday through Friday day shift hours. JOB SUMMARY The Infection Prevention Practitioner is a professional who is responsible for the daily management of infection prevention and control activities. The Infection Prevention Practitioner utilizes a clinical background and skills...

  • Occupational Therapist

    5 months ago

    Tomah, United States Broad River Rehabilitation Full time

    Job DescriptionJob DescriptionOccupational Therapist / OT / OTR / OTR/L - Consistent PRN -Tomah, WIWe currently have a Consistent PRN opportunity for an Occupational Therapist at our skilled nursing facility in Tomah, WI. Broad River Rehab is a rapidly growing therapy company that partners with providers across all settings including assisted/ independent...

  • Occupational Therapist

    5 months ago

    Tomah, United States Broad River Rehabilitation Full time

    Job DescriptionJob DescriptionOccupational Therapist / OT / OTR / OTR/L - Consistent PRN -Tomah, WIWe currently have a Consistent PRN opportunity for an Occupational Therapist at our skilled nursing facility in Tomah, WI. Broad River Rehab is a rapidly growing therapy company that partners with providers across all settings including assisted/ independent...

  • Occupational Therapist

    2 weeks ago

    Tomah, United States Broad River Rehabilitation Full time

    Job DescriptionJob DescriptionOccupational Therapist / OT / OTRPrimary PRN- Premium Rate of $65/hour for 15-20 hours of PRN/week SNFTomah, WIWe currently have a PRN opportunity for an Occupational Therapist at our skilled nursing facility in Tomah, WI. Broad River Rehab is a rapidly growing therapy company that partners with providers across all settings...

  • Occupational Therapist

    1 week ago

    Tomah, United States Broad River Rehabilitation Full time

    Job DescriptionJob DescriptionOccupational Therapist / OT / OTRPrimary PRN- Premium Rate of $65/hour for 15-20 hours of PRN/week SNFTomah, WIWe currently have a PRN opportunity for an Occupational Therapist at our skilled nursing facility in Tomah, WI. Broad River Rehab is a rapidly growing therapy company that partners with providers across all settings...

  • Registered Nurse

    4 weeks ago

    Tomah, United States Tomah Health Full time

    POSITION DETAILS Weekender program with benefits; weekender plan requires commitment to every weekend from 7am Saturday until 7am Monday per the weekender guidelines attached. RN will work every Saturday and Sunday, two 12 hour daytime shifts, these two shifts will be paid at time and a half (work 48 hours paid for 72); then will be on call and paid as such...

  • Licensed Speech Therapist

    2 weeks ago

    Tomah, Wisconsin, United States Broad River Rehabilitation Full time

    Position OverviewCompany: Broad River RehabilitationRole: Speech Language Pathologist (SLP-CCC)Type: Part-time, flexible scheduling available (3-5 days per week, averaging 9-15 hours/week)Location: Tomah, WIIncentive: $5,000 bonus availableAt Broad River Rehabilitation, we are committed to hiring individuals who align with our mission and strive to deliver...

  • Hotel Operations Manager

    3 days ago

    Tomah, Wisconsin, United States Best Western Tomah Hotel Full time

    Job SummaryThe General Manager - Hotel Operations is responsible for the overall success of the Best Western Tomah Hotel. This includes achieving hotel profitability through revenue generation, cost control, guest satisfaction, and employee development.Key ResponsibilitiesLeadership and Management: Effectively lead and manage all aspects of the hotel,...

  • Human Resources Manager

    3 months ago

    Tomah, United States The Toro Company Full time

    Who Are We? The Toro Company in Tomah, Wisconsin prides themselves on being a place for people to grow. The plant in Tomah stands out because it's a place that puts an emphasis on quality. Everyone at our facilities in Tomah knows that their step in Manager, Human Resource, Staffing, Administrative, Manufacturing, Management

  • Materials Coordinator

    4 weeks ago

    Tomah, United States USEMCO Full time

    Description USEMCO Inc. in Tomah, WI, is seeking a Materials Coordinator to join our team in the WEM Department. As a Materials Coordinator, you would issue materials, generate purchase orders and cycle count. The WEM Department specializes in custom fabrication and machining and has a fast-paced manufacturing atmosphere. If you are looking for a position...

  • Sales Representative

    3 days ago

    Tomah, Wisconsin, United States Culligan 63MN Full time

    Job DescriptionJob Summary:Culligan 63MN is seeking a highly motivated and results-driven Sales Representative to join our team in Tomah, WI. As a Sales Representative, you will be responsible for developing new customers and maintaining relationships with existing customers in the city of Tomah and surrounding areas.Key Responsibilities:Follow up on leads...

  • Merchandiser Stocker

    2 months ago

    Tomah, United States Keurig Dr Pepper Full time

    Merchandiser for Tomah, WIHiring Immediately The Merchandiser is responsible for providing high-quality merchandising support for Keurig Dr Pepper brands like 7UP, Snapple, Core, Bai and other fan favorites to retail stores within the assigned territory. About the RoleMerchandisers are responsible for stocking and displaying our products on...

  • Physician / Family Practice / Wisconsin / Permanent / Family Medicine opening 40 minutes east of La

    2 weeks ago

    Tomah, United States Britt Medical Search Full time

    Health System is looking for a BC/BE Family Medicine Physician to join a multi-disciplinary, Patient Centered Medical Home model that integrates family medicine, internal medicine, pediatrics, nurse midwifery, general surgery, orthopedic surgery, podiatry and optometry.The medical staff includes 3 family medicine physicians, an internist, pediatrician, an...

  • Human resources manager

    4 weeks ago

    Tomah, United States The Toro Company Full time

    Who Are We? The Toro Company in Tomah, Wisconsin prides themselves on being a place for people to grow. The plant in Tomah stands out because it's a place that puts an emphasis on quality. Everyone at our facilities in Tomah knows that their step in the process is contributing to the finished product for the customer. All our locations build the intricate...