Care Manager (Field travel in Dane County, WI)
Company: Molina Healthcare
Location: Racine
Posted on: June 29, 2025
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Job Description:
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 clinical assessments of members per regulated timelines
and determines who may qualify for case management based on
clinical judgment, changes in member's health or psychosocial
wellness, and triggers from the assessment. Develops and implements
a case management 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.
Conducts telephonic, face-to-face or home visits as required.
Performs ongoing monitoring of the care plan to evaluate
effectiveness, document interventions and goal achievement, and
suggest changes accordingly. Maintains ongoing member case load for
regular outreach and management. Promotes integration of services
for members including behavioral health care and long term services
and supports to enhance the continuity of care for Molina members.
May implement specific Molina wellness programs i.e. asthma and
depression disease management. Facilitates interdisciplinary care
team 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 RN case managers/supervisors as
needed or required Case managers in Behavioral Health and Social
Science fields may provide consultation, resources and
recommendations to peers as needed Local travel of up to 40% may be
required, depending on the complexity level of the assigned
members, particular state-specific regulations, or whether the Case
Manager position is located within Molina’s Central Programs unit.
JOB QUALIFICATIONS REQUIRED EDUCATION: Any of the following:
Completion of a Bachelor's or Master's Degree (preferably in a
social science, psychology, gerontology, public health or social
work or related REQUIRED EXPERIENCE: 1-3 years in case management,
disease management, managed care or medical or behavioral health
settings. REQUIRED LICENSE, CERTIFICATION, ASSOCIATION: If license
required for the job, license must be active, unrestricted and in
good standing. Must have valid driver’s license with good driving
record and be able to drive within applicable state or locality
with reliable transportation. STATE SPECIFIC REQUIREMENTS: Roles
serving Family Care and Family Care Partnership in the State of
Wisconsin are required to have a Bachelor's Degree and a minimum of
one year of professional experience. PREFERRED EXPERIENCE: 3-5
years in case management, disease management, managed care or
medical or behavioral health settings. PREFERRED LICENSE,
CERTIFICATION, ASSOCIATION: Any of the following: 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). 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 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, Wauwatosa , Care Manager (Field travel in Dane County, WI), Healthcare , Racine, Wisconsin
