Company Detail

Field Case Manager, LTSS (RN) - Molina Healthcare
Posted: Nov 10, 2023 07:32
LAKE JACKSON, TX

Job Description

JOB DESCRIPTION

Opportunity for a TX licensed RN to work as a Case Manager; part of the duties of the position include conducting face-to-face visits with our members in the Lake Jackson, TX service area. Schedule is Monday - Friday, 8 AM - 5 PM CST and mileage is reimbursed as part of our benefit package.

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.

  • Provides consultation, recommendations and education as appropriate to non-RN case managers

  • Works cases with members who have complex medical conditions and medication regimens

  • Conducts medication reconciliation when needed.

  • 50-75% travel required.

JOB QUALIFICATIONS

Required Education

Graduate from an Accredited School of Nursing

Required Experience

  • At least 1 year of experience working with persons with disabilities/chronic conditions and Long Term Services & Supports.

  • 1-3 years in case management, disease management, managed care or medical or behavioral health settings.

  • Required License, Certification, Association

  • Active, unrestricted State Registered Nursing license (RN) in good standing

  • If field work is required, 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

Virginia: Must have at least one year of experience working directly with individuals with Substance Use Disorders

Preferred Education

Bachelor's Degree in Nursing

Preferred Experience

  • 3-5 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)

Pay Range: $26.41 - $51.49 per hour*

*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

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.



Job Detail

Field Case Manager - LPN or Social Worker - Molina Healthcare
Posted: Nov 10, 2023 07:32
GENEVA, IL

Job Description

JOB DESCRIPTION

Opportunity for either an IL licensed LPN OR a Bachelors/Masters trained experienced Case Manager to work with EITHER waiver OR non-waiver membership in Cook County or the Collar Counties (DuPage, Kane, Lake, McHenry, and Will). Residing in the area is required as Case Managers will conduct face-to-face visits with our members in their homes. Schedule is Monday - Friday, 8 AM - 5 PM and mileage is reimbursed as part of our benefit package.

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 an accredited Licensed Vocational Nurse (LVN) or Licensed Practical Nurse (LPN) Program OR 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).

Pay Range: $24.00 - 46.81 per hour*

*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

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.



Job Detail

Associate Provider Relations Representative - Molina Healthcare
Posted: Nov 10, 2023 07:32
JACKSON, MS

Job Description

*Remote and must live in Mississippi or a bordering state*

Job Description

Job Summary

Molina Health Plan Network Provider Relations jobs are responsible for network development, network adequacy and provider training and education, in alignment with Molina Healthcare's overall mission, core values, and strategic plan and in compliance with all relevant federal, state and local regulations. Provider Relations staff are the primary point of contact between Molina Healthcare and contracted provider network. They are responsible for network management including provider education, communication, satisfaction, issue intake, access/availability and ensuring knowledge of and compliance with Molina healthcare policies and procedures while achieving the highest level of customer service.

Job Duties

This role serves as partner to the Provider Contracting and Provider Relations Team in regards to receiving, researching and responding to provider inquiries. It is internal and external facing position requiring job knowledge to resolve basic provider inquiries and communication skills to successfully engage with providers and maintain provider satisfaction primarily for non-complex Providers including but not limited to Fee-For-Service and Pay for Performance Providers.

- Receives, researches, and resolves provider inquiries such as claims, eligibility, and other inquiries. Act as a liaison between the providers, medical groups and health plan.

- Duties may include: (a) Price specific services based on the Plan's fee schedule; (b) Communicate and educate providers on important changes to regulations, procedures and access to information; (c) Assist Providers in dismissing or moving members incorrectly assigned to them; and/or (d) Educate providers so the appropriate dismissal letters are sent to Molina members.

- Supports other members of the Provider Services Team when they are in the field.

- Responsible for documenting requests as required in departmental procedures.

- Assists with training of new Provider Services staff members, including orientations, website navigation and education.

- Attends off-site meetings when necessary with medical groups and other providers as needed.

- Performs Mailbox Support .

- Complies with required workplace safety standards.

Job Qualifications

REQUIRED EDUCATION :

High School Diploma or equivalent GED

REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS & ABILITIES :

1 year customer service, provider service, or claims experience in a managed care or medical office setting.

PREFERRED EDUCATION :

Associate's Degree

Vocational program in Managed Care or some other health care aspect providing a certificate at completion.

PREFERRED EXPERIENCE :

- Working familiarity with various managed healthcare provider compensation methodologies, primarily across Medicaid and Medicare lines of business, including but not limited to, fee-for service, capitation and various forms of risk, ASO, etc.

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.

Pay Range: $16.40 - $31.97 an hour*

*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level



Job Detail

Engineer, EIS - Networking (Hybrid On Site in Madison, WI) - Molina Healthcare
Posted: Nov 10, 2023 07:32
WAUNAKEE, WI

Job Description

Job Description

Job Summary

Builds company specific systems and technology expertise across multiple infrastructure and development disciplines

Knowledge/Skills/Abilities

- Responsible for task management and adherence to process controls.

- Responsible for troubleshooting and incident resolution for support functions.

- Contributes to on-call rotation schedules and off-hour support activities.

- Contributes to organize, manage and lead cross-team project tasks and deliverables.

- Contributes to the Infrastructure Solution Architect project design function.

- Contributes to solution architecture delivery within project management methodologies and timelines.

- Contributes to root cause analysis and problem solving.

- Contributes to tactical build and configuration activities.

- Provides cross-organization teamwork, collaboration, communication and leadership.

- Provides constructive feedback on people, process and technology for continuous improvement..

Job Qualifications

Required Education

- Bachelor's Degree.

Required Experience

1-4 years of IT technical experience with IT enterprise infrastructure.

Industry certifications preferred.

Experience in design and management of cloud-based network infrastructure.

Experience in network administration and support in a Microsoft server environment.

Experience with configuring and maintaining network switches, VLANS, routers, and firewalls.

Experience working in a large very complex organization.

Preferred Experience

Experience working within a health care organization.

Experience in a help desk, technology-oriented field, or on a technology support team.

Knowledge of Software-Defined Network (SDWAN), Local Area Networks (LANs), Wireless Local Area Networks (WLANS), and Wide Area Networks (WANs).

Experience utilizing Cisco security suite/tools.

Experience with a Virtual Private Network (VPN), with network monitoring tools or other SNMP monitoring software, and with system backup.

