Field Case Manager, LTSS
2 weeks ago
JOB DESCRIPTION
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.
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.
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.
-
LTSS Service Coordinator- RN Clinician
1 week ago
Virginia Beach, United States Elevance Health Full timeLocation: This is a field position and the candidate should reside in Fort Lee or Charles City, VA. 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 law...
-
LTSS Service Coordinator- RN Clinician
1 week ago
Virginia Beach, United States Elevance Health Full timeLocation: This is a field position and the candidate should reside in Fort Lee or Charles City, VA. 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 law...
-
Case Manager | Enhanced Case Management
1 week ago
Long Beach, United States Parker Foundation Full timePosition Summary The Case Manager | Enhanced Case Management (ECM) will provide comprehensive case management services to individuals and families, focusing on enhancing their access to necessary resources and support. As a Case Manager, you will work closely with clients to conduct assessments, develop care plans, and provide ongoing support and advocacy....
-
Case Manager | Enhanced Case Management
2 weeks ago
Long Beach, United States April Parker Foundation Full timePosition Summary The Case Manager | Enhanced Case Management (ECM) will provide comprehensive case management services to individuals and families, focusing on enhancing their access to necessary resources and support. As a Case Manager, you will work closely with clients to conduct assessments, develop care plans, and provide ongoing support and advocacy....
-
Case Manager | Enhanced Case Management
5 days ago
Long Beach, United States April Parker Foundation Full timePosition Summary The Case Manager Enhanced Case Management (ECM) will provide comprehensive case management services to individuals and families, focusing on enhancing their access to necessary resources and support. As a Case Manager, you will work closely with clients to conduct assessments, develop care plans, and provide ongoing support and advocacy....
-
Case Manager | Enhanced Case Management
3 days ago
Long Beach, United States April Parker Foundation Full timePosition Summary The Case Manager Enhanced Case Management (ECM) will provide comprehensive case management services to individuals and families, focusing on enhancing their access to necessary resources and support. As a Case Manager, you will work closely with clients to conduct assessments, develop care plans, and provide ongoing support and advocacy....
-
Case Manager | Enhanced Case Management
1 month ago
Long Beach, United States April Parker Foundation Full timeJob DescriptionJob DescriptionPosition Summary The Case Manager | Enhanced Case Management (ECM) will provide comprehensive case management services to individuals and families, focusing on enhancing their access to necessary resources and support. As a Case Manager, you will work closely with clients to conduct assessments, develop care plans, and provide...
-
Case Manager
2 weeks ago
Long Beach, United States PROJECT 180 INC Full timeThe Organization SSG-Project 180 turns lives around through innovative, wraparound services that keep people out of institutions and in their communities. Project 180 is a leader in the forensic treatment space, offering high-quality, specialized treatment programs that serve thousands of justice-involved individuals. Our programs span criminal justice...
-
Case Manager
1 month ago
Long Beach, United States Project 180 Full timeJob DescriptionJob DescriptionThe OrganizationSSG-Project 180 turns lives around through innovative, wraparound services that keep people out of institutions and in their communities. Project 180 is a leader in the forensic treatment space, offering high-quality, specialized treatment programs that serve thousands of justice-involved individuals. Our...
-
Case Manager
3 weeks ago
Long Beach, United States PROJECT 180 INC Full timeThe Organization SSG-Project 180 turns lives around through innovative, wraparound services that keep people out of institutions and in their communities. Project 180 is a leader in the forensic treatment space, offering high-quality, specialized treatment programs that serve thousands of justice-involved individuals. Our programs span criminal justice...
-
Travel Nurse RN
3 days ago
Long Beach, CA, United States TotalMed Case Management Staffing Full timeTotalMed Case Management Staffing is seeking a travel nurse RN Case Management for a travel nursing job in Long Beach, California. Job Description & Requirements Specialty: Case Management Discipline: RN Start Date: 06/24/2024 Duration: 13 weeks 40 hours per week Shift: 10 hours, evenings Employment Type: Travel We are seeking a Case...
