Long-Term Services and Supports Case Manager

3 weeks ago

Eau Claire, Wisconsin, United States Molina Healthcare Full time

Job Summary

Molina Healthcare Services works with members, providers, and multidisciplinary teams 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.

Our 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.

Key Responsibilities

  • 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 suggests 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 authorizes all appropriate waiver services.
  • Evaluates covered benefits and advises 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 members to address psycho/social, financial, and medical obstacles concerns.
  • Identifies critical incidents and develops prevention plans to assure member's health and welfare.

Requirements

  • 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.
  • 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 Qualifications

  • 3-5 years in case management, disease management, managed care, or medical or behavioral health settings.
  • 1 year experience working with populations who receive waiver services.
  • Active and unrestricted Certified Case Manager (CCM).
  • Active, 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.
  • 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.

  • Care Coordinator, Long-Term Services and Supports

    3 weeks ago

    Eau Claire, Wisconsin, United States Molina Healthcare Full time

    Job SummaryMolina Healthcare Services (HCS) is seeking a skilled Care Coordinator to join our team. As a Care Coordinator, you will work with members, providers, and multidisciplinary teams 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...

  • Care Manager, LTSS

    4 weeks ago

    Eau Claire, Wisconsin, United States Molina Healthcare Full time

    Job Title: Care Manager, LTSSJob Summary:Molina Healthcare Services is seeking a skilled Care Manager to join our team. As a Care Manager, you will work with members, providers, and multidisciplinary teams to assess, facilitate, plan, and coordinate integrated care across the continuum, including behavioral health and long-term care, for members with high...

  • Director of Social Services Leadership

    3 weeks ago

    Eau Claire, Wisconsin, United States Vivent Health Full time

    Professional Growth and Development:Vivent Health is seeking a highly skilled Associate Director of Social Services to provide support to the Director of Social Services and the department in areas related to case management, housing, and supportive services throughout the State of Wisconsin.The ideal candidate will have a Bachelor's degree in public health,...

  • Nurse Case Manager

    4 weeks ago

    Eau Claire, Wisconsin, United States Dove Healthcare Full time

    About the RoleWe are seeking a highly skilled Registered Nurse - Case Manager to join our team at Dove Healthcare - South Eau Claire. As a key member of our healthcare team, you will be responsible for coordinating and overseeing the care of our patients, while mentoring and training a team of caregivers.This is an excellent opportunity for a registered...

  • RN Field Nurse Case Manager

    4 weeks ago

    Eau Claire, Wisconsin, United States Stubbe & Associates Inc Full time

    Job SummaryWe are seeking a skilled RN Field Nurse Case Manager to join our team at Stubbe Case Management. As a key member of our team, you will be responsible for coordinating and managing the medical needs of individuals/clients who have sustained a work-related injury.The ideal candidate will possess strong clinical knowledge, leadership skills, and the...

  • Associate Director of Social Services

    3 weeks ago

    Eau Claire, Wisconsin, United States Vivent Health Full time

    Job SummaryThe Associate Director of Social Services is a key member of our team at Vivent Health, responsible for providing support to the Director of Social Services and the department in areas related to case management, housing, and supportive services throughout the State of Wisconsin. This role involves staff recruitment, training, and supervision,...

  • Nurse Case Manager

    4 weeks ago

    Eau Claire, Wisconsin, United States Dove Healthcare Full time

    About the RoleWe are seeking a highly skilled Registered Nurse to join our team as a Nurse Case Manager at Dove Healthcare. As a Nurse Case Manager, you will play a vital role in coordinating and overseeing the care of our patients, while mentoring and training a team of caregivers.Key Responsibilities:Supervise the day-to-day activities of assigned...

  • Procurement and Inventory Manager

    4 weeks ago

    Eau Claire, Wisconsin, United States Source Energy Services Full time

    Job Title:Procurement and Inventory ManagerJob Summary:The Procurement and Inventory Manager will oversee the purchasing and inventory management functions to ensure production activities are running smoothly, accurately, and at optimal performance.Key Responsibilities:Develop and implement procurement and inventory management plans to optimize plant...

  • Pharmacy Support Associate

    3 weeks ago

    Eau Claire, Wisconsin, United States KPH Healthcare Services Full time

    Job SummaryAs a Pharmacy Associate at KPH Healthcare Services, you will play a vital role in supporting our pharmacy team in providing exceptional patient care. Your primary responsibility will be to assist pharmacy staff in the filling of incoming prescriptions, ensuring accuracy and efficiency in our daily operations.Key Responsibilities:Provide quality...