Enterprise (global) AD administration in a Multi-Domain Architecture.

Certifications below or comparable in network, network security and engineering

CISSP (Certified Information System Security Professional)

CISM (Certified Information Security Manager)

MCSE (Microsoft Certified Solutions Expert)

CCNA (Cisco Certified Network Associate) or CCNP (Cisco Certified Network Professional)

Pay Range: $60,415 - $117,809 a year*

*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

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.

#PJCorp

#LI-BEMORE



Job Detail

Field Case Manager - LPN or Social Worker - Molina Healthcare
Posted: Nov 10, 2023 07:32
GENEVA, IL

Job Description

JOB DESCRIPTION

Opportunity for either an IL licensed LPN OR a Bachelors/Masters trained experienced Case Manager to work with EITHER waiver OR non-waiver membership in Cook County or the Collar Counties (DuPage, Kane, Lake, McHenry, and Will). Residing in the area is required as Case Managers will conduct face-to-face visits with our members in their homes. Schedule is Monday - Friday, 8 AM - 5 PM and mileage is reimbursed as part of our benefit package.

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 an accredited Licensed Vocational Nurse (LVN) or Licensed Practical Nurse (LPN) Program OR 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).

Pay Range: $24.00 - 46.81 per hour*

*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

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.



Job Detail

Engineer, EIS - Networking (Hybrid On Site in Madison, WI) - Molina Healthcare
Posted: Nov 10, 2023 07:32
FITCHBURG, WI

Job Description

Job Description

Job Summary

Builds company specific systems and technology expertise across multiple infrastructure and development disciplines

Knowledge/Skills/Abilities

- Responsible for task management and adherence to process controls.

- Responsible for troubleshooting and incident resolution for support functions.

- Contributes to on-call rotation schedules and off-hour support activities.

- Contributes to organize, manage and lead cross-team project tasks and deliverables.

- Contributes to the Infrastructure Solution Architect project design function.

- Contributes to solution architecture delivery within project management methodologies and timelines.

- Contributes to root cause analysis and problem solving.

- Contributes to tactical build and configuration activities.

- Provides cross-organization teamwork, collaboration, communication and leadership.

- Provides constructive feedback on people, process and technology for continuous improvement..

Job Qualifications

Required Education

- Bachelor's Degree.

Required Experience

1-4 years of IT technical experience with IT enterprise infrastructure.

Industry certifications preferred.

Experience in design and management of cloud-based network infrastructure.

Experience in network administration and support in a Microsoft server environment.

Experience with configuring and maintaining network switches, VLANS, routers, and firewalls.

Experience working in a large very complex organization.

Preferred Experience

Experience working within a health care organization.

Experience in a help desk, technology-oriented field, or on a technology support team.

Knowledge of Software-Defined Network (SDWAN), Local Area Networks (LANs), Wireless Local Area Networks (WLANS), and Wide Area Networks (WANs).

Experience utilizing Cisco security suite/tools.

Experience with a Virtual Private Network (VPN), with network monitoring tools or other SNMP monitoring software, and with system backup.

Enterprise (global) AD administration in a Multi-Domain Architecture.

Certifications below or comparable in network, network security and engineering

CISSP (Certified Information System Security Professional)

CISM (Certified Information Security Manager)

MCSE (Microsoft Certified Solutions Expert)

CCNA (Cisco Certified Network Associate) or CCNP (Cisco Certified Network Professional)

Pay Range: $60,415 - $117,809 a year*

*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

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.

#PJCorp

#LI-BEMORE



Job Detail

Engineer, EIS - Networking (Hybrid On Site in Madison, WI) - Molina Healthcare
Posted: Nov 10, 2023 07:32
SUN PRAIRIE, WI

Job Description

Job Description

Job Summary

Builds company specific systems and technology expertise across multiple infrastructure and development disciplines

Knowledge/Skills/Abilities

- Responsible for task management and adherence to process controls.

- Responsible for troubleshooting and incident resolution for support functions.

- Contributes to on-call rotation schedules and off-hour support activities.

- Contributes to organize, manage and lead cross-team project tasks and deliverables.

- Contributes to the Infrastructure Solution Architect project design function.

- Contributes to solution architecture delivery within project management methodologies and timelines.

- Contributes to root cause analysis and problem solving.

- Contributes to tactical build and configuration activities.

- Provides cross-organization teamwork, collaboration, communication and leadership.

- Provides constructive feedback on people, process and technology for continuous improvement..

Job Qualifications

Required Education

- Bachelor's Degree.

Required Experience

1-4 years of IT technical experience with IT enterprise infrastructure.

Industry certifications preferred.

Experience in design and management of cloud-based network infrastructure.

Experience in network administration and support in a Microsoft server environment.

Experience with configuring and maintaining network switches, VLANS, routers, and firewalls.

Experience working in a large very complex organization.

Preferred Experience

Experience working within a health care organization.

Experience in a help desk, technology-oriented field, or on a technology support team.

Knowledge of Software-Defined Network (SDWAN), Local Area Networks (LANs), Wireless Local Area Networks (WLANS), and Wide Area Networks (WANs).

Experience utilizing Cisco security suite/tools.

Experience with a Virtual Private Network (VPN), with network monitoring tools or other SNMP monitoring software, and with system backup.

Enterprise (global) AD administration in a Multi-Domain Architecture.

Certifications below or comparable in network, network security and engineering

CISSP (Certified Information System Security Professional)

CISM (Certified Information Security Manager)

MCSE (Microsoft Certified Solutions Expert)

CCNA (Cisco Certified Network Associate) or CCNP (Cisco Certified Network Professional)

Pay Range: $60,415 - $117,809 a year*

*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

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.

#PJCorp

#LI-BEMORE



Job Detail

Field Case Manager - non-waiver - Molina Healthcare
Posted: Nov 10, 2023 07:32
EDWARDSVILLE, IL

Job Description

JOB DESCRIPTION

Opportunity for IL licensed LPN or a Bachelor/Masters trained Case Manager to service non-waiver members in the Metro East area. Duties, in part, included conducting face-to-face visits with our members in their homes. Schedule is Monday - Friday, 8 AM - 5 PM CST; mileage is reimbursed as part of our benefit package.

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 an accredited Licensed Vocational Nurse (LVN) or Licensed Practical Nurse (LPN) Program OR 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).

Pay Range: $24.00 - 46.81 per hour*

*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

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.

Pay Range: $21.6 - $46.81 / HOURLY

*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.



