Care Manager, LTSS - Field travel in Milwaukee County, WI

Company: Molina Healthcare
Location: Waukesha
Posted on: January 2, 2026

Job Description:

Job Description Family Care with My Choice Wisconsin /n JOB DESCRIPTION Job Summary /n Provides support for care management/care coordination long-term services and supports specific activities and collaborates with multidisciplinary team coordinating integrated delivery of member care across the continuum for members with high-need potential. Strives to ensure member progress toward desired outcomes and contributes to overarching strategy to provide quality and cost-effective member care. /n /n Essential Job Duties /n /n • Completes comprehensive member assessments within regulated timelines, including in-person home visits as required. /n • Facilitates comprehensive waiver enrollment and disenrollment processes. /n • Develops and implements care plans, including a waiver service plan in collaboration with members, caregivers, physicians and/or other appropriate health care professionals and member support network to address the member needs and goals. /n • Performs ongoing monitoring of care plan to evaluate effectiveness, document interventions and goal achievement, and suggest changes accordingly. /n • Promotes integration of services for members including behavioral health care and long-term services and supports (LTSS) and home and community resources to enhance continuity of care. /n • Assesses for medical necessity and authorizes all appropriate waiver services. /n • Evaluates covered benefits and advises appropriately regarding funding sources. /n • Facilitates interdisciplinary care team (ICT) meetings for approval or denial of services and informal ICT collaboration. /n • Uses motivational interviewing and Molina clinical guideposts to educate, support and motivate change during member contacts. /n • Assesses for barriers to care and provides care coordination and assistance to members to address psycho/social, financial, and medical obstacles concerns. /n • Identifies critical incidents and develops prevention plans to assure member health and welfare. /n • Collaborates with licensed care managers/leadership as needed or required. /n • 25-40% estimated local travel may be required (based upon state/contractual requirements). /n /n Required Qualifications /n /n • At least 2 years health care experience, including at least 1 year of experience working with persons with disabilities/chronic conditions long-term services and supports (LTSS), and 1 year of experience in care management, or experience in a medical and/or behavioral health setting, or equivalent combination of relevant education and experience. •Licensed Practical Nurse (LPN) or Licensed Vocational Nurse (LVN). Clinical licensure and/or certification required ONLY if required by state contract, regulation or state board licensing mandates. If licensed, license must be active and unrestricted in state of practice. /n • In some states, a bachelor's degree in a health care related field may be required (dependent upon state/contractual requirements). /n • Valid and unrestricted driver's license, reliable transportation, and adequate auto insurance for job related travel requirements, unless otherwise required by law. /n • Demonstrated knowledge of community resources. /n • Ability to work within a variety of settings and adjust style as needed - working with diverse populations, various personalities and personal situations. /n • Ability to operate proactively and demonstrate detail-oriented work. /n • Ability to work independently, with minimal supervision and self-motivation. /n • Ability to demonstrate responsiveness in all forms of communication, and remain calm in high-pressure situations. /n • Ability to develop and maintain professional relationships. /n • Excellent time-management and prioritization skills, and ability to focus on multiple projects simultaneously and adapt to change. /n • Excellent problem-solving, and critical-thinking skills. /n • Strong verbal and written communication skills. /n • Microsoft Office suite/applicable software program proficiency, and ability to navigate online portals and databases. /n • In some states, a bachelor's degree in a health care related field may be required (dependent upon state/contractual requirements). /n /n Preferred Qualifications /n /n • Certified Case Manager (CCM), Licensed Vocational Nurse (LVN) or Licensed Practical Nurse (LPN). License must be active and unrestricted in state of practice. /n • Experience working with populations that receive waiver services. /n To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board. /n Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V /n PJHS /n HTF Pay Range: $24 - $46.81 / HOURLY *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

Keywords: Molina Healthcare, Waukesha , Care Manager, LTSS - Field travel in Milwaukee County, WI, Healthcare , Waukesha, Wisconsin