Case Manager

3 weeks ago

Miami, United States MedNational Staffing Full time
*Schedule: *8:30am-5pm EST -_*Hybrid, Remote- Must be Bilingual in Spanish*_

If you think you are the right match for the following opportunity, apply after reading the complete description.

_*\* Must reside in Miami/Miami Dade County area\**_

_*Pay $ 49.36 hr*_

_\*5-month contract with possible extension_

*Day to day responsibilities:*

• 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.

*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

Job Types: Full-time, Contract

Pay: $49.36 per hour

Expected hours: 40 per week

Benefits: * Dental insurance * Health insurance * Vision insurance

Schedule: * 8 hour shift * Monday to Friday

Ability to Commute: * Miami Dade County, FL area (Required)

*Position Type*: Contract

*Start Date*: 11/18/2024

*Length*: 5 Months

*Location*: Hybrid Remote

*Shift*: 8:30 AM - 5:00 PM Eastern Standard Time

Job Type: Contract

Benefits: * Dental insurance * Health insurance * Vision insurance

Schedule: * 8 hour shift * Monday to Friday

Application Question(s): * What is a good phone number for you to be reached at in regard to this position? * Must be an LPN/LVN or, LCSW * This position requires travel * Must reside in Miami Dade County area

Job Type: Full-time

Pay: $49.36 per hour

Benefits: * Dental insurance * Health insurance * Life insurance * Vision insurance Schedule: * 8 hour shift * Day shift

Application Question(s): * Must reside near Lee area * Must have LTC Case Management experience

Ability to Relocate: * Miami, FL: Relocate before starting work (Required)

Work Location: In person

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