Jobs in Oregon Dane County, WI

This role owns the financial operations of the business and supports sales execution so momentum, cash flow, and client confidence are never constrained by the founder.

You operate as a trusted proxy for the founder, with real authority over financial execution, revenue operations, and client follow-through. If it touches money, forecasting, invoicing, payroll, or sales follow-up, you own it.

This is a role for someone who brings judgment, professionalism, and calm authority, not someone waiting for direction.

Primary Responsibilities:

1. Financial Ownership & P&L Visibility (Primary)

You fully own day-to-day financial operations and clarity, including:

• End-to-end ownership of P&L accuracy and visibility
• Payroll execution and review
• Accounts payable and vendor payments
• Invoicing, accounts receivable, and payment follow-up
• Credit card and expense reconciliation
• Management of the accounting inbox and all financial communications
• Reducing outsourced accounting work by 80%+ through internal ownership
• Designing and enforcing clean, repeatable client onboarding and invoicing processes
• PO creation and follow-up to ensure engineering work starts without delay

The founder does not monitor QuickBooks, AR/AP, payroll, or invoice status.

2. Project Accounting, Forecasting & Cash Control

You ensure financial reality is always visible, current, and actionable.

This includes:

• Project-level financial tracking
• Revenue and cash flow forecasting
• Clear visibility into:
• When revenue is expected
• When cash is received
• Where timing, scope, or margin is drifting
• Surfacing risk early—before it becomes disruptive
• Providing clean inputs to support hiring, spending, and delivery decisions

This role exists to keep the business on offense, not reacting late.

3. Sales Execution Support & Revenue Operations

You support sales by ensuring nothing stalls due to lack of follow-up, organization, or discipline.

This includes:

• Owning inbound lead follow-up from website and HubSpot
• Prompt, professional calling and emailing of warm leads
• Ensuring every lead and deal has a clear next action
• Booking meetings without founder coordination
• Maintaining CRM discipline with zero stale deals
• Supporting phone and inbox management related to sales follow-up
• Coordinating with marketing, HubSpot workflows, and WordPress as needed

You are not the closer.

You ensure closers stay focused, prepared, and unblocked.

4. Client Experience & Professional Representation (Non-Negotiable)

You own the client journey from first contact through billing and project kickoff.

This includes:

• Managing onboarding from PO through project start
• Sending and tracking W-9s, ACH/wire details, intake forms, and onboarding materials
• Setting clear expectations around billing, milestones, and payment timing
• Acting as the primary point of contact for billing clarity and follow-through
• Ensuring a clean handoff from Sales to Engineering and Operations

This is a client-facing role.

Professionalism, clarity, confidence, and consistency are required.

Clients should consistently feel:

• Trust
• Control
• Competence

Every interaction matters.

Tools & Systems

• QuickBooks (P&L, invoicing, AP/AR, project accounting)
• HubSpot (CRM, pipelines, dashboards, follow-ups)
• Microsoft 365 (Outlook, Teams, OneDrive)
• ADP (Payroll – training provided)
• Calendly
• AI tools including ChatGPT, , Fireflies, and Zapier

Required Experience & Profile

This role is for someone with ownership-level experience, not support-only exposure.

Required:

• 2–10 years of experience in one or more of:
• Finance Operations
• Revenue Operations
• Accounting or Controller support
• Client Operations
• Sales Operations
• Experience working closely with a founder or senior executive
• Proven comfort owning money, follow-up, and decisions
• Hands-on experience with:
• Invoicing, AR, and AP
• Financial operations and reporting
• CRM systems (HubSpot preferred)
• Strong written and verbal communication
• Calm, professional presence in client and vendor conversations
• Ability to exercise judgment without constant escalation

Preferred:

• Degree in Business, Finance, Accounting, Operations, or related field
• Experience in manufacturing, engineering, or project-based businesses
• Experience representing a company in financial or client-facing discussions

What This Role Is Not

• Not an administrative-only role
• Not calendar management as a primary function
• Not a “wait for instructions” position

This role requires ownership, discretion, and polish.

Success Looks Like

• The founder trusts the numbers without hesitation
• Financial risk is visible early
• Clients experience clean, professional follow-through
• Sales momentum is supported without founder involvement
• The business runs cleaner, calmer, and faster

Heritage Tile seeks an Project Architect/Designer to join our creative team in Verona, WI.

Join a team of dedicated and enthusiastic professionals making a difference by creating beautiful spaces and restoring historical places all around the world. We are redefining how tile is designed, produced, promoted, and distributed. This is a chance to thrive at a company that will appreciate your creativity, collaboration, values, and commitment to our shared vision. We value what makes you unique and the skills and experience you bring with you.

As Project Architect/Designer, your role will be to assist clients in a wide range of new construction and remodeling projects, hospitality design, historic preservation, and sustainable building. You will be helping clients achieve their desired outcomes on all aspects of tile design, installation, care & maintenance, historical references, aesthetic details, color and finish, and coordination with other surfaces in a variety of tile applications. This is a vital role in which you will demonstrate your “people” skills as you interact with our clients, organizational skills in managing complex project requirements, and collaboration skills in working with internal and external team members to coordinate all aspects of the project through a successful completion.

Your Responsibilities:

• Manage project activities from initial design concepts through order fulfillment
• Develop SketchUp models of interiors to demonstrate tile design and application
• Utilize 3D printing resources to create and render production tools, product prototypes, etc.
• Collaborate with homeowners, contractors, architects, and interior designers on project design details
• Work with internal stakeholders such as Marketing and product management, customer support, and operations to facilitate project fulfillment
• Manage and prioritize workflow based on customer need and resource availability
• Address client questions and requests via phone, email and online chat
• Collaborate on new product development with tilemakers around the world
• Assist in the resolution of project changes and order exceptions
• Prepare and present IDCEC-accredited CEU programs via live webinar and on-demand
• Become an authority on Heritage Tile’s increasing portfolio of tile products

We Value:

• An interest in Interior Architecture and an appreciation of aesthetics
• Proficiency with Sketchup and AutoCAD design and rendering tools
• An established practice in technical resourcefulness and problem-solving
• A customer-centric mindset contributing ideas new business opportunities
• Strong project management skills and attention to detail
• Team players to thrive in a collaborative working environment
• Strong interpersonal communication and presentation skills
• Excellent narrative writing and story-telling skills
• Excellent organizational and project planning ability

Heritage Tile offers excellent compensation based on qualifications, experience and potential for advancement. We are a mission-based culture that rewards creative and committed professionals with exceptional opportunities for personal and career growth.

About Heritage Tile

Heritage Tile, LLC is an international producer, marketer and distributor of specialty ceramic tile and stone products, specializing in historically-authentic prewar American subway tile and mosaics as well as cultural traditions in tilework directly sourced from around the world. To learn more about Heritage Tile visit

Ready to roll up your sleeves and bring cutting-edge fiber technology to life? As part of our Horizontal Directional Drilling Team, you'll be at the heart of building and maintaining our state-of-the-art PON/fiber network.

If you have exeprience with horizontal directional drilling or locating for the drill, and want to be based close to home, this role is for you. This position is full‑time, year‑round, with a few weeks travel required for training.

Pay Transparency

The pay for this position ranges from *$22.62 to $41.42 per hour. *The listed pay range reflects the minimum and maximum base salary. Actual offers will be based on factors such as skills, qualifications, experience, location, and role-specific competencies. Some positions may also offer additional compensation, such as bonuses or equity awards.

This role includes a $5,000 sign‑on bonus (payout terms apply) and may qualify for relocation assistance.

Outside Plant Construction Technicians can also earn up to $75 per week in incentives when your team meets production targets.

From installing buried and aerial fiber facilities to mastering construction equipment like trenchers, backhoes, end loaders, and plows, you'll make a real impact every day. You'll also install, test, troubleshoot, and repair fiber facilities to keep our customers connected. If you love working with your hands, being outdoors, and making a difference in your community, this is the role for you!

What You'll Do:

• Operate horizontal directional drill or locate for the drill.
• Restore job sites and keep accurate project labels and markings.
• Support fiber splicing and repair activities.
• Climb poles, ladders, and structures; operate bucket trucks as needed.
• Install, maintain, test, and repair buried and aerial fiber lines.
• Operate construction equipment such as trenchers, plows, excavators, and locators.
• Set pedestals, vaults, handholes, and other outside plant infrastructure.

Why You'll Love This Role:

• Flexible, full‑time year‑round schedule.
• Hands‑on, outdoor work building real infrastructure that matters.
• Work with a company that has 50+ years of telecom experience and a strong reputation for fiber innovation.

