Field Case Manager, LTSS
4 weeks ago
JOB 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 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/ABILITIESCompletes 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 managersWorks cases with members who have complex medical conditions and medication regimensConducts medication reconciliation when needed.50-75% travel required.JOB QUALIFICATIONSRequired EducationGraduate from an Accredited School of NursingRequired ExperienceAt 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, AssociationActive, unrestricted State Registered Nursing license (RN) in good standingIf 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 RequirementsVirginia: Must have at least one year of experience working directly with individuals with Substance Use DisordersPreferred EducationBachelor's Degree in NursingPreferred Experience3-5 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, AssociationActive 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. Pay Range: $23.76 - $51.49 / HOURLY *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. About Us Molina Healthcare is a nationwide fortune 500 organization with a mission to provide quality healthcare to people receiving government assistance. If you are seeking a meaningful opportunity in a team-oriented environment, come be a part of a highly engaged workforce dedicated to our mission. Bring your passion and talents and together we can make a difference in the lives of others. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V. Job Type: Full Time Posting Date: 05/13/2024
-
Dallas, United States CareBridge Health Full timeJob DescriptionJob DescriptionLTSS Specialist--TexasThe CareBridge Long Term Services and Supports (LTSS) Specialist collaborates with Managed Care Organizations to support persons aging in place receiving home and community based services. The LTSS Specialist performs telephonic and/or virtual assessments to identify participants' needs including...
-
Dallas, United States CareBridge Health Full timeJob DescriptionJob DescriptionLTSS Specialist--TexasThe CareBridge Long Term Services and Supports (LTSS) Specialist collaborates with Managed Care Organizations to support persons aging in place receiving home and community based services. The LTSS Specialist performs telephonic and/or virtual assessments to identify participants' needs including...
-
Case Manager, LTSS RN
4 weeks ago
Dallas, United States Molina Healthcare Full timeJOB 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 progress toward...
-
Case Manager, LTSS RN
4 weeks ago
Dallas, United States Molina Healthcare Full timeJOB DESCRIPTIONJob 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...
-
Dallas, United States CareBridge Health Full timeJob DescriptionJob DescriptionLTSS Specialist--Bilingual, Korean SpeakingThe CareBridge Long Term Services and Supports (LTSS) Specialist collaborates with Managed Care Organizations to support persons aging in place receiving home and community based services. The LTSS Specialist performs telephonic and/or virtual assessments to identify participants'...
-
Case Manager
2 months ago
Dallas, United States CornerStone Staffing Full timeCornerStone Staffing has partnered with the City of Dallas and is seeking an Case Manager. If you have previous HUD experience and love supporting a team we want to hear from you! APPLY TODAY to start a CAREER! Job Title: Case Manager Location: Dallas, TX Schedule: Monday-Friday, business hours Pay: $20/hour Responsibilities: Case Manager will work...
-
LTSS Support Specialist
3 weeks ago
Dallas, United States Molina Healthcare Full timeJob 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...
-
LTSS Support Specialist
6 days ago
Dallas, United States Molina Healthcare Full timeJob 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...
-
Bilingual Case Manager
4 weeks ago
Dallas, United States ONE ELITE STAFFING Full timeJob Description Job Description Title: Bilingual Case Manager Location: Dallas, TX 75215 Pay: $20.00/Hr. CONTRACT Schedule: 8am-5pm - Monday-Friday. ONE Elite Staffing has partnered with City of Dallas and is seeking a Bilingual Case Manager. BILINGUAL CASE MANAGER Essential Functions: Perform assessments on all applicants for programs eligibility. Provide...
-
Case Manager
1 week ago
Dallas, United States Crisp Recruit Full timeAre you the orchestrator of order in a fast-paced legal setting, adept at maintaining the harmony between demanding case management tasks and client-focused services? Do you seamlessly transition from managing complex legal schedules to handling high-volume client intakes, all while upholding a professional demeanor? Is your meticulous approach to...
-
Case Manager
1 week ago
Dallas, United States Crisp Recruit Full timeAre you the orchestrator of order in a fast-paced legal setting, adept at maintaining the harmony between demanding case management tasks and client-focused services? Do you seamlessly transition from managing complex legal schedules to handling high-volume client intakes, all while upholding a professional demeanor? Is your meticulous approach to...
-
Telephonic Case Manager, LTSS BH
1 week ago
Dallas, United States Molina Healthcare Full timeJOB 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...
-
Case Manager
1 month ago
Dallas, United States CornerStone Staffing Full timeCornerStone Staffing has partnered with the City of Dallas and is seeking a Case Manager If you have case management experience we want to hear from you! APPLY TODAY to start a CAREER! Job Title: Case Manager Location: Dallas, TX Schedule: Monday 8am - 5pm Pay: $20.00 Responsibilities: Case Manager will work with low-income families who...
-
Telephonic Case Manager, LTSS BH
2 weeks ago
Dallas, United States Molina Healthcare Full timeJOB DESCRIPTIONJob 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...
-
Telephonic Case Manager, LTSS BH
2 weeks ago
Dallas, United States Molina Healthcare Full timeJOB 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...
-
Case Manager
3 weeks ago
Dallas, United States Prism Health North Texas Full timeJob Description Job Description Our Core Values The culture at Prism Health North Texas is built on our shared Core Values. We make hiring, firing, promotion and performance review decisions based on these values and behaviors, so it is important that you also share these Core Values: We are solution seekers. The organizations founders found solutions...
-
Case Manager
2 weeks ago
Dallas, United States Prism Health North Texas Full timeJob DescriptionJob DescriptionOur Core ValuesThe culture at Prism Health North Texas is built on our shared Core Values. We make hiring, firing, promotion and performance review decisions based on these values and behaviors, so it is important that you also share these Core Values:We are solution seekers. The organization’s founders found solutions...
-
Case Manager
1 week ago
Dallas, United States Prism Health North Texas Full timeJob DescriptionJob DescriptionOur Core ValuesThe culture at Prism Health North Texas is built on our shared Core Values. We make hiring, firing, promotion and performance review decisions based on these values and behaviors, so it is important that you also share these Core Values:We are solution seekers. The organization’s founders found solutions...
-
URM Case Manager
6 days ago
Dallas, Texas, United States Upbring Full timeOverviewAbout Upbring At Upbring, we are servants on a mission to break the cycle of child abuse. We are warriors, brave as the thousands of Texas Children and families we serve. We stand up for those who can't speak for themselves. We are a family who values innovation, empathy, patience, understanding and trustworthiness. What You'll DoAn Unaccompanied...
-
Case Manager
2 weