Case Manager, LTSS
5 months ago
Internal Number: 2026476
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. % 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 backgroundREQUIRED EXPERIENCE:
At least 1 year of experience working with persons with disabilities/chronic conditions and Long Term Services & Supports. years in case management, disease management, managed care or medical or behavioral health settings.PREFERRED EXPERIENCE:
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: $ - $ / HOURLY
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
-
Intern, LTSS Care Management
3 days ago
Milwaukee, United States Molina Healthcare Full timeJOB DESCRIPTION JOB SUMMARY (Purpose of the Job & high-level summary): The Molina Healthcare Internship Program shares an objective to create a steppingstone for students who aim to be professionals and future leaders in the healthcare business profession. Interns are assigned special projects and various other duties that are intended to provide them...
-
Travel Nurse RN Case Manager
2 weeks ago
Milwaukee, Wisconsin, United States TotalMed Case Management Staffing Full timeJob Title: Travel Nurse RN Case ManagerTotalMed Case Management Staffing is seeking a skilled Travel Nurse RN Case Manager to join their team in Milwaukee, Wisconsin.Job Description & RequirementsSpecialty: Case ManagementDiscipline: RNDuration: 13 weeks40 hours per weekShift: 8 hours, daysEmployment Type: TravelTotalMed Case Management Staffing is committed...
-
Travel Nurse RN Case Manager
2 weeks ago
Milwaukee, Wisconsin, United States TotalMed Case Management Staffing Full timeJob Title: Travel Nurse RN Case ManagerTotalMed Case Management Staffing is seeking a skilled Travel Nurse RN Case Manager to join our team.About the Job:Specialty: Case ManagementDiscipline: RNShift: 8 hours, daysEmployment Type: TravelWe are looking for a dedicated and compassionate Case Manager-Registered Nurse to work with our team in Milwaukee,...
-
Case Manager, LTSS
4 months ago
Milwaukee, 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. HCS...
-
Case Manager
2 weeks ago
Milwaukee, Wisconsin, United States Connect Search Full timeCase Manager Job DescriptionWe are seeking a highly skilled Case Manager to join our team at Connect Search. As a Case Manager, you will be responsible for managing a caseload of participants, conducting one-to-one meetings with clients, and tracking progress using internal and proprietary systems.Key Responsibilities:Manage a caseload of participants and...
-
Case Manager
2 weeks ago
Milwaukee, Wisconsin, United States Wisconsin Community Services, Inc. Full timeJob Title: Case ManagerWisconsin Community Services, Inc. is seeking a skilled Case Manager to join our team. As a Case Manager, you will play a vital role in providing support and services to individuals with mental illness and/or substance use disorders.Job Summary:The Case Manager will be responsible for coordinating and providing services to participants...
-
Case Manager
4 weeks ago
Milwaukee, Wisconsin, United States Connect Search Full timeJob Title: Case ManagerWe are seeking a highly skilled and compassionate Case Manager to join our team at Connect Search. As a Case Manager, you will be responsible for managing a caseload of participants, providing one-to-one meetings with clients, and tracking progress using internal and proprietary systems.Key Responsibilities:Manage a caseload of...
-
Case Manager
3 weeks ago
Milwaukee, Wisconsin, United States Connect Search Full timeJob Title: Case ManagerWe are seeking a highly skilled and compassionate Case Manager to join our team at Connect Search. As a Case Manager, you will be responsible for managing a caseload of participants, providing one-to-one meetings with clients, and tracking progress using internal and proprietary systems.Key Responsibilities:Manage a caseload of...
-
Case Manager
2 weeks ago
Milwaukee, Wisconsin, United States Wisconsin Community Services Full timeJob Title: Case Manager - Targeted Case ManagementWisconsin Community Services is seeking a skilled Case Manager to join our team in Milwaukee. As a Case Manager, you will work with adults who have serious and persistent mental illness, providing them with the support and resources they need to achieve their goals.Job Summary:This is a full-time position...
-
Case Manager
2 weeks ago
Milwaukee, Wisconsin, United States Connect Search, LLC Full timeJob Title: Case ManagerJob Summary:We are seeking a skilled Case Manager to join our team at Connect Search, LLC. As a Case Manager, you will be responsible for managing a caseload of participants, conducting one-to-one meetings with clients, and tracking progress using internal and proprietary systems.Key Responsibilities:Manage a caseload of participants...
