Care Manager (must reside in Wisconsin)

Provides support for care management/care coordination activities and collaborates with multidisciplinary team coordinating integrated delivery of member care across the continuum. Strives to ensure member progress toward desired outcomes and contributes to overarching strategy to provide quality and cost-effective member care. Responsibilities Completes assessments of members per regulated timelines and determines who may qualify for care coordination/care management based on triggers identified in assessments. Develops and implements care plan in collaboration with member, caregiver, physician, and other appropriate health care professionals and member support network to address member needs and goals. Conducts telephonic, face‑to‑face or home visits as required. Performs ongoing monitoring of care plan to evaluate effectiveness, document interventions and goal achievement, and suggests changes accordingly. Maintains ongoing member caseload for regular outreach and management. Promotes integration of services for members including behavioral health, long‑term services and supportsalendar (LTSS), and community resources to enhance continuity of care. Facilitates interdisciplinary care team (ICT) meetings 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 concerns. Collaborates with licensed care managers/leadership as needed or required. Estimated local travel: 25–40% of the time may be required (based upon state/contractual requirements). Required Qualifications At least 2 years of experience in health care, preferably in care management or in a medical and/or behavioral health setting, or an equivalent combination of education and experience. Clinical licensure and/or certification required only if required by state contract, regulation, or state board licensing mandates. Valid and unrestricted driver’s license, reliable transportation, and adequate auto insurance for job‑related travel requirements, unless otherwise required by law. Demonstrated knowledge of community resources. Ability to operate proactively and demonstrate detail‑oriented work. Ability to work within a variety of settings and adjust style as needed—including working with diverse populations, various personalities, and personal situations. Ability to work independently, with minimal supervision and self‑motivation. Ability to demonstrate responsiveness in all шир forms of communication and remain calm in high‑pressure situations. Ability to develop and maintain professional relationships. Excellent time‑management and prioritization skills, and ability to focus on multiple projects simultaneously and adapt to change. Excellent problem‑solving and critical‑thinking skills. Strong verbal and written communication skills. Proficiency with Microsoft Office suite or applicable software program(s). In some states, a bachelor’s degree in a health‑care related field may be required (dependent upon state/contractual requirements). Seniority Level Entry level Employment Type Full‑time Job Function Health Care Provider Pay Range $24 – $46.81 per hour (actual compensation may vary based on geographic location, work experience, education, and/or skill level). Molina Healthcare offers a competitive benefits and compensation package. To all current Molina employees: if you are interested in applying for this position, please apply through the Internal Job Board. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V. #J-18808-Ljbffr