Training:

• CDL training for qualified associates.
• Safety training, pole climbing, bucket truck operation.
• Fiber optic basics: fusion splicing, fault detection, OTDR.
• Construction equipment operation (drill rigs, trenchers, mini excavators).

The duration of training varies based on the team assignment. Training for underground teams is 3 weeks, with an additional 1 week required for aerial training.

What We’re Looking For:

• Self-Motivated: You’re driven, ambitious, and always looking for ways to improve.
• Attention to Detail: You are committed to following safety protocols, and you take pride in precision, ensuring every measurement and assembly is accurate.
• Teamwork and Communication: You have strong communication skills and thrive in collaborative environments.

What You’ll Do:

Conduct general construction tasks in various weather conditions, adhering to safety standards.

• Aids in transporting construction equipment to and from the worksite.
• Assists with and executes the installation of aerial and buried fiber based on maps, staking sheets, and locate markings.
• Operates hand tools, cable locators, and testing equipment as needed.
• Installs and sets enclosures, including buried and aerial vaults, pedestals, and handholes.
• Climbs poles, ladders, towers, and other structures as required, utilizing a bucket truck when necessary.
• Labels and marks fiber optic and copper facilities accurately.
• Utilizes dispatching applications and relevant tools for project coordination.
• Supports fiber splicing, repairs, and outside plant maintenance activities.
• Restores landscapes to original condition upon project completion.

The functions listed above are intended to describe the general nature and level of work being performed by associates assigned to this job. They are not intended to be an exhaustive list of all responsibilities; other duties may be assigned.

Required Qualifications

• 6+ months experience in any combination of the following areas: customer service, electrical or utility construction, -OR-technical certification (or higher) -OR- current military service, or prior military service with honorable discharge.
• Must follow the TDS attendance guidelines in order to meet TDS’s business needs including but not limited to our obligations to our customers and to our customers’ needs.
• Must have and maintain a valid driver’s license and remain eligible for DOT requirements.

Other Qualifications

• Must have the ability to obtain a Class A CDL. A current CDL is preferred at hire, but TDS will train and certify eligible associates through its in-house CDL certification program after hire.
• Physical requirements may vary based on company needs: Ability to climb poles, ladders, towers, and other structures as needed. Ability to kneel, dig, lift, and pull.
• Upon hire, must successfully pass all components of the Safety Training course curriculum.
• Upon hire, must successfully complete customer-specific requirements, which may include a background check administered by the customer.
• Horizontal directional drilling experience preferred.
• Basic understanding of telecommunication products and services.
• Proven organizational skills and ability to multi-task.
• May require occasional travel.
• Must be willing to work overtime as needed. May be required to work various/swing shifts as business needs dictate.
• Must be able to operate vehicles with manual transmissions.

Do you meet the Required Qualifications but are unsure if your experience aligns with the Other Qualifications? We encourage you to apply! Research shows that many candidates hesitate to apply unless they meet 100% of the qualifications, even when they possess the skills and experience needed to succeed in the role. Experience and skills come in many forms, and they may not always match exactly what’s listed on paper, but they can still lead to success. If you meet the Required Qualifications and believe you have the potential to thrive in this role, we encourage you to apply today!

Physical Demands and Work Environment

This role involves frequent physical activity, including standing, walking, kneeling, climbing, and lifting up to 50 pounds regularly (occasionally over 100 pounds). Vision requirements include close, distance, color, and depth perception.

Work conditions often include outdoor weather, attics, crawl spaces, and high-risk areas like high voltage zones, trenches, and manholes. Exposure to heavy equipment, fumes, vibration, extreme temperatures, and loud noise is common.

Benefits

We believe in taking care of our team, which is why we offer comprehensive benefits to support your health, financial well-being, and overall happiness. Join us and experience a work environment where your well-being is a top priority!

Associates scheduled to work 20 or more hours per week have access to:

• Medical Coverage
• Dental Coverage
• Vision Coverage
• Life Insurance
• 401(k) Plan
• Generous Vacation & Paid Sick Leave
• Seven Paid National Holidays & One Floating Holiday
• Paid Parental Leave (6 weeks after 12 months of employment)
• Adoption & Surrogacy Assistance
• Employee Assistance & Wellness Programs 

Associates working 30 or more hours per week additionally have access to:

• Short-Term & Long-Term Disability
• TDS Service Discounts
• Education Assistance
• Paid Volunteer Time 

In addition to these benefits, all associates will have the opportunity to participate in our Associate Resource Groups, which are designed to encourage community and facilitate professional development. To learn more, click here.