-
Case Manager
2 weeks ago
Milwaukee, Wisconsin, United States Wisconsin Community Services, Inc. Full timeJob Title: Case ManagerWisconsin Community Services, Inc. is seeking a dedicated and compassionate Case Manager to join our team. As a Case Manager, you will play a vital role in providing support and guidance to individuals with mental health conditions and substance use disorders.Job Responsibilities:Provide ongoing assessment and treatment planning to...
-
Case Manager
1 month ago
Milwaukee, Wisconsin, United States Wisconsin Community Services Full timeJob Title: Case ManagerWe are seeking a highly skilled and compassionate Case Manager to join our team at Wisconsin Community Services. As a Case Manager, you will play a critical role in providing advocacy and social justice services to individuals with mental illness and co-occurring substance use disorders.Job Responsibilities:Provide ongoing assessment...
-
Case Manager
4 weeks ago
Milwaukee, Wisconsin, United States Wisconsin Community Services Full timeJob Title: Case ManagerWe are seeking a highly motivated and compassionate Case Manager to join our team at Wisconsin Community Services. As a Case Manager, you will play a critical role in providing support and services to individuals with mental illness and substance use disorders.Job Responsibilities:Provide ongoing service coordination, treatment...
-
Case Manager
2 weeks ago
Milwaukee, Wisconsin, United States Wisconsin Community Services, Inc. Full timeJob Summary:This position provides pretrial case management of individuals with pending repeat intoxicated driving charges for the Circuit Courts of Waukesha County. The Case Manager will be responsible for monitoring bail conditions, drafting reports, conducting random drug testing, and maintaining accurate records.Key Responsibilities:Monitor bail...
-
Case Manager
4 weeks ago
Milwaukee, Wisconsin, United States Wisconsin Community Services Full timeJob Title: Case ManagerWe are seeking a highly skilled and compassionate Case Manager to join our team at Wisconsin Community Services. As a Case Manager, you will play a critical role in providing advocacy and support to individuals with serious and persistent mental illness and co-occurring substance use disorders.Job Responsibilities:Provide ongoing...
-
Case Manager
1 month ago
Milwaukee, Wisconsin, United States Wisconsin Community Services Full timeJob Title: Case WorkerJob Summary:We are seeking a highly motivated and compassionate Case Worker to join our team at Wisconsin Community Services. As a Case Worker, you will play a vital role in providing support and services to individuals with mental illness, substance use disorders, or other special populations.Key Responsibilities:Provide ongoing...
-
Case Manager
2 weeks ago
milwaukee, United States Connect Search, LLC Full timeReputable non-profit is looking to hire a full time Case Manager here in Milwaukee, WI (53203). It will be a contract-to-hire that is looking to interview/start immediately!Pay: $22-26/hr (based on experience) Schedule: M-F, 8am – 4:30pm (flexible)Remote: No, 100% on-siteKEY RESPONSIBILITIES:Managing a caseload of participantsOne-to-one meetings with...
-
Case Manager
1 month ago
Milwaukee, United States Connect Search, LLC Full timeReputable non-profit is looking to hire a full time Case Manager here in Milwaukee, WI (53203). It will be a contract-to-hire that is looking to interview/start immediately!Pay: $22-26/hr (based on experience) Schedule: M-F, 8am – 4:30pm (flexible)Remote: No, 100% on-siteKEY RESPONSIBILITIES:Managing a caseload of participantsOne-to-one meetings with...
-
Case Manager
1 month ago
Milwaukee, United States Connect Search, LLC Full timeReputable non-profit is looking to hire a full time Case Manager here in Milwaukee, WI (53203). It will be a contract-to-hire that is looking to interview/start immediately!Pay: $22-26/hr (based on experience) Schedule: M-F, 8am – 4:30pm (flexible)Remote: No, 100% on-siteKEY RESPONSIBILITIES:Managing a caseload of participantsOne-to-one meetings with...
-
Case Manager
4 weeks ago
Milwaukee, Wisconsin, United States Wisconsin Community Services Full timeJob Title: Case ManagerWe are seeking a skilled Case Manager to join our team at Wisconsin Community Services. As a Case Manager, you will play a vital role in providing support and guidance to individuals with serious and persistent mental illness.Job Responsibilities:Develop and implement treatment plans to meet the unique needs of each client.Provide...
