Field Case Manager, LTSS
3 weeks ago
JOB DESCRIPTION
Opportunity for TX licensed RN residing in the South Dallas County service delivery area to join our LTSS Team as a Case Manager working with our Medicaid members. Part of the responsibilities of the role is to conduct face-to-face meetings with the members in their homes, completing assessments needed for determining the types of services we need to provide. Preference will be given to those candidates with previous LTSS experience. Mileage is reimbursed as part of our benefits package. Hours are Monday – Friday, 8 AM – 5 PM CST.
Solid experience with Microsoft Office Suite is necessary, especially with Outlook, Excel, Teams, and One Note.
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)
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: $26.41 - $51.49 / HOURLY
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
-
Field Case Manager, LTSS
5 days ago
Dallas, United States Molina Healthcare Full timeJOB DESCRIPTION Opportunity for Texas licensed RN to join Molina as a Case Manager working with our Medicaid members in the Dallas service delivery area. Part of the responsibilities of the role is to conduct face-to-face meetings with the members in their homes, completing assessments needed for determining the types of services we need to provide....
-
Field Case Manager, LTSS
3 days ago
Dallas, United States Molina Healthcare Full timeJOB DESCRIPTION Opportunity for TX licensed RN residing in the South Dallas County service delivery area to join our LTSS Team as a Case Manager working with our Medicaid members. Part of the responsibilities of the role is to conduct face-to-face meetings with the members in their homes, completing assessments needed for determining the types of services...
-
LTSS Service Care Manager
4 weeks ago
Dallas, United States Spectraforce Technologies Full timeTitle: LTSS Care Navigator Duration: 6 Months with potential to extend Location: Remote 8:00 am - 5:00 pmWalk me through the day to day responsibilities of this the role and a description of the project (Outside of Workday JD): Telehealth assessments/ face to face if in area. (Bi-annual) Review assessments & service plans (vendor or internal assessments)...
-
Senior LTSS Service Care Manager
2 weeks ago
Dallas, United States Pyramid Consulting Full timeImmediate need for a talented Senior LTSS Service Care Manager (RN). This is a 06+months contract opportunity with long-term potential and is located in Dallas, TX(Remote). Please review the job description below and contact me ASAP if you are interested. Job ID: 24-54535 Pay Range: $38 - $44/hour. Employee benefits include, but are not limited to, health...
-
LTSS Service Coordinator-RN Clinician
1 week ago
Dallas, United States Elevance Health Full timeLTSS Service Coordinator-RN ClinicianAnticipated End Date: 2025-02-28 Position Title: LTSS Service Coordinator-RN Clinician Job Description: Location: This is a field position and the candidate should reside in Dallas, TX. The LTSS Service Coordinator RN Clinician is responsible for overall management of member's case within the scope of licensure;...
-
LTSS Service Coordinator-RN Clinician
2 months ago
dallas, United States Elevance Health Full timeLTSS Service Coordinator-RN ClinicianAnticipated End Date: Position Title: LTSS Service Coordinator-RN Clinician Job Description: Location: This is a field position and the candidate should reside in Dallas, TX. The LTSS Service Coordinator RN Clinician is responsible for overall management of member's case within the scope of licensure; provides...
-
Dallas, Texas, United States Centene Corporation Full timeAbout the RoleWe are seeking a highly skilled Senior LTSS Service Care Manager to join our team at Centene Corporation. As a key member of our care management team, you will play a vital role in transforming the health of our communities by providing exceptional patient care and advocacy.
-
LTSS Service Coordinator-RN Clinician
4 weeks ago
Dallas, United States Elevance Health Full timeLTSS Service Coordinator-RN ClinicianAnticipated End Date:2025-02-28Position Title:LTSS Service Coordinator-RN ClinicianJob Description:Location: This is a field position and the candidate should reside in Dallas, TX.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
4 weeks ago
Dallas, United States Elevance Health Full timeLTSS Service Coordinator-RN ClinicianAnticipated End Date:2025-02-28Position Title:LTSS Service Coordinator-RN ClinicianJob Description:Location: This is a field position and the candidate should reside in Dallas, TX.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 weeks ago
Dallas, TX, United States Elevance Health Full timeLTSS Service Coordinator-RN ClinicianAnticipated End Date:2025-02-28Position Title:LTSS Service Coordinator-RN ClinicianJob Description:Location: This is a field position and the candidate should reside in Dallas, TX.The LTSS Service Coordinator RN Clinician is responsible for overall management of member's case within the scope of licensure; provides...
