Member Health Assessor (must reside in WI)

Remote Full-time
Job Description

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
• Utilizes a collaborative process of assessment, planning, implementation and evaluation to engage, educate, and promote members' decisions related to achieving and maintaining optimal health status.
• May request RN input for member care planning.
• Typically works with members with moderate to complex clinical needs.
• Conducts standardized Health Risk Appraisals (HRA) and applicable assessments, including the verification of medical history and current health and wellness needs.
• Expected to meet daily production standards in terms of member outreach.
• Utilizes a web-based software system to document all assessments, activities and education provided.
• Develops a problem list and individualized care plan using program protocols based on the members needs and preferences.
• Conducts telephonic education to promote self-management strategies for all applicable conditions.
• 5 - 15% local travel may be required.

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 in a social science, psychology, gerontology, public health or social work.

Required Experience

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

Required License, Certification, Association
• If licensed, 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.

Preferred Experience

3-5 years in case management, disease management, managed care or medical or behavioral health settings.

Preferred License, Certification, Association

Any of the following:

Licensed Clinical Social Worker (LCSW), Advanced Practice Social Worker (APSW), Certified Case Manager (CCM), Certified in Health Education and Promotion (CHEP), Licensed Professional Counselor (LPC/LPCC), Respiratory Therapist, or Licensed Marriage and Family Therapist (LMFT).

To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing.

Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.

#PJHS

Pay Range: $21.82 - $42.55 / HOURLY
• Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

Apply Now

Apply Now

Similar Opportunities

Experienced Registered Behavior Technician for In-Home ABA Therapy - Atlanta, GA

Remote Full-time

Immediate Hiring: Experienced Registered Behavioral Technician (RBT) for Clinic-Based ABA Therapy Services

Remote Full-time

Experienced Registered Behavioral Technician (RBT) - ABA Therapy for Children with Autism Spectrum Disorder

Remote Full-time

Experienced Registered Nurse - Telehealth: Providing Remote Care Coordination and Patient Support

Remote Full-time

Experienced Substitute Teacher for Riverside County Schools - Join Scoot Education's Innovative Team

Remote Full-time

Experienced Substitute Teacher for San Bernardino County - Flexible Schedules & Competitive Pay

Remote Full-time

Experienced School Year Instructional Coach for High-Dosage Tutoring Programs in Edgewater Park, NJ

Remote Full-time

Experienced School Year Tutor for K-8 Students in Math and Literacy - Mickleton, NJ

Remote Full-time

Experienced Secondary Social Studies Teacher for Kansas - Flexible Hybrid Remote Arrangement

Remote Full-time

USPS Office Helper

Remote Full-time

Experienced Remote Data Entry Specialist – E-commerce Data Management and Entry Role with Flexible Hours and Comprehensive Training at arenaflex

Remote Full-time

Immediately Need Adjunct, Dance in Philadelphia, PA

Remote Full-time

AVP, Strategic Analytics (Data Science) (Remote)

Remote Full-time

**Experienced Data Entry Specialist – Remote Opportunity at arenaflex**

Remote Full-time

Immediate Hiring: Southwest Airline Jobs Work At Home $20/H –

Remote Full-time

Experienced Identity and Access Management Developer - SailPoint Implementation and Integration Expert for Enhanced Security Posture at arenaflex

Remote Full-time

Technical Project/Program Manager – Agentic AI Focused

Remote Full-time

Sr. National Account Manager, Whole Foods – Amazon Store

Remote Full-time

Experienced Remote Data Entry Specialist - Part-Time Opportunity with Competitive Compensation at blithequark

Remote Full-time

No Experience Amazon Data Entry Jobs

Remote Full-time
← Back to Home