iHire · 8 hours ago
Care Manager (must reside in Wisconsin)
Molina Healthcare has partnered with iHire to find top talent for their Care Manager position. The role involves supporting care management and coordinating member care to ensure quality and cost-effective outcomes, while collaborating with a multidisciplinary team.
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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/or 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 suggest changes accordingly
Maintains ongoing member caseload for regular outreach and management
Promotes integration of services for members including behavioral health, long-term services and supports (LTSS), and home 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
Qualification
Required
At least 2 years experience in health care, preferably in care management, or experience in a medical and/or behavioral health setting, or equivalent combination of relevant 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 - 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 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
Microsoft Office suite/applicable software program(s) proficiency
In some states, a bachelor's degree in a health care related field may be required (dependent upon state/contractual requirements)
Benefits
Molina Healthcare offers a competitive benefits and compensation package.
Company
iHire
An industry-specific recruitment platform that connects employers with qualified candidates across 57 talent communities.
Funding
Current Stage
Growth StageRecent News
2025-09-12
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