Job Detail

Field Case Manager - non-waiver - Molina Healthcare
Posted: Nov 10, 2023 07:32
GRANITE CITY, IL

Job Description

JOB DESCRIPTION

Opportunity for IL licensed LPN or a Bachelor/Masters trained Case Manager to service non-waiver members in the Metro East area. Duties, in part, included conducting face-to-face visits with our members in their homes. Schedule is Monday - Friday, 8 AM - 5 PM CST; mileage is reimbursed as part of our benefit package.

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 an accredited Licensed Vocational Nurse (LVN) or Licensed Practical Nurse (LPN) Program OR 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).

Pay Range: $24.00 - 46.81 per hour*

*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

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.

Pay Range: $21.6 - $46.81 / HOURLY

*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.



Job Detail

Engineer, EIS - Networking (Hybrid On Site in Madison, WI) - Molina Healthcare
Posted: Nov 10, 2023 07:32
VERONA, WI

Job Description

Job Description

Job Summary

Builds company specific systems and technology expertise across multiple infrastructure and development disciplines

Knowledge/Skills/Abilities

- Responsible for task management and adherence to process controls.

- Responsible for troubleshooting and incident resolution for support functions.

- Contributes to on-call rotation schedules and off-hour support activities.

- Contributes to organize, manage and lead cross-team project tasks and deliverables.

- Contributes to the Infrastructure Solution Architect project design function.

- Contributes to solution architecture delivery within project management methodologies and timelines.

- Contributes to root cause analysis and problem solving.

- Contributes to tactical build and configuration activities.

- Provides cross-organization teamwork, collaboration, communication and leadership.

- Provides constructive feedback on people, process and technology for continuous improvement..

Job Qualifications

Required Education

- Bachelor's Degree.

Required Experience

1-4 years of IT technical experience with IT enterprise infrastructure.

Industry certifications preferred.

Experience in design and management of cloud-based network infrastructure.

Experience in network administration and support in a Microsoft server environment.

Experience with configuring and maintaining network switches, VLANS, routers, and firewalls.

Experience working in a large very complex organization.

Preferred Experience

Experience working within a health care organization.

Experience in a help desk, technology-oriented field, or on a technology support team.

Knowledge of Software-Defined Network (SDWAN), Local Area Networks (LANs), Wireless Local Area Networks (WLANS), and Wide Area Networks (WANs).

Experience utilizing Cisco security suite/tools.

Experience with a Virtual Private Network (VPN), with network monitoring tools or other SNMP monitoring software, and with system backup.

Enterprise (global) AD administration in a Multi-Domain Architecture.

Certifications below or comparable in network, network security and engineering

CISSP (Certified Information System Security Professional)

CISM (Certified Information Security Manager)

MCSE (Microsoft Certified Solutions Expert)

CCNA (Cisco Certified Network Associate) or CCNP (Cisco Certified Network Professional)

Pay Range: $60,415 - $117,809 a year*

*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

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.

#PJCorp

#LI-BEMORE



Job Detail

Engineer, EIS - Networking (Hybrid On Site in Madison, WI) - Molina Healthcare
Posted: Nov 10, 2023 07:32
WAUNAKEE, WI

Job Description

Job Description

Job Summary

Builds company specific systems and technology expertise across multiple infrastructure and development disciplines

Knowledge/Skills/Abilities

- Responsible for task management and adherence to process controls.

- Responsible for troubleshooting and incident resolution for support functions.

- Contributes to on-call rotation schedules and off-hour support activities.

- Contributes to organize, manage and lead cross-team project tasks and deliverables.

- Contributes to the Infrastructure Solution Architect project design function.

- Contributes to solution architecture delivery within project management methodologies and timelines.

- Contributes to root cause analysis and problem solving.

- Contributes to tactical build and configuration activities.

- Provides cross-organization teamwork, collaboration, communication and leadership.

- Provides constructive feedback on people, process and technology for continuous improvement..

Job Qualifications

Required Education

- Bachelor's Degree.

Required Experience

1-4 years of IT technical experience with IT enterprise infrastructure.

Industry certifications preferred.

Experience in design and management of cloud-based network infrastructure.

Experience in network administration and support in a Microsoft server environment.

Experience with configuring and maintaining network switches, VLANS, routers, and firewalls.

Experience working in a large very complex organization.

Preferred Experience

Experience working within a health care organization.

Experience in a help desk, technology-oriented field, or on a technology support team.

Knowledge of Software-Defined Network (SDWAN), Local Area Networks (LANs), Wireless Local Area Networks (WLANS), and Wide Area Networks (WANs).

Experience utilizing Cisco security suite/tools.

Experience with a Virtual Private Network (VPN), with network monitoring tools or other SNMP monitoring software, and with system backup.

Enterprise (global) AD administration in a Multi-Domain Architecture.

Certifications below or comparable in network, network security and engineering

CISSP (Certified Information System Security Professional)

CISM (Certified Information Security Manager)

MCSE (Microsoft Certified Solutions Expert)

CCNA (Cisco Certified Network Associate) or CCNP (Cisco Certified Network Professional)

Pay Range: $60,415 - $117,809 a year*

*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

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.

#PJCorp

#LI-BEMORE



Job Detail

Engineer, EIS - Networking (Hybrid On Site in Madison, WI) - Molina Healthcare
Posted: Nov 10, 2023 07:32
FITCHBURG, WI

Job Description

Job Description

Job Summary

Builds company specific systems and technology expertise across multiple infrastructure and development disciplines

Knowledge/Skills/Abilities

- Responsible for task management and adherence to process controls.

- Responsible for troubleshooting and incident resolution for support functions.

- Contributes to on-call rotation schedules and off-hour support activities.

- Contributes to organize, manage and lead cross-team project tasks and deliverables.

- Contributes to the Infrastructure Solution Architect project design function.

- Contributes to solution architecture delivery within project management methodologies and timelines.

- Contributes to root cause analysis and problem solving.

- Contributes to tactical build and configuration activities.

- Provides cross-organization teamwork, collaboration, communication and leadership.

- Provides constructive feedback on people, process and technology for continuous improvement..

Job Qualifications

Required Education

- Bachelor's Degree.

Required Experience

1-4 years of IT technical experience with IT enterprise infrastructure.

Industry certifications preferred.

Experience in design and management of cloud-based network infrastructure.

Experience in network administration and support in a Microsoft server environment.