-
Healthcare - Case Manager II Case Manager II
5 days ago
Long Beach, United States APN Consulting Full timeTitle: Case Manager IIDuration: 3 monthsREMOTEJob Description: Is this position remote? Yes, the position is remote.o Are there any location requirements? Living in CA is preferred, or able to work Pacific Time Zone business hours. Weekly schedule/hours: 8:30 am - 5: 00 pm Pacific Time ZoneClient would be interested in a case manager who has worked with...
-
Healthcare - Case Manager II Case Manager II
4 days ago
Long Beach, United States APN Consulting, Inc Full timeTitle: Case Manager IIDuration: 3 monthsREMOTEJob Description:• Is this position remote? Yes, the position is remote.o Are there any location requirements? Living in CA is preferred, or able to work Pacific Time Zone business hours.• Weekly schedule/hours: 8:30 am - 5: 00 pm Pacific Time ZoneClient would be interested in a case manager who has worked...
-
Healthcare - Case Manager II Case Manager II
5 days ago
Long Beach, United States APN Consulting Full timeTitle: Case Manager II Duration: 3 months REMOTE Job Description: Is this position remote? Yes, the position is remote. o Are there any location requirements? Living in CA is preferred, or able to work Pacific Time Zone business hours. Weekly schedule/hours: 8:30 am - 5: 00 pm Pacific Time Zone Client would be interested in a case manager who has worked...
-
Case Manager II
4 days ago
Long Beach, United States U.S. VETS Full time $23 - $25Looking for a rewarding position? How would you like to serve those who served?If you are looking for an opportunity to work for a great organization & make a difference, this is the job for you!Come & join our winning team!Position Overview:Benefits include Paid Vacation, Sick Time, Paid Holidays, Medical, Dental, Vision and Company matching 401K.ALL...
-
Case Manager II
4 days ago
Long Beach, United States US VETS Inc Full timeJob DetailsLevelExperiencedJob LocationUSVETS Long Beach - Long Beach, CAPosition TypeFull TimeEducation Level4 Year DegreeSalary Range$23.08 - $26.66 HourlyTravel PercentageUp to 25%Job ShiftDayJob CategoryAdmin - ClericalDescriptionLooking for a rewarding position? How would you like to serve those who served?If you are looking for an opportunity to work...
-
Crisis Case Manager
4 days ago
Long Beach, United States Willapa Behavioral Health Full time$18.00 - $22.00 per hour + $500 sign on bonus The Crisis Case Manager (CCM) is responsible for responding to and/or coordinating a response to all crises during the shifts associated with position. Full time position. Day Shift: Wed. Thursday, Fri. Sat 8 am 7 pm, Wed. or Evening Shift Thursday, Friday, Sat. 6 pm 8:30 am. All Staff Meeting at 8 am. The CCM...
-
Case Manager
4 days ago
Long Beach, United States Molina Healthcare Full timeJob DescriptionCASE MANAGERS for our NEVADA Health Plan. Candidates must live in CLARK COUNTY in the state of Nevada, for consideration. Case Managers will work in remote and field settings our Medicaid Population. Excellent computer skills and attention to detail are very important to multitask between systems, talk with members on the phone, and enter...
-
Medical Field Case Manager
4 days ago
West Palm Beach, United States Genex Services Full timeCompany Overview: The Enlyte Family of Businesses Mitchell | Genex | Coventry Enlyte is the parent brand of Mitchell, Genex and Coventry, an organization unlike any other in the Property & Casualty industry, bringing together three great businesses with a shared vision of using technology innovation, clinical services and network solutions to help our...
-
Case Management Processor
4 days ago
Long Beach, United States Molina Healthcare Full timeJob DescriptionJOB DESCRIPTIONJob SummaryMolina 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...