Who is TDS Telecom?

TDS Telecom provides high-speed internet, TV entertainment, and phone services to a diverse range of communities, including small to mid-sized urban, suburban, and rural areas across the U.S. With over 50 years of experience, TDS is committed to building and expanding fiber optic networks that bring cutting-edge connectivity to neighborhoods nationwide. Serving over 1 million connections, our mission is to create a better world by delivering innovative communication solutions that enhance the way people live, work, and connect. Visit  to learn more! 

At TDS, we are committed to Equal Employment Opportunity (EEO) and value the difference of backgrounds, experiences and perspectives in our workforce. We consider all qualified applicants without regard to race, color, age, religion, sex, sexual orientation, gender identity, national origin, disability, status as a protected veteran, or any other status protected by law.

Pay Transparency

The pay for this position ranges from *$22.62 to $41.42 per hour.

*The listed pay range reflects the minimum and maximum base salary. Actual offers will be based on factors such as skills, qualifications, experience, location, and role-specific competencies. Some positions may also offer additional compensation, such as bonuses or equity awards.

JOB DESCRIPTION Job Summary

Provides support for care management/care coordination long-term services and supports specific activities and collaborates with multidisciplinary team coordinating integrated delivery of member care across the continuum for members with high-need potential. Strives to ensure member progress toward desired outcomes and contributes to overarching strategy to provide quality and cost-effective member care.

 

Essential Job Duties

• Completes comprehensive member assessments within regulated timelines, including in-person home visits as required.

• Facilitates comprehensive waiver enrollment and disenrollment processes.

• Develops and implements care plans, including a waiver service plan in collaboration with members, caregivers, physicians and/or other appropriate health care professionals and member support network to address the member needs and goals.

• Performs ongoing monitoring of 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 (LTSS) and home and community resources to enhance continuity of care.

• Assesses for medical necessity and authorizes all appropriate waiver services.

• Evaluates covered benefits and advises appropriately regarding funding sources.

• Facilitates interdisciplinary care team (ICT) 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 and provides care coordination and assistance to members to address psycho/social, financial, and medical obstacles concerns.

• Identifies critical incidents and develops prevention plans to assure member health and welfare.

• Collaborates with licensed care managers/leadership as needed or required.

• 25-40% estimated local travel may be required (based upon state/contractual requirements).

 

Required Qualifications

• At least 2 years health care experience, including at least 1 year of experience working with persons with disabilities/chronic conditions long-term services and supports (LTSS), and 1 year of experience in care management, or experience in a medical and/or behavioral health setting, or equivalent combination of relevant education and experience. 

•Licensed Practical Nurse (LPN) or Licensed Vocational Nurse (LVN). Clinical licensure and/or certification required ONLY if required by state contract, regulation, business operating model, or state board licensing mandates. If licensed, license must be active and unrestricted in state of practice.

• In some states, a bachelor's degree in a health care related field may be required (dependent upon state/contractual requirements).

• Valid and unrestricted driver's license, reliable transportation, and adequate auto insurance for job related travel requirements, unless otherwise required by law.

• Demonstrated knowledge of community resources.

• Ability to work within a variety of settings and adjust style as needed - working with diverse populations, various personalities and personal situations.

• Ability to operate proactively and demonstrate detail-oriented work.

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

• Ability to demonstrate responsiveness in all forms of communication, and remain calm in high-pressure situations.

• Ability to develop and maintain professional relationships.

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

• Excellent problem-solving, and critical-thinking skills.

• Strong verbal and written communication skills.

• Microsoft Office suite/applicable software program proficiency, and ability to navigate online portals and databases.

• In some states, a bachelor's degree in a health care related field may be required (dependent upon state/contractual requirements).

Preferred Qualifications

• Certified Case Manager (CCM), Licensed Vocational Nurse (LVN) or Licensed Practical Nurse (LPN). License must be active and unrestricted in state of practice.

• Experience working with populations that receive waiver services.

 

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

#PJHS

#HTF

Pay Range: $24 - $46.81 / HOURLY
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

JOB DESCRIPTION Job Summary

Provides support for care management/care coordination long-term services and supports specific activities and collaborates with multidisciplinary team coordinating integrated delivery of member care across the continuum for members with high-need potential. Strives to ensure member progress toward desired outcomes and contributes to overarching strategy to provide quality and cost-effective member care.