Experience with configuring and maintaining network switches, VLANS, routers, and firewalls.

Experience working in a large very complex organization.

Preferred Experience

Experience working within a health care organization.

Experience in a help desk, technology-oriented field, or on a technology support team.

Knowledge of Software-Defined Network (SDWAN), Local Area Networks (LANs), Wireless Local Area Networks (WLANS), and Wide Area Networks (WANs).

Experience utilizing Cisco security suite/tools.

Experience with a Virtual Private Network (VPN), with network monitoring tools or other SNMP monitoring software, and with system backup.

Enterprise (global) AD administration in a Multi-Domain Architecture.

Certifications below or comparable in network, network security and engineering

CISSP (Certified Information System Security Professional)

CISM (Certified Information Security Manager)

MCSE (Microsoft Certified Solutions Expert)

CCNA (Cisco Certified Network Associate) or CCNP (Cisco Certified Network Professional)

Pay Range: $60,415 - $117,809 a year*

*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

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.

#PJCorp

#LI-BEMORE



Job Detail

Engineer, EIS - Networking (Hybrid On Site in Madison, WI) - Molina Healthcare
Posted: Nov 10, 2023 07:32
PORTAGE, WI

Job Description

Job Description

Job Summary

Builds company specific systems and technology expertise across multiple infrastructure and development disciplines

Knowledge/Skills/Abilities

- Responsible for task management and adherence to process controls.

- Responsible for troubleshooting and incident resolution for support functions.

- Contributes to on-call rotation schedules and off-hour support activities.

- Contributes to organize, manage and lead cross-team project tasks and deliverables.

- Contributes to the Infrastructure Solution Architect project design function.

- Contributes to solution architecture delivery within project management methodologies and timelines.

- Contributes to root cause analysis and problem solving.

- Contributes to tactical build and configuration activities.

- Provides cross-organization teamwork, collaboration, communication and leadership.

- Provides constructive feedback on people, process and technology for continuous improvement..

Job Qualifications

Required Education

- Bachelor's Degree.

Required Experience

1-4 years of IT technical experience with IT enterprise infrastructure.

Industry certifications preferred.

Experience in design and management of cloud-based network infrastructure.

Experience in network administration and support in a Microsoft server environment.

Experience with configuring and maintaining network switches, VLANS, routers, and firewalls.

Experience working in a large very complex organization.

Preferred Experience

Experience working within a health care organization.

Experience in a help desk, technology-oriented field, or on a technology support team.

Knowledge of Software-Defined Network (SDWAN), Local Area Networks (LANs), Wireless Local Area Networks (WLANS), and Wide Area Networks (WANs).

Experience utilizing Cisco security suite/tools.

Experience with a Virtual Private Network (VPN), with network monitoring tools or other SNMP monitoring software, and with system backup.

Enterprise (global) AD administration in a Multi-Domain Architecture.

Certifications below or comparable in network, network security and engineering

CISSP (Certified Information System Security Professional)

CISM (Certified Information Security Manager)

MCSE (Microsoft Certified Solutions Expert)

CCNA (Cisco Certified Network Associate) or CCNP (Cisco Certified Network Professional)

Pay Range: $60,415 - $117,809 a year*

*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

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.

#PJCorp

#LI-BEMORE



Job Detail

TMG Data Analyst Intern (Remote in Madison, Wisconsin) - Molina Healthcare
Posted: Nov 10, 2023 07:32
MADISON, WI

Job Description

JOB SUMMARY

The Molina Healthcare Internship Program shares an objective to create a stepping stone 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 with valuable professional work experience and industry insight. The purpose of an internship is to develop talent by providing students with experiential learning, formal training and opportunities to interact with healthcare professionals and community leaders. Interns will perform meaningful work alongside talented professionals, gaining insight to Molina's culture, Mission and Values.

KNOWLEDGE, SKILLS & ABILITIES

We're currently looking for a Data Analyst intern to join our team in summer 2024 to support the Data team at TMG by Molina Healthcare. At TMG, our employees partner with participants of the Wisconsin IRIS program - a Medicaid long-term care option for older adults and people with disabilities. In this position, you will support the Data team in gathering insights into key business problems and deliverables by applying statistical analysis techniques to examine structured and unstructured data from multiple disparate sources.

As an intern, you can expect to:

-Work collaboratively across departments and with customers to define requirements and understand business problems.

-Assist with processing for monitoring, tracking, and trending department data.

-Use analytics software and systems to support the department's goals.

Preferred Experience

-Must possess clear and professional written, verbal and interpersonal communication skills.

-Strong work ethic, self-motivated and ability to develop relationships.

-Good time management, organizational and interpersonal skills required

-Computer experience including MS Word, Excel, O365

-Experience with MS SQL, SAS, Power BI, Python or R

-Excellent critical thinking/problem solving skills

-Ability to handle confidential information

-Ability to maintain confidentiality and to comply with Health Insurance Portability and Accountability Act (HIPAA)

REQUIRED EDUCATION:

Candidate must be currently enrolled in an undergraduate program, with a minimum GPA of 3.0 or higher and pursuing a degree with preference in the following areas - statistics, data analytics, or Computer Science with an emphasis on data science. They must have completed the first two years of their program by summer of 2024 (be a Junior or Senior undergraduate)

Candidate location in the Wisconsin area.

Candidate must possess unrestricted authorization to work in the United States.

*Target pay for internship opportunities: $20/hr

*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

*Molina Healthcare offers a competitive benefits and compensation package.

*Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.



Job Detail

Field Case Manager - non-waiver - Molina Healthcare
Posted: Nov 10, 2023 07:32
EAST SAINT LOUIS, IL

Job Description

JOB DESCRIPTION

Opportunity for IL licensed LPN or a Bachelor/Masters trained Case Manager to service non-waiver members in the Metro East area. Duties, in part, included conducting face-to-face visits with our members in their homes. Schedule is Monday - Friday, 8 AM - 5 PM CST; mileage is reimbursed as part of our benefit package.

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 an accredited Licensed Vocational Nurse (LVN) or Licensed Practical Nurse (LPN) Program OR 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).

Pay Range: $24.00 - 46.81 per hour*

*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

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.

Pay Range: $21.6 - $46.81 / HOURLY

*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.



Job Detail

Engineer, EIS - Networking (Hybrid On Site in Madison, WI) - Molina Healthcare
Posted: Nov 10, 2023 07:32
MADISON, WI

Job Description

Job Description

Job Summary

Builds company specific systems and technology expertise across multiple infrastructure and development disciplines

Knowledge/Skills/Abilities

- Responsible for task management and adherence to process controls.

- Responsible for troubleshooting and incident resolution for support functions.

- Contributes to on-call rotation schedules and off-hour support activities.

- Contributes to organize, manage and lead cross-team project tasks and deliverables.

- Contributes to the Infrastructure Solution Architect project design function.

- Contributes to solution architecture delivery within project management methodologies and timelines.

- Contributes to root cause analysis and problem solving.

- Contributes to tactical build and configuration activities.

- Provides cross-organization teamwork, collaboration, communication and leadership.

- Provides constructive feedback on people, process and technology for continuous improvement..

Job Qualifications

Required Education

- Bachelor's Degree.

Required Experience

1-4 years of IT technical experience with IT enterprise infrastructure.

Industry certifications preferred.

Experience in design and management of cloud-based network infrastructure.

Experience in network administration and support in a Microsoft server environment.

Experience with configuring and maintaining network switches, VLANS, routers, and firewalls.

Experience working in a large very complex organization.

Preferred Experience

Experience working within a health care organization.

Experience in a help desk, technology-oriented field, or on a technology support team.

Knowledge of Software-Defined Network (SDWAN), Local Area Networks (LANs), Wireless Local Area Networks (WLANS), and Wide Area Networks (WANs).

Experience utilizing Cisco security suite/tools.

Experience with a Virtual Private Network (VPN), with network monitoring tools or other SNMP monitoring software, and with system backup.

Enterprise (global) AD administration in a Multi-Domain Architecture.

Certifications below or comparable in network, network security and engineering

CISSP (Certified Information System Security Professional)

CISM (Certified Information Security Manager)

MCSE (Microsoft Certified Solutions Expert)

CCNA (Cisco Certified Network Associate) or CCNP (Cisco Certified Network Professional)

Pay Range: $60,415 - $117,809 a year*

*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

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.

#PJCorp

#LI-BEMORE



Job Detail

IRIS Consultant (Madison, WI) (Fieldwork/Hybrid) (No Weekends, No Holidays, No After Hours) - Molina Healthcare
Posted: Nov 10, 2023 07:32
MADISON, WI

Job Description

JOB DESCRIPTION

Job Summary

IDo you want a career where you build lasting relationships with the people you partner with? Do you want to make a difference in the lives of people with long-term health care needs? Then TMG wants to hear from you!

We're currently looking for someone with a social services or human services background to join our team. This is a remote position, where you will partner with people in your community who are enrolled in the Wisconsin IRIS Program and the TMG IRIS Consultant Agency. While your office will be home-based, you will have regularly scheduled visits with IRIS participants in their home and community.

As an IRIS Consultant (IC), you will build relationships with the people you partner with and help them navigate and get the most out of the Wisconsin IRIS program - a Medicaid long-term care option for older adults and people with disabilities. You can learn more about the IRIS program on the Wisconsin Department of Health Services website here (https://dhs.wisconsin.gov/iris/index.htm) . Together, you will identify the long-term care goals of the people enrolled in IRIS, and find creative ways to achieve those goals.

ICs play an important role in helping people of various backgrounds and abilities live the lives that they choose. In fact, people constantly tell us how supportive our ICs are and what a positive impact our ICs have had on their lives! Successful candidates for this position will be compassionate, genuine, resourceful partners with an eye for high quality work, and who are excited to work side-by side with people enrolled in IRIS.

As an IC, you will connect people to the resources available in their community. You will also help them develop customized IRIS plans for achieving their goals related to employment, housing, health, safety, community membership, transportation, and lasting relationships. While you will have a routine for the work that you do, no two days are alike!

TMG wants to find the best possible candidates, so we created this Realistic Job Preview to provide you with an inside look at the position and our organization. Find out more about the IRIS Consultant position by clicking on the link (https://www.youtube.com/watch?v=2vCojx1dK3I) and then reviewing the job posting below.

TMG is committed to maintaining a diverse and inclusive workforce and prioritizes helping staff have a good work/life balance. Even though the position is remote, you'll have lots of support from your TMG team and coworkers across the organization. If this sounds like the job for you, apply today!

KNOWLEDGE/SKILLS/ABILITIES

  • Required to meet in person with the IRIS participant a minimum of four times per year, with one required annual visit in the home of the participant. Because IRIS is a self-directed program, it is important for ICs to be available upon the request of the participant.

  • Responsible for providing program orientation to new participants. During this time, participants will learn their rights and responsibilities as someone enrolled in the IRIS program, including verifying legal documents, completing employee paperwork and the responsible use of public dollars.

  • Explore a broad view of the participant's life, including goals, important relationships, connections with the local community, interest in employment, awareness of the Self-Directed Personal Care option, and back-up support plans.

  • Assist participants in identifying personal outcomes and ensure those outcomes are being met on an ongoing basis, all while staying within the participant's IRIS budget and within the requirements of the IRIS program determined by the Department of Health Services (DHS).

  • Responsible for documenting all orientation and planning activities within the IRIS data system (WISITs) within 48 business hours of the visit with the participant.

  • Research community resources and natural supports that will fit the individual outcomes for each participant and share that information with them as it becomes available.

  • Responsible for documenting progress and changes as needed within the plan and the data system anytime a modification is requested by a participant.

  • Budget Amendment or One-Time Expense paperwork may be required depending upon factors associated with the participant and their individual IRIS budget.

  • Educate participants on how to read and interpret their monthly budget reports to ensure that participants operate within their budget. Being a liaison between the Fiscal Employer Agency and the IRIS Consultant Agency is also a large part of the position, which includes assisting participants with provider billing, seeking support brokers, tracking receipts, ensuring their workers are paid and mitigating areas of potential risk or conflicts of interest.

  • Responsible to develop engaged and trusting relationships with participants and communicate program changes and compliance effectively.

  • Responsible to maintain confidentiality and HIPPA compliance.

  • Work collaboratively with other IRIS Consultant Agency staff in order to ensure a successful implementation of participants' plans.

  • Attend in-person monthly team meetings with other ICs and their supervisor. In addition, weekly IC and IRIS Consultant Supervisor phone check-ins may occur, along with other duties as assigned.

JOB QUALIFICATIONS

Required Education

Bachelor's degree in a social work, psychology, human services, counseling, nursing, special education, or a closely related field (or four years of commensurate experience if no degree).