-
Dallas, TX, United States Elevance Health Full timeLTSS Service Coordinator-RN ClinicianAnticipated End Date:Position Title:LTSS Service Coordinator-RN ClinicianJob Description:Location: This is a field position and the candidate should reside in Dallas, TX.The LTSS Service Coordinator RN Clinician is responsible for overall management of member's case within the scope of licensure; provides supervision and...
-
Care Manager
4 weeks ago
Dallas, United States Spectraforce Technologies Full timeTitle: LTSS Care NavigatorDuration: 6 Months with potential to extendLocation: Remote 8:00 am - 5:00 pm Walk me through the day to day responsibilities of this the role and a description of the project (Outside of Workday JD):Telehealth assessments/ face to face if in area. (Bi-annual)Review assessments & service plans (vendor or internal assessments)Follow...
-
Bilingual Field Case Manager
2 days ago
Dallas, United States The IMA Group Full timeCompany Overview:For over 30 years, The IMA Group has been dedicated to enhancing the livelihood and productivity of individuals and organizations navigating challenging periods of health, work, and disability while actively contributing to the development of new medical treatments and clinical advancements. At IMA, we are not just a company; we are a...
-
LTSS Service Care Manager
1 day ago
Dallas, United States Superior HealthPlan Full timeYou could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you'll have access to competitive benefits including a fresh perspective on workplace flexibility. Licensed LPC, LCSW, or RN with Behavioral Health experience is...
-
Manager, LTSS Clinical Care Management
1 day ago
Dallas, United States Centene Corporation Full timeYou could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility.Candidate must reside in Texas. This position will be supporting a...
-
Case Management Specialist
2 weeks ago
Dallas, Texas, United States Abounding Prosperity Inc. Full time**Case Management Specialist**About Our OrganizationAt Abounding Prosperity Inc., we strive to provide high-quality healthcare services that cater to the unique needs of our clients. As a Case Management Specialist, you will play a crucial role in ensuring that our clients receive the best possible care.Job Description:We are seeking a skilled and empathetic...
-
Case Management Professional
3 weeks ago
Dallas, Texas, United States IASIS Healthcare Full time**Job Description:**We are seeking a skilled Case Management Professional to join our team at Steward Health Care. As a Case Management Professional, you will play a vital role in ensuring that patients receive high-quality, cost-effective care.The ideal candidate will have a strong background in healthcare, with experience in case management and a passion...
-
CASE MANAGER
2 days ago
Dallas, United States Endeavors Full timeJob LocationDallas, TXPosition TypeFull-TimeEducation LevelBachelors DegreeJob ShiftAnyDescriptionJOB PURPOSE: Provide comprehensive case management to Veterans and their families who are homeless or at risk of homelessness. To provide quality of life and maintain the highest possible ability to function within the...
-
CASE MANAGER
1 day ago
Dallas, United States Endeavors Full timeJob Details Job Location Dallas, TX Position Type Full-Time Education Level Bachelors Degree Job Shift Any Description JOB PURPOSE: Provide comprehensive case management to Veterans and their families who are homeless or at risk of homelessness. To provide quality of life and maintain the highest possible ability to function within the community....
-
CASE MANAGER
3 days ago
Dallas, United States Abounding Prosperity Inc. Full timeJob DescriptionJob DescriptionThe Case Manager will provide client-centered case management services to gay, bisexual, MSM (men who have sex with men), and male-to-female (MTF) transgender individuals who are at risk of or living with HIV/AIDS in Dallas County. The Case Manager assists clients with remaining connected to appropriate medical, behavioral...