 

Essential Job Duties

• Completes comprehensive member assessments within regulated timelines, including in-person home visits as required.

• Facilitates comprehensive waiver enrollment and disenrollment processes.

• Develops and implements care plans, including a waiver service plan in collaboration with members, caregivers, physicians and/or other appropriate health care professionals and member support network to address the member needs and goals.

• Performs ongoing monitoring of 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 (LTSS) and home and community resources to enhance continuity of care.

• Assesses for medical necessity and authorizes all appropriate waiver services.

• Evaluates covered benefits and advises appropriately regarding funding sources.

• Facilitates interdisciplinary care team (ICT) 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 and provides care coordination and assistance to members to address psycho/social, financial, and medical obstacles concerns.

• Identifies critical incidents and develops prevention plans to assure member health and welfare.

• Collaborates with licensed care managers/leadership as needed or required.

• 25-40% estimated local travel may be required (based upon state/contractual requirements).

 

Required Qualifications

• At least 2 years health care experience, including at least 1 year of experience working with persons with disabilities/chronic conditions long-term services and supports (LTSS), and 1 year of experience in care management, or experience in a medical and/or behavioral health setting, or equivalent combination of relevant education and experience. 

•Licensed Practical Nurse (LPN) or Licensed Vocational Nurse (LVN). Clinical licensure and/or certification required ONLY if required by state contract, regulation, business operating model, or state board licensing mandates. If licensed, license must be active and unrestricted in state of practice.

• In some states, a bachelor's degree in a health care related field may be required (dependent upon state/contractual requirements).

• Valid and unrestricted driver's license, reliable transportation, and adequate auto insurance for job related travel requirements, unless otherwise required by law.

• Demonstrated knowledge of community resources.

• Ability to work within a variety of settings and adjust style as needed - working with diverse populations, various personalities and personal situations.

• Ability to operate proactively and demonstrate detail-oriented work.

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

• Ability to demonstrate responsiveness in all forms of communication, and remain calm in high-pressure situations.

• Ability to develop and maintain professional relationships.

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

• Excellent problem-solving, and critical-thinking skills.

• Strong verbal and written communication skills.

• Microsoft Office suite/applicable software program proficiency, and ability to navigate online portals and databases.

• In some states, a bachelor's degree in a health care related field may be required (dependent upon state/contractual requirements).

Preferred Qualifications

• Certified Case Manager (CCM), Licensed Vocational Nurse (LVN) or Licensed Practical Nurse (LPN). License must be active and unrestricted in state of practice.

• Experience working with populations that receive waiver services.

 

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

#PJHS

#HTF

Pay Range: $24 - $46.81 / HOURLY
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

JOB DESCRIPTION Job Summary

Provides support for care management/care coordination long-term services and supports specific activities and collaborates with multidisciplinary team coordinating integrated delivery of member care across the continuum for members with high-need potential. Strives to ensure member progress toward desired outcomes and contributes to overarching strategy to provide quality and cost-effective member care.

 

Essential Job Duties

• Completes comprehensive member assessments within regulated timelines, including in-person home visits as required.

• Facilitates comprehensive waiver enrollment and disenrollment processes.

• Develops and implements care plans, including a waiver service plan in collaboration with members, caregivers, physicians and/or other appropriate health care professionals and member support network to address the member needs and goals.

• Performs ongoing monitoring of 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 (LTSS) and home and community resources to enhance continuity of care.

• Assesses for medical necessity and authorizes all appropriate waiver services.

• Evaluates covered benefits and advises appropriately regarding funding sources.

• Facilitates interdisciplinary care team (ICT) 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 and provides care coordination and assistance to members to address psycho/social, financial, and medical obstacles concerns.

• Identifies critical incidents and develops prevention plans to assure member health and welfare.

• Collaborates with licensed care managers/leadership as needed or required.

• 25-40% estimated local travel may be required (based upon state/contractual requirements).

 

Required Qualifications

• At least 2 years health care experience, including at least 1 year of experience working with persons with disabilities/chronic conditions long-term services and supports (LTSS), and 1 year of experience in care management, or experience in a medical and/or behavioral health setting, or equivalent combination of relevant education and experience. 