Required Experience

  • 1+ year of direct experience related to the delivery of social services to the target groups (individuals with intellectual or physical disabilities and older adults).

  • Ability to work independently, with minimal supervision and be self-motivated.

  • Knowledge of Long-Term Care programs and familiarity with principles of self-determination.

  • Excellent problem-solving skills, critical thinking skills and strong basic math skills.

  • Excellent time management and prioritization skills to focus on multiple projects simultaneously and adapt to change.

  • Ability to develop and maintain professional relationships and work through situations without taking it personally.

  • Comfortable working within a variety of settings and adjust style as needed; to work with a diverse population, various personalities, and personal situations.

  • Resourceful and have knowledge of community resources while being proactive and detail oriented.

  • Ability to use a variety of technology including but not limited to, Outlook, Skype, Teams, PowerPoint, Excel, Word, online portals and databases.

Required License, Certification, Association

Must have valid driver's license with good driving record and be able to drive within applicable state or locality with reliable transportation.

Pay Range: $18.04 - $35.17 an hour*

*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

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.



Job Detail

Field Case Manager - non-waiver - Molina Healthcare
Posted: Nov 10, 2023 07:32
BELLEVILLE, IL

Job Description

JOB DESCRIPTION

Opportunity for IL licensed LPN or a Bachelor/Masters trained Case Manager to service non-waiver members in the Metro East area. Duties, in part, included conducting face-to-face visits with our members in their homes. Schedule is Monday - Friday, 8 AM - 5 PM CST; mileage is reimbursed as part of our benefit package.

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 an accredited Licensed Vocational Nurse (LVN) or Licensed Practical Nurse (LPN) Program OR 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).

Pay Range: $24.00 - 46.81 per hour*

*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

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.

Pay Range: $21.6 - $46.81 / HOURLY

*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.



Job Detail

Field Case Manager - LPN or Social Worker - Molina Healthcare
Posted: Nov 10, 2023 07:32
CHICAGO, IL

Job Description

JOB DESCRIPTION

Opportunity for either an IL licensed LPN OR a Bachelors/Masters trained experienced Case Manager to work with EITHER waiver OR non-waiver membership in Cook County or the Collar Counties (DuPage, Kane, Lake, McHenry, and Will). Residing in the area is required as Case Managers will conduct face-to-face visits with our members in their homes. Schedule is Monday - Friday, 8 AM - 5 PM and mileage is reimbursed as part of our benefit package.

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 an accredited Licensed Vocational Nurse (LVN) or Licensed Practical Nurse (LPN) Program OR 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).

Pay Range: $24.00 - 46.81 per hour*

*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

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.



Job Detail

Engineer, EIS - Networking (Hybrid On Site in Madison, WI) - Molina Healthcare
Posted: Nov 10, 2023 07:32
COLUMBUS, WI

Job Description

Job Description

Job Summary

Builds company specific systems and technology expertise across multiple infrastructure and development disciplines

Knowledge/Skills/Abilities

- Responsible for task management and adherence to process controls.

- Responsible for troubleshooting and incident resolution for support functions.

- Contributes to on-call rotation schedules and off-hour support activities.

- Contributes to organize, manage and lead cross-team project tasks and deliverables.

- Contributes to the Infrastructure Solution Architect project design function.

- Contributes to solution architecture delivery within project management methodologies and timelines.

- Contributes to root cause analysis and problem solving.

- Contributes to tactical build and configuration activities.

- Provides cross-organization teamwork, collaboration, communication and leadership.

- Provides constructive feedback on people, process and technology for continuous improvement..

Job Qualifications

Required Education

- Bachelor's Degree.

Required Experience

1-4 years of IT technical experience with IT enterprise infrastructure.

Industry certifications preferred.

Experience in design and management of cloud-based network infrastructure.

Experience in network administration and support in a Microsoft server environment.

Experience with configuring and maintaining network switches, VLANS, routers, and firewalls.

Experience working in a large very complex organization.

Preferred Experience

Experience working within a health care organization.

Experience in a help desk, technology-oriented field, or on a technology support team.

Knowledge of Software-Defined Network (SDWAN), Local Area Networks (LANs), Wireless Local Area Networks (WLANS), and Wide Area Networks (WANs).

Experience utilizing Cisco security suite/tools.

Experience with a Virtual Private Network (VPN), with network monitoring tools or other SNMP monitoring software, and with system backup.

Enterprise (global) AD administration in a Multi-Domain Architecture.

Certifications below or comparable in network, network security and engineering

CISSP (Certified Information System Security Professional)

CISM (Certified Information Security Manager)

MCSE (Microsoft Certified Solutions Expert)

CCNA (Cisco Certified Network Associate) or CCNP (Cisco Certified Network Professional)

Pay Range: $60,415 - $117,809 a year*

*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

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.

#PJCorp

#LI-BEMORE



Job Detail

Engineer, EIS - Networking (Hybrid On Site in Madison, WI) - Molina Healthcare
Posted: Nov 10, 2023 07:32
PORTAGE, WI

Job Description

Job Description

Job Summary

Builds company specific systems and technology expertise across multiple infrastructure and development disciplines

Knowledge/Skills/Abilities

- Responsible for task management and adherence to process controls.

- Responsible for troubleshooting and incident resolution for support functions.

- Contributes to on-call rotation schedules and off-hour support activities.

- Contributes to organize, manage and lead cross-team project tasks and deliverables.

- Contributes to the Infrastructure Solution Architect project design function.

- Contributes to solution architecture delivery within project management methodologies and timelines.

- Contributes to root cause analysis and problem solving.

- Contributes to tactical build and configuration activities.

- Provides cross-organization teamwork, collaboration, communication and leadership.

- Provides constructive feedback on people, process and technology for continuous improvement..

Job Qualifications

Required Education

- Bachelor's Degree.

Required Experience

1-4 years of IT technical experience with IT enterprise infrastructure.

Industry certifications preferred.

Experience in design and management of cloud-based network infrastructure.

Experience in network administration and support in a Microsoft server environment.

Experience with configuring and maintaining network switches, VLANS, routers, and firewalls.

Experience working in a large very complex organization.

Preferred Experience

Experience working within a health care organization.

Experience in a help desk, technology-oriented field, or on a technology support team.

Knowledge of Software-Defined Network (SDWAN), Local Area Networks (LANs), Wireless Local Area Networks (WLANS), and Wide Area Networks (WANs).

Experience utilizing Cisco security suite/tools.

Experience with a Virtual Private Network (VPN), with network monitoring tools or other SNMP monitoring software, and with system backup.

Enterprise (global) AD administration in a Multi-Domain Architecture.

Certifications below or comparable in network, network security and engineering

CISSP (Certified Information System Security Professional)

CISM (Certified Information Security Manager)

MCSE (Microsoft Certified Solutions Expert)

CCNA (Cisco Certified Network Associate) or CCNP (Cisco Certified Network Professional)

Pay Range: $60,415 - $117,809 a year*

*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

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.

#PJCorp

#LI-BEMORE



Job Detail

Engineer, EIS - Networking (Hybrid On Site in Madison, WI) - Molina Healthcare
Posted: Nov 10, 2023 07:32
WISCONSIN DELLS, WI

Job Description

Job Description

Job Summary

Builds company specific systems and technology expertise across multiple infrastructure and development disciplines

Knowledge/Skills/Abilities

- Responsible for task management and adherence to process controls.

- Responsible for troubleshooting and incident resolution for support functions.

- Contributes to on-call rotation schedules and off-hour support activities.

- Contributes to organize, manage and lead cross-team project tasks and deliverables.

- Contributes to the Infrastructure Solution Architect project design function.

- Contributes to solution architecture delivery within project management methodologies and timelines.

- Contributes to root cause analysis and problem solving.

- Contributes to tactical build and configuration activities.

- Provides cross-organization teamwork, collaboration, communication and leadership.

- Provides constructive feedback on people, process and technology for continuous improvement..

Job Qualifications

Required Education

- Bachelor's Degree.

Required Experience

1-4 years of IT technical experience with IT enterprise infrastructure.

Industry certifications preferred.

Experience in design and management of cloud-based network infrastructure.

Experience in network administration and support in a Microsoft server environment.

Experience with configuring and maintaining network switches, VLANS, routers, and firewalls.

Experience working in a large very complex organization.

Preferred Experience

Experience working within a health care organization.

Experience in a help desk, technology-oriented field, or on a technology support team.

Knowledge of Software-Defined Network (SDWAN), Local Area Networks (LANs), Wireless Local Area Networks (WLANS), and Wide Area Networks (WANs).

Experience utilizing Cisco security suite/tools.

Experience with a Virtual Private Network (VPN), with network monitoring tools or other SNMP monitoring software, and with system backup.

Enterprise (global) AD administration in a Multi-Domain Architecture.

Certifications below or comparable in network, network security and engineering

CISSP (Certified Information System Security Professional)

CISM (Certified Information Security Manager)

MCSE (Microsoft Certified Solutions Expert)

CCNA (Cisco Certified Network Associate) or CCNP (Cisco Certified Network Professional)

Pay Range: $60,415 - $117,809 a year*

*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

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.

#PJCorp

#LI-BEMORE



Job Detail

TMG Data Analyst Intern (Remote in Madison, Wisconsin) - Molina Healthcare
Posted: Nov 10, 2023 07:32
MADISON, WI

Job Description

JOB SUMMARY

The Molina Healthcare Internship Program shares an objective to create a stepping stone 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 with valuable professional work experience and industry insight. The purpose of an internship is to develop talent by providing students with experiential learning, formal training and opportunities to interact with healthcare professionals and community leaders. Interns will perform meaningful work alongside talented professionals, gaining insight to Molina's culture, Mission and Values.

KNOWLEDGE, SKILLS & ABILITIES

We're currently looking for a Data Analyst intern to join our team in summer 2024 to support the Data team at TMG by Molina Healthcare. At TMG, our employees partner with participants of the Wisconsin IRIS program - a Medicaid long-term care option for older adults and people with disabilities. In this position, you will support the Data team in gathering insights into key business problems and deliverables by applying statistical analysis techniques to examine structured and unstructured data from multiple disparate sources.

As an intern, you can expect to:

-Work collaboratively across departments and with customers to define requirements and understand business problems.

-Assist with processing for monitoring, tracking, and trending department data.

-Use analytics software and systems to support the department's goals.

Preferred Experience

-Must possess clear and professional written, verbal and interpersonal communication skills.

-Strong work ethic, self-motivated and ability to develop relationships.

-Good time management, organizational and interpersonal skills required

-Computer experience including MS Word, Excel, O365

-Experience with MS SQL, SAS, Power BI, Python or R

-Excellent critical thinking/problem solving skills

-Ability to handle confidential information

-Ability to maintain confidentiality and to comply with Health Insurance Portability and Accountability Act (HIPAA)

REQUIRED EDUCATION:

Candidate must be currently enrolled in an undergraduate program, with a minimum GPA of 3.0 or higher and pursuing a degree with preference in the following areas - statistics, data analytics, or Computer Science with an emphasis on data science. They must have completed the first two years of their program by summer of 2024 (be a Junior or Senior undergraduate)

Candidate location in the Wisconsin area.

Candidate must possess unrestricted authorization to work in the United States.

*Target pay for internship opportunities: $20/hr

*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

*Molina Healthcare offers a competitive benefits and compensation package.

*Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.



Job Detail

Engineer, EIS - Networking (Hybrid On Site in Madison, WI) - Molina Healthcare
Posted: Nov 10, 2023 07:32
MADISON, WI

Job Description

Job Description

Job Summary

Builds company specific systems and technology expertise across multiple infrastructure and development disciplines

Knowledge/Skills/Abilities

- Responsible for task management and adherence to process controls.

- Responsible for troubleshooting and incident resolution for support functions.

- Contributes to on-call rotation schedules and off-hour support activities.

- Contributes to organize, manage and lead cross-team project tasks and deliverables.

- Contributes to the Infrastructure Solution Architect project design function.

- Contributes to solution architecture delivery within project management methodologies and timelines.

- Contributes to root cause analysis and problem solving.

- Contributes to tactical build and configuration activities.

- Provides cross-organization teamwork, collaboration, communication and leadership.

- Provides constructive feedback on people, process and technology for continuous improvement..

Job Qualifications

Required Education

- Bachelor's Degree.

Required Experience

1-4 years of IT technical experience with IT enterprise infrastructure.

Industry certifications preferred.

Experience in design and management of cloud-based network infrastructure.

Experience in network administration and support in a Microsoft server environment.

Experience with configuring and maintaining network switches, VLANS, routers, and firewalls.

