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Case Manager, LTSS
3 weeks ago
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 OR any combination of education and experience that would provide an equivalent background 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 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.
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Case Manager, Ltss
5 days ago
Janesville, United States Molina Healthcare Full timeFamily 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...
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Case Manager, LTSS
3 weeks ago
Janesville, United States Molina Healthcare Full timeJOB DESCRIPTIONFamily Care with My Choice WisconsinJob SummaryMolina 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...
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Case Manager, LTSS
3 weeks ago
Janesville, United States Molina Healthcare Full timeJOB 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...
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Case Manager, LTSS
3 weeks ago
Janesville, United States Molina Healthcare Full timeJob DescriptionJOB DESCRIPTIONFamily Care with My Choice WisconsinJob SummaryMolina 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. ...
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Case Manager, LTSS
1 day ago
Janesville, United States Molina Healthcare Full timeJOB DESCRIPTIONFamily Care with My Choice WisconsinJob 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...
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Case Manager, LTSS
2 weeks ago
Janesville, United States Molina Healthcare Full timeJOB DESCRIPTIONFamily Care with My Choice WisconsinJob 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...
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Community Support Program- Masters Case Manager
2 weeks ago
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Social Worker BSW Case Manager
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Social Worker BSW Case Manager
2 weeks ago
Janesville, United States Mercy Health System Full timeOverview The Social Worker BSW coordinates and facilitates patient care activities to improve continuity of care across the health care continuum, to promote appropriate utilization of resources, and to contribute to improved patient satisfaction and outcomes. The BSW provides services and support to patients and families who are referred to Social Services...
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Social Worker MSW Case Management
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Social Worker MSW Case Management
3 days ago
Janesville, United States Mercy Health System Full timeOverview The Social Worker MSW assesses and assists with complex psychosocial needs of patients, by providing specialized services to address problem-solving and coping behaviors in the acute care setting. The MSW, in collaboration with Patient Navigators and the multidisciplinary team, coordinates services and interventions to promote appropriate...
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Social Worker BSW Case Manager
5 days ago
Janesville, United States Mercyhealth Full timeOverview The Social Worker BSW coordinates and facilitates patient care activities to improve continuity of care across the health care continuum, to promote appropriate utilization of resources, and to contribute to improved patient satisfaction and outcomes. The BSW provides services and support to patients and families who are referred to Social...
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Social Worker BSW Case Manager
3 weeks ago
Janesville, United States Mercy Health System Full timeJOB REQUIREMENTS: Overview The Social Worker BSW coordinates and facilitates patient care activities to improve continuity of care across the health care continuum, to promote appropriate utilization of resources, and to contribute to improved patient satisfaction and outcomes. The BSW provides services and support to patients and families who are referred...
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Social Worker BSW Case Manager
2 weeks ago
Janesville, United States Mercy Health System Full timeJOB REQUIREMENTS: Overview The Social Worker BSW coordinates and facilitates patient care activities to improve continuity of care across the health care continuum, to promote appropriate utilization of resources, and to contribute to improved patient satisfaction and outcomes. The BSW provides services and support to patients and families who are referred...
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Janesville, United States Agrace Full time**Agrace is a nonprofit, community health care organization that is nationally recognized as a leader in the hospice industry. Well known for end-of-life care, Agrace also serves people across southern Wisconsin who are aging, seriously ill or grieving.** **Agrace has a strong culture of employee engagement. In 2023, Agrace was named the #1 Top Workplace by...
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Janesville, United States Mercy Health System Full timeOverview: Sign on Bonus up to 10,000! The Behavioral Health Case Manager works with the inpatient behavioral health/medicine multidisciplinary team to provide care for the patients admitted to those units. The BHCM would help with dispositional planning, care planning and group therapy. The BHCM also helps with behavioral health consults in the ED and on...
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Janesville, United States Mercy Health System Full timeOverview: Sign on Bonus up to 10,000! The Behavioral Health Case Manager works with the inpatient behavioral health/medicine multidisciplinary team to provide care for the patients admitted to those units. The BHCM would help with dispositional planning, care planning and group therapy. The BHCM also helps with behavioral health consults in the ED and on...
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Manager of Risk Management
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Janesville, United States Mercyhealth Full timeOverview: The Manager of Risk Management, under the general direction and supervision of the Chief Financial Officer and in collaboration with the Legal department, is responsible for Mercyhealth’s enterprise risk management program. Key responsibilities include providing support and direction for Mercyhealth’s risk management, vetting and procurement of...
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General Manager
1 day ago
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Labor Relations Manager
2 weeks ago
Janesville, United States Vogrinc & Short, Inc. Full timeThis is an outstanding opportunity to join a market leader in a highly visible and impactful position!The Human Resources Business Partner will support operations and provides HR advice to Business Managers on a range of complex employee relations issues and strategies.Responsibilities:Support and coach management in the handling of human resource and labor...