Healthcare Specialist

2 days ago

Milwaukee, Wisconsin, United States Molina Healthcare Full time

Job Summary

Molina Healthcare Services (HCS) collaborates 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. 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.

Key Responsibilities

* Utilizes a collaborative process of assessment, planning, implementation, and evaluation to engage, educate, and promote members' decisions related to achieving and maintaining optimal health status.
* Conducts standardized Health Risk Appraisals (HRA) and applicable assessments, including the verification of medical history and current health and wellness needs.
* Develops a problem list and individualized care plan using program protocols based on the members' needs and preferences.
* Conducts telephonic education to promote self-management strategies for all applicable conditions.
* 5-15% local travel may be required.

Requirements

* Bachelor's or master's degree in a social science, psychology, gerontology, public health, or social work.
* 1-3 years of experience in case management, disease management, managed care, or medical or behavioral health settings.
* Valid driver's license with a good driving record and reliable transportation.
* Preferred: 3-5 years of experience in case management, disease management, managed care, or medical or behavioral health settings.
* Preferred: 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).

Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.

Pay Range: $19.64 - $42.55 / HOURLY

*Actual compensation may vary from posting based on geographic location, work experience, education, and/or skill level.

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