•Licensed Practical Nurse (LPN) or Licensed Vocational Nurse (LVN). Clinical licensure and/or certification required ONLY if required by state contract, regulation, business operating model, or state board licensing mandates. If licensed, license must be active and unrestricted in state of practice.

• In some states, a bachelor's degree in a health care related field may be required (dependent upon state/contractual requirements).

• Valid and unrestricted driver's license, reliable transportation, and adequate auto insurance for job related travel requirements, unless otherwise required by law.

• Demonstrated knowledge of community resources.

• Ability to work within a variety of settings and adjust style as needed - working with diverse populations, various personalities and personal situations.

• Ability to operate proactively and demonstrate detail-oriented work.

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

• Ability to demonstrate responsiveness in all forms of communication, and remain calm in high-pressure situations.

• Ability to develop and maintain professional relationships.

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

• Excellent problem-solving, and critical-thinking skills.

• Strong verbal and written communication skills.

• Microsoft Office suite/applicable software program proficiency, and ability to navigate online portals and databases.

• In some states, a bachelor's degree in a health care related field may be required (dependent upon state/contractual requirements).

Preferred Qualifications

• Certified Case Manager (CCM), Licensed Vocational Nurse (LVN) or Licensed Practical Nurse (LPN). License must be active and unrestricted in state of practice.

• Experience working with populations that receive waiver services.

 

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

#PJHS

#HTF

Pay Range: $24 - $46.81 / HOURLY
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

JOB DESCRIPTION Job Summary

Provides support for care management/care coordination long-term services and supports specific activities and collaborates with multidisciplinary team coordinating integrated delivery of member care across the continuum for members with high-need potential. Strives to ensure member progress toward desired outcomes and contributes to overarching strategy to provide quality and cost-effective member care.

 

Essential Job Duties

• Completes comprehensive member assessments within regulated timelines, including in-person home visits as required.

• Facilitates comprehensive waiver enrollment and disenrollment processes.

• Develops and implements care plans, including a waiver service plan in collaboration with members, caregivers, physicians and/or other appropriate health care professionals and member support network to address the member needs and goals.

• Performs ongoing monitoring of 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 (LTSS) and home and community resources to enhance continuity of care.

• Assesses for medical necessity and authorizes all appropriate waiver services.

• Evaluates covered benefits and advises appropriately regarding funding sources.

• Facilitates interdisciplinary care team (ICT) 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 and provides care coordination and assistance to members to address psycho/social, financial, and medical obstacles concerns.

• Identifies critical incidents and develops prevention plans to assure member health and welfare.

• Collaborates with licensed care managers/leadership as needed or required.

• 25-40% estimated local travel may be required (based upon state/contractual requirements).

 

Required Qualifications

• At least 2 years health care experience, including at least 1 year of experience working with persons with disabilities/chronic conditions long-term services and supports (LTSS), and 1 year of experience in care management, or experience in a medical and/or behavioral health setting, or equivalent combination of relevant education and experience. 

•Licensed Practical Nurse (LPN) or Licensed Vocational Nurse (LVN). Clinical licensure and/or certification required ONLY if required by state contract, regulation, business operating model, or state board licensing mandates. If licensed, license must be active and unrestricted in state of practice.

• In some states, a bachelor's degree in a health care related field may be required (dependent upon state/contractual requirements).

• Valid and unrestricted driver's license, reliable transportation, and adequate auto insurance for job related travel requirements, unless otherwise required by law.

• Demonstrated knowledge of community resources.

• Ability to work within a variety of settings and adjust style as needed - working with diverse populations, various personalities and personal situations.

• Ability to operate proactively and demonstrate detail-oriented work.

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

• Ability to demonstrate responsiveness in all forms of communication, and remain calm in high-pressure situations.

• Ability to develop and maintain professional relationships.

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

• Excellent problem-solving, and critical-thinking skills.

• Strong verbal and written communication skills.

• Microsoft Office suite/applicable software program proficiency, and ability to navigate online portals and databases.

• In some states, a bachelor's degree in a health care related field may be required (dependent upon state/contractual requirements).

Preferred Qualifications

• Certified Case Manager (CCM), Licensed Vocational Nurse (LVN) or Licensed Practical Nurse (LPN). License must be active and unrestricted in state of practice.

• Experience working with populations that receive waiver services.

 

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

#PJHS

#HTF

Pay Range: $24 - $46.81 / HOURLY
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.