  • Operations Manager

    3 weeks ago

    Eau Claire, Wisconsin, United States CVS Health Full time

    Job SummaryThe Operations Manager is a key member of the Store Management team at CVS Health. This role is responsible for driving store execution and performance while building consumer loyalty to CVS/pharmacy through a focus on excellent customer service. The Operations Manager will maintain an engaged, productive store team through strong leadership,...

  • Finance Development Manager

    3 weeks ago

    Eau Claire, Wisconsin, United States Morrie's Auto Group Full time

    Job SummaryAs a Finance Development Manager at Morrie's Auto Group, you will be responsible for driving profitability in the Finance department through the development and execution of enterprise-wide training programs. You will engage in Individual Development Plans of high-potential employees, ensuring a bench of talent is available for promotion. You will...

  • Substance Abuse Counselor Professional

    3 weeks ago

    Eau Claire, Wisconsin, United States LUTHERAN SOCIAL SERVICES OF Full time

    Job Title: Substance Abuse Counselor In TrainingJob Summary: Lutheran Social Services of is seeking a dedicated and compassionate Substance Abuse Counselor In Training to join our residential treatment team at the LSS Fahrman Center. As a Substance Abuse Counselor In Training, you will work with clients in an outpatient, residential, or case management...

  • Substance Abuse Counselor

    3 weeks ago

    Eau Claire, Wisconsin, United States LUTHERAN SOCIAL SERVICES OF Full time

    About the Role:Lutheran Social Services of is seeking a highly motivated and compassionate Substance Abuse Counselor to join our residential treatment team at the LSS Fahrman Center. As a key member of our team, you will provide addiction counseling and case management services to clients in an outpatient, residential, or case management setting.Key...

  • Caregiver Assistant

    3 weeks ago

    Eau Claire, Wisconsin, United States Great Lakes Mgmt Co Full time

    Job Title: Resident AssistantAt Great Lakes Management, we are seeking a compassionate and dedicated Resident Assistant to join our team. As a Resident Assistant, you will play a vital role in providing exceptional care and support to our residents, ensuring their physical and emotional well-being.Job Responsibilities:Assist residents with daily living...

  • Physical Therapist Assistant

    4 weeks ago

    Eau Claire, Wisconsin, United States Dove Healthcare Full time

    About the Role:As a licensed physical therapist assistant (PTA) at Dove Healthcare, you will play a vital role in supporting both inpatient and outpatient caseloads. This opportunity allows you to work in a dynamic therapy team, providing care and rehabilitation services to patients in need.Key Responsibilities: Provide physical therapy services to patients...

  • Field Service Technician

    3 weeks ago

    Eau Claire, Wisconsin, United States Wolter, Inc. Full time

    Job DescriptionWe are seeking skilled Field Service Technicians to join our team at Wolter, Inc. A leader in the material handling industry, we provide top-notch service to our customers based out of our Eau Claire branch. As a Field Service Technician, you will be responsible for traveling to our customers' locations and repairing their powered industrial...

  • Restaurant Operations Manager

    3 weeks ago

    Eau Claire, Wisconsin, United States Raising Cane's Full time

    Restaurant Manager Job DescriptionRaising Cane's is seeking a highly motivated and experienced Restaurant Manager to join our team. As a Restaurant Manager, you will be responsible for supporting the Restaurant Leader in day-to-day operations of the restaurant and upholding Raising Cane's standards and culture in shift management responsibilities of...

  • Restaurant Operations Manager

    4 weeks ago

    Eau Claire, Wisconsin, United States Raising Cane's Full time

    About Raising Cane'sRaising Cane's is a rapidly growing company that serves the best tasting and most craveable chicken finger meals. Our crew members are the backbone of our success, and we're looking for a talented Restaurant Manager to join our team.Job SummaryThe Restaurant Manager is responsible for supporting the Restaurant Leader in day-to-day...

  • Account Manager

    4 weeks ago

    Eau Claire, Wisconsin, United States Realityworks Full time

    About RealityworksRealityworks is a 100% employee-owned company located in Eau Claire, WI. We are a leading provider of comprehensive learning solutions that pair curriculum with hands-on learning aids, student activities, and assessment tools to create innovative learning environments.The JobWe are seeking a highly motivated and results-driven Account...

  • Customer Service Representative

    4 weeks ago

    Eau Claire, Wisconsin, United States Security Finance Full time

    About the RoleWe are seeking a highly motivated and customer-focused individual to join our team as a Customer Service Representative. As a key member of our team, you will be responsible for providing exceptional customer service to our clients, answering their questions, and resolving any issues they may have.Key ResponsibilitiesProvide outstanding...