Long Beach, California, United States · Hybrid
JOB DESCRIPTION Job Summary Do 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 …
Skills: Care Coordination, Case Management, Budget Management, Community Resource Research, HIPAA Compliance
Long Beach, California, United States · Hybrid
Home Health Care, Hospice Care, Palliative Care, Long Term Care, Rehab No weekends, No afterhours support, No holidays Job Description Job Summary Are you seeking a unique nursing position that gives you a great work/lif…
Skills: Personal Care Assessment, Case Management, Patient Education, Care Planning, Clinical Documentation
Long Beach, California, United States · On-site
JOB DESCRIPTION Job Summary Provides support for health plan practice transformation activities. Responsible for implementing health plan provider engagement strategies designed to achieve positive quality and risk adjus…
Skills: Provider Engagement, Practice Transformation, Managed Care Quality Improvement, Value-Based Care, Risk Adjustment
Long Beach, California, United States · Remote OK
Molina Healthcare is hiring a Manager, Health Plan Marketing & Communications. This role is remote, with a high preference that candidates live in or near Illinois and be very familiar with Illinois Medicaid. Highly qual…
Skills: Health Plan Marketing, Communications Management, Writing and Editing, Project Management, Regulatory Compliance
Long Beach, California, United States · On-site
$14/hr–$24/hr
JOB DESCRIPTION Job Summary Provides level I support center customer service excellence to meet the needs of Molina members and providers. Resolves issues and addresses needs fairly and effectively, while demonstrating M…
Skills: Customer Service, Call Center Operations, Data Processing, Time Management, HIPAA Compliance
Long Beach, California, United States · On-site
$37k–$80k/yr
JOB DESCRIPTION Job Summary Leads and supervises team responsible for provision of support center customer service excellence to meet the needs of Molina members and providers. Ensures issues and needs are addressed fair…
Skills: Customer Service, Call Center Management, Leadership, Insurance Product Knowledge, Time Management
Long Beach, California, United States · Remote OK
$80k–$157k/yr
Molina Healthcare is hiring a Pharmacist in our Utilization Management/Prior Auth department. This position will be working Monday through Friday from 10:00am to 6:30pm CST with rotating weekends and holidays. Candidates…
Skills: Utilization Management, Prior Authorization, Pharmacy Formulary Management, Clinical Pharmacology, Disease Management
Long Beach, California, United States · Hybrid
$26/hr–$51/hr
This is a remote field-based role requiring travel in these locations: Fremont, Perrysburg, Toledo. Job Summary Provides support for care management/care coordination long-term services and supports (LTSS)-specific activ…
Skills: Care Management, Care Coordination, Member Assessment, Care Planning, Waiver Enrollment
Long Beach, California, United States · Hybrid
$24/hr–$46/hr
***Remote with travel throughout Dane County, WI for member visits*** JOB DESCRIPTION Job Summary Provides support for care management/care coordination long-term services and supports (LTSS)-specific activities. Collabo…
Skills: Care Management, Care Coordination, LTSS, Member Assessment, Care Planning
Long Beach, California, United States · Hybrid
$26/hr–$51/hr
***Remote with travel throughout St. Croix County, WI for member visits*** JOB DESCRIPTION Job Summary Provides support for care management/care coordination long-term services and supports (LTSS)-specific activities. Co…
Skills: Care Management, Case Coordination, Member Assessment, Care Planning, Waiver Enrollment
Long Beach, California, United States · Remote OK
$49k–$107k/yr
JOB DESCRIPTION Job Summary Provides audit support for Molina enterprise risk adjustment activities. Responsible for developing, recommending and implementing controls and cost-effective approaches to minimize the organi…
Skills: Risk Adjustment Data Validation, Medical Record Chart Review, Coding, Audit Management, Corrective Action Plans
Long Beach, California, United States · On-site
$24/hr–$46/hr
JOB DESCRIPTION Family Care with My Choice Wisconsin Job Summary Provides support for care management/care coordination long-term services and supports (LTSS)-specific activities. Collaborates with multidisciplinary team…
Skills: Care Management, Care Coordination, Member Assessment, Care Planning, Waiver Enrollment
Long Beach, California, United States · On-site
JOB DESCRIPTION Family Care with My Choice Wisconsin Job Summary Provides support for care management/care coordination long-term services and supports (LTSS)-specific activities. Collaborates with multidisciplinary team…
Skills: Care Management, Case Coordination, Member Assessment, Care Planning, Waiver Enrollment
Long Beach, California, United States · On-site
JOB DESCRIPTION Job Summary Work Location: California Leads and directs a multidisciplinary team of healthcare services professionals in some or all of the following functions: utilization management, care management, be…
Skills: Utilization Management, Care Management, Behavioral Health, Clinical Leadership, Strategic Planning
Long Beach, California, United States · On-site
JOB DESCRIPTION Job Summary Provides executive level strategy and leadership to team responsible for the development and administration of state health plan operational functions, programs and services - ensuring functio…
Skills: Executive Strategy, Health Plan Operations, Medicare, Medicaid, Marketplace Plans
Long Beach, California, United States · On-site
$24/hr–$46/hr
Job Summary Provides support for care management/care coordination long-term services and supports (LTSS)-specific activities. Collaborates with multidisciplinary team coordinating integrated delivery of member care acro…
Skills: Care Management, Care Coordination, Member Assessment, Care Planning, Waiver Enrollment
Long Beach, California, United States · Remote OK
JOB DESCRIPTION Job Summary Leads and supervises team responsible for provision of support center customer service excellence to meet the needs of Molina members and providers. Ensures issues and needs are addressed fair…
Skills: Customer Service, Call Center Management, Leadership, Insurance Product Knowledge, Time Management
Long Beach, California, United States · On-site
JOB DESCRIPTION Job Summary Provides support for provider claims adjudication activities including responding to providers to address claim issues, and researching, investigating and ensuring appropriate resolution of cl…
Skills: Claims Adjudication, Provider Relations, Data Analysis, Customer Service, Research
Long Beach, California, United States · Remote OK
$72k–$157k/yr
Molina Healthcare is hiring for a Pharmacist, Quality Withold in our Clinical/Medication Therapy Management department. This position is remote but will work Eastern Standard Hours. This role will be reviewing quality me…
Skills: Medication Therapy Management, Clinical Pharmacology, Disease Management, Managed Care, Drug Utilization Review
Long Beach, California, United States · Remote Solely
JOB DESCRIPTION Job Summary This is a fully remote call center role and will work on Pacific time zone. Provides level I support center customer service excellence to meet the needs of Molina members and providers. Resol…
Skills: Bilingual English/Spanish, Customer Service, Call Center Operations, Data Processing, Time Management
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The IRIS Consultant partners with individuals to develop customized long-term care plans and helps them navigate the Wisconsin IRIS program. They act as a liaison between participants and fiscal agencies to ensure goals are met within budget and regulatory requirements.
Requires a Bachelor's degree in social work, psychology, or a related field (or equivalent experience) and at least 2 years of healthcare experience. Candidates must have a valid driver's license and reliable transportation for community visits.
JOB DESCRIPTION
Job Summary
Do 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. 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 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 Qualifications
• At least 2 years experience in health care, preferably in care coordination, and at least 1 year of experience serving target groups of the IRIS program (adults with intellectual/physical disabilities or older adults), or equivalent combination of relevant education and experience.
• 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).
• Valid and unrestricted driver's license, reliable transportation, and adequate auto insurance for job related travel requirements unless otherwise required by law.
• Ability to develop positive and effective work relationships with coworkers, clients, participants, providers, regulatory agencies and vendors.
• Ability to work independently with minimal supervision and demonstrate self-motivation.
• Demonstrated knowledge of long-term care programs.
• Familiarity with principles of self-determination.
• Problem-solving and critical-thinking skills.
• Excellent time-management and prioritization skills.
• Ability to focus on multiple projects simultaneously and adapt to change.
• Ability to develop and maintain professional relationships and work through challenging situations.
• Comfortable working within a variety of settings with ability to adjust style as needed to work with diverse populations, various personalities, and personal situations.
• Demonstrated knowledge of community resources.
• Proactive and detail-oriented.
• Excellent verbal and written communication skills.
• Microsoft Office suite/applicable software program(s) proficiency.
To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V
Molina Healthcare is a FORTUNE 500 company that is focused exclusively on government-sponsored health care programs for families and individuals who qualify for government sponsored health care. Molina Healthcare contracts with state governments and serves as a health plan providing a wide range of quality health care services to families and individuals. Molina Healthcare offers health plans in Arizona, California, Florida, Idaho, Illinois, Kentucky, Massachusetts, Michigan, Mississippi, Nevada, New Mexico, New York, Ohio, South Carolina, Texas, Utah, Virginia, Washington and Wisconsin. Molina also offers a Medicare product and has been selected in several states to participate in duals demonstration projects to manage the care for those eligible for both Medicaid and Medicare.
Offices: 200 Oceangate, Long Beach, California 90802, US
Molina Healthcare is a FORTUNE 500 company that is focused exclusively on government-sponsored health care programs for families and individuals who qualify for government sponsored health care. Molina Healthcare contracts with state governments and serves as a health plan providing a wide range of quality health care services to families and individuals. Molina Healthcare offers health plans in Arizona, California, Florida, Idaho, Illinois, Kentucky, Massachusetts, Michigan, Mississippi, Nevada, New Mexico, New York, Ohio, South Carolina, Texas, Utah, Virginia, Washington and Wisconsin. Molina also offers a Medicare product and has been selected in several states to participate in duals demonstration projects to manage the care for those eligible for both Medicaid and Medicare.
Offices: 200 Oceangate, Long Beach, California 90802, US
