We have other current jobs related to this field that you can find below

  • LTSS Care Coordination Specialist

    6 days ago

    Roanoke, Virginia, United States Elevance Health Full time

    Position Title:LTSS Service Coordinator - RN ClinicianJob Overview:This role involves fieldwork, and candidates should be based in the relevant counties.The LTSS Service Coordinator RN Clinician is tasked with the comprehensive management of member cases within their licensure scope. This includes providing oversight and guidance to non-RN clinicians...

  • LTSS Service Coordinator

    7 days ago

    Roanoke, United States Elevance Health Full time

    This is a field position and the candidate should reside in Salem, Roanoke, Montgomery, and Craig counties.The **LTSS Service Coordinator RN Clinician** is responsible for overall management of member's case within the scope of licensure; provides supervision and direction to non-RN clinicians participating in the member's case in accordance with applicable...

  • LTSS Service Coordinator-RN Clinician

    7 days ago

    Roanoke, United States Elevance Health Full time

    This is a field position and the candidate should reside in Lexington, Buena Vista, Rockbridge County.The **LTSS Service Coordinator RN Clinician** is responsible for overall management of member's case within the scope of licensure; provides supervision and direction to non-RN clinicians participating in the member's case in accordance with applicable state...

  • LTSS Service Coordinator

    3 weeks ago

    Roanoke, United States Elevance Health Full time

    Anticipated End Date: 2024-11-30 Position Title: LTSS Service Coordinator - RN Clinician Job Description: This is a field position and the candidate should reside in Salem, Roanoke, Montgomery, and Craig counties. The LTSS Service Coordinator RN Clinician is responsible for overall management of member's case within the scope of licensure; provides...

  • LTSS Service Coordinator-RN Clinician

    2 months ago

    Roanoke, United States Elevance Health Full time

    Anticipated End Date: 2024-09-30 Position Title: LTSS Service Coordinator-RN Clinician Job Description: This is a field position and the candidate should reside in Lexington, Buena Vista, Rockbridge County. The LTSS Service Coordinator RN Clinician is responsible for overall management of member's case within the scope of licensure; provides supervision and...

  • Case Manager, LTSS

    1 month ago

    Roanoke, United States Molina Healthcare Full time

    Job DescriptionJOB DESCRIPTIONFor this position we are seeking a (RN) Registered Nurse who lives in VIRGINIA and must be licensed for the state of VIRGINIA.Case Manager will work in remote and field setting supporting our Medicaid Population with. Case Manager will be required to physically go to member’s homes to complete Face to Face assessment. You will...

  • LTSS Service Coordinator-RN Clinician

    1 month ago

    Roanoke, United States Elevance Health Full time

    Anticipated End Date:2024-09-30Position Title:LTSS Service Coordinator-RN ClinicianJob Description:This is a field position and the candidate should reside in Lexington, Buena Vista, Rockbridge County.The LTSS Service Coordinator RN Clinician is responsible for overall management of member's case within the scope of licensure; provides supervision and...

  • LTSS Service Coordinator

    4 weeks ago

    Roanoke, United States Elevance Health Full time

    Anticipated End Date:2024-11-30Position Title:LTSS Service Coordinator - RN ClinicianJob Description:This is a field position and the candidate should reside in Salem, Roanoke, Montgomery, and Craig counties.The LTSS Service Coordinator RN Clinician is responsible for overall management of member's case within the scope of licensure; provides supervision and...

  • Long-Term Services Support RN

    15 hours ago

    Roanoke, Virginia, United States Elevance Health Full time

    Position Title:LTSS Service Coordinator - RN ClinicianJob Overview:This role is a field-based position requiring the candidate to manage cases effectively within the designated regions. The LTSS Service Coordinator RN Clinician is tasked with the comprehensive oversight of member cases, ensuring adherence to licensure requirements while providing guidance to...

  • Case Manager

    1 week ago

    Roanoke, United States Rescue Mission of Roanoke Inc. Full time

    Job DescriptionJob DescriptionWho We Are:Since 1948, The Rescue Mission of Roanoke has been on the mission of Helping Hurting People in Jesus Name. The Mission nourishes the mind, body, and spirit, through dedicated team members and volunteers that extend the compassion of Christ to our neighbors in need.We are a faith based, equal opportunity employer.Case...

  • Registered Nurse Service Liaison

    6 days ago

    Roanoke, Virginia, United States Elevance Health Full time

    Position Title:LTSS Service Coordinator - RN ClinicianJob Overview:This role involves fieldwork, and candidates should be based in the designated service areas.The LTSS Service Coordinator RN Clinician is tasked with the comprehensive oversight of a member's case within the boundaries of their licensure. This includes providing guidance and support to non-RN...

  • ADS Case Manager

    1 month ago

    Roanoke, United States DePaul Community Resources Full time

    Benefits: Competitive salary Dental insurance Health insurance Paid time off Training & development Tuition assistance Vision insurance Wellness resources JOB SUMMARY: The primary function of the Case Manager will be to complete and review required case record documentation, work with referral sources and market services, and provide support to families in...

  • RN Case Manager

    1 month ago

    Roanoke, Virginia, United States Carilion Clinic Full time

    RN Case Manager - Internal Medicine Roanoke, VA, US, 24016 Employment Status Full time Shift Day Facility Carilion Clinic - 3 Riverside Requisition Number How You'll Help Transform Healthcare Provides case management for assigned patient populations.Performs patient needs assessments upon admission and at regular intervals; facilitating referrals and...

  • ADS Case Manager

    1 month ago

    Roanoke, United States DePaul Community Resources Full time

    Job DescriptionJob DescriptionBenefits:Competitive salaryDental insuranceHealth insurancePaid time offTraining & developmentTuition assistanceVision insuranceWellness resourcesJOB SUMMARY:The primary function of the Case Manager will be to complete and review required case record documentation, work with referral sources and market services, and provide...

  • RN Case Manager

    4 weeks ago

    Roanoke, Virginia, United States Carilion Clinic Full time

    How You'll Help Transform Healthcare:Provides case management for assigned patient populations. Utilizes clinical expertise, communication and problem solving skills to achieve optimal clinical and resource outcomes. Promotes cost-effective care by minimizing fragmentation, maximizing coordination, and facilitating patient/family movement through the health...

  • RN - Case Manager

    5 months ago

    Roanoke, United States Cephas Consultancy Services Private Limited Full time

    Job DescriptionJob DescriptionAs an& RN Case Manager, your ability to manage patient care and provide services requires substantial, specialized bedside nursing skills for symptom management, crisis intervention and family education. In addition to excellent written/verbal communication, problem solving, and decision making abilities, the candidate should...

  • Hospice RN Case Manager

    5 days ago

    Roanoke, United States Compassus Full time

    Company:CompassusAt Compassus, we know that caring for our teammates is the first step in caring for our patients. We are committed to providing Care for Who You Are and What You Need to balance work and life including flexible scheduling, a supportive family-focused culture and first-class compensation and benefits.Your position perks as a Hospice...

  • Hospice RN Case Manager

    3 days ago

    Roanoke, United States Compassus Full time

    Company:CompassusAt Compassus, we know that caring for our teammates is the first step in caring for our patients. We are committed to providing Care for Who You Are and What You Need to balance work and life including flexible scheduling, a supportive family-focused culture and first-class compensation and benefits.Your position perks as a Hospice...

  • Hospice RN Case Manager

    5 days ago

    Roanoke, United States Compassus Full time

    Company:Have you got the right qualifications and skills for this job Find out below, and hit apply to be considered.CompassusAt Compassus, we know that caring for our teammates is the first step in caring for our patients. We are committed to providing Care for Who You Are and What You Need to balance work and life including flexible scheduling, a...

  • Registered Nurse Case Manager

    3 weeks ago

    Roanoke, United States DePaul Community Resources Full time

    Job DescriptionJob DescriptionGreat News! The Developmental Disabilities Division - Agency Directed Services is growing. DePaul Community Resources is recruiting for a Registered Nurse Case Manager Part-Time (less than 30 hour workweek) Roanoke, VA. JOB SUMMARY:The Registered Nurse Case Manager develops training curriculums, leads training, supports and...

Case Manager, LTSS

1 month ago

Roanoke, United States Molina Healthcare Full time
Job Description

JOB DESCRIPTION

For this position we are seeking a LPN or LCSW who lives in VIRGINIA and must be licensed for the state of VIRGINIA.

Case Manager will work in remote and field setting supporting our Medicaid Population with. Case Manager will be required to physically go to member’s homes to complete Face to Face assessment. You will participate in interdisciplinary care team meetings for our members and ensure they have care plans based on their concerns/health needs. Members have required assessments every six months and can also require “trigger assessments” if they have hospitalizations. Excellent computer skills and attention to detail are very important to multitask between systems, talk with members on the phone, and enter accurate contact notes. This is a fast-paced position and productivity is important.

TRAVEL (50% or more) in the field to do member visits in the surrounding areas will be required. We are looking for a candidate(s) who will work remotely primarily in various areas within VA (Roanoke, Lynchburg, Jarratt, Suffolks, Williamsburg etc. Mileage will be reimbursed.

Home office with internet connectivity of high speed required.

Schedule: Monday thru Friday 8:00AM to 5:00PM. - No weekends are Holidays.

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.
  • 50-75% local travel required.

JOB QUALIFICATIONS

REQUIRED EDUCATION:

  • 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 OR any combination of education and experience that would provide an equivalent background

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.

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)

Active, unrestricted State Nursing license (LVN/LPN) OR Clinical Social Worker license in good standing

Valid driver’s license with good driving record and be able to drive within applicable state or locality with reliable transportation

 

 

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

#LI-AC1

Pay Range: $21.6 - $46.81 / HOURLY
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.