Experience working in a large very complex organization.

Preferred Experience

Experience working within a health care organization.

Experience in a help desk, technology-oriented field, or on a technology support team.

Knowledge of Software-Defined Network (SDWAN), Local Area Networks (LANs), Wireless Local Area Networks (WLANS), and Wide Area Networks (WANs).

Experience utilizing Cisco security suite/tools.

Experience with a Virtual Private Network (VPN), with network monitoring tools or other SNMP monitoring software, and with system backup.

Enterprise (global) AD administration in a Multi-Domain Architecture.

Certifications below or comparable in network, network security and engineering

CISSP (Certified Information System Security Professional)

CISM (Certified Information Security Manager)

MCSE (Microsoft Certified Solutions Expert)

CCNA (Cisco Certified Network Associate) or CCNP (Cisco Certified Network Professional)

Pay Range: $60,415 - $117,809 a year*

*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

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.

#PJCorp

#LI-BEMORE



Job Detail

IRIS Consultant (Madison, WI) (Fieldwork/Hybrid) (No Weekends, No Holidays, No After Hours) - Molina Healthcare
Posted: Nov 10, 2023 07:32
MADISON, WI

Job Description

JOB DESCRIPTION

Job Summary

IDo you want a career where you build lasting relationships with the people you partner with? Do you want to make a difference in the lives of people with long-term health care needs? Then TMG wants to hear from you!

We're currently looking for someone with a social services or human services background to join our team. This is a remote position, where you will partner with people in your community who are enrolled in the Wisconsin IRIS Program and the TMG IRIS Consultant Agency. While your office will be home-based, you will have regularly scheduled visits with IRIS participants in their home and community.

As an IRIS Consultant (IC), you will build relationships with the people you partner with and help them navigate and get the most out of the Wisconsin IRIS program - a Medicaid long-term care option for older adults and people with disabilities. You can learn more about the IRIS program on the Wisconsin Department of Health Services website here (https://dhs.wisconsin.gov/iris/index.htm) . Together, you will identify the long-term care goals of the people enrolled in IRIS, and find creative ways to achieve those goals.

ICs play an important role in helping people of various backgrounds and abilities live the lives that they choose. In fact, people constantly tell us how supportive our ICs are and what a positive impact our ICs have had on their lives! Successful candidates for this position will be compassionate, genuine, resourceful partners with an eye for high quality work, and who are excited to work side-by side with people enrolled in IRIS.

As an IC, you will connect people to the resources available in their community. You will also help them develop customized IRIS plans for achieving their goals related to employment, housing, health, safety, community membership, transportation, and lasting relationships. While you will have a routine for the work that you do, no two days are alike!

TMG wants to find the best possible candidates, so we created this Realistic Job Preview to provide you with an inside look at the position and our organization. Find out more about the IRIS Consultant position by clicking on the link (https://www.youtube.com/watch?v=2vCojx1dK3I) and then reviewing the job posting below.

TMG is committed to maintaining a diverse and inclusive workforce and prioritizes helping staff have a good work/life balance. Even though the position is remote, you'll have lots of support from your TMG team and coworkers across the organization. If this sounds like the job for you, apply today!

KNOWLEDGE/SKILLS/ABILITIES

  • Required to meet in person with the IRIS participant a minimum of four times per year, with one required annual visit in the home of the participant. Because IRIS is a self-directed program, it is important for ICs to be available upon the request of the participant.

  • Responsible for providing program orientation to new participants. During this time, participants will learn their rights and responsibilities as someone enrolled in the IRIS program, including verifying legal documents, completing employee paperwork and the responsible use of public dollars.

  • Explore a broad view of the participant's life, including goals, important relationships, connections with the local community, interest in employment, awareness of the Self-Directed Personal Care option, and back-up support plans.

  • Assist participants in identifying personal outcomes and ensure those outcomes are being met on an ongoing basis, all while staying within the participant's IRIS budget and within the requirements of the IRIS program determined by the Department of Health Services (DHS).

  • Responsible for documenting all orientation and planning activities within the IRIS data system (WISITs) within 48 business hours of the visit with the participant.

  • Research community resources and natural supports that will fit the individual outcomes for each participant and share that information with them as it becomes available.

  • Responsible for documenting progress and changes as needed within the plan and the data system anytime a modification is requested by a participant.

  • Budget Amendment or One-Time Expense paperwork may be required depending upon factors associated with the participant and their individual IRIS budget.

  • Educate participants on how to read and interpret their monthly budget reports to ensure that participants operate within their budget. Being a liaison between the Fiscal Employer Agency and the IRIS Consultant Agency is also a large part of the position, which includes assisting participants with provider billing, seeking support brokers, tracking receipts, ensuring their workers are paid and mitigating areas of potential risk or conflicts of interest.

  • Responsible to develop engaged and trusting relationships with participants and communicate program changes and compliance effectively.

  • Responsible to maintain confidentiality and HIPPA compliance.

  • Work collaboratively with other IRIS Consultant Agency staff in order to ensure a successful implementation of participants' plans.

  • Attend in-person monthly team meetings with other ICs and their supervisor. In addition, weekly IC and IRIS Consultant Supervisor phone check-ins may occur, along with other duties as assigned.

JOB QUALIFICATIONS

Required Education

Bachelor's degree in a social work, psychology, human services, counseling, nursing, special education, or a closely related field (or four years of commensurate experience if no degree).

Required Experience

  • 1+ year of direct experience related to the delivery of social services to the target groups (individuals with intellectual or physical disabilities and older adults).

  • Ability to work independently, with minimal supervision and be self-motivated.

  • Knowledge of Long-Term Care programs and familiarity with principles of self-determination.

  • Excellent problem-solving skills, critical thinking skills and strong basic math skills.

  • Excellent time management and prioritization skills to focus on multiple projects simultaneously and adapt to change.

  • Ability to develop and maintain professional relationships and work through situations without taking it personally.

  • Comfortable working within a variety of settings and adjust style as needed; to work with a diverse population, various personalities, and personal situations.

  • Resourceful and have knowledge of community resources while being proactive and detail oriented.

  • Ability to use a variety of technology including but not limited to, Outlook, Skype, Teams, PowerPoint, Excel, Word, online portals and databases.

Required License, Certification, Association

Must have valid driver's license with good driving record and be able to drive within applicable state or locality with reliable transportation.

Pay Range: $18.04 - $35.17 an hour*

*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

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.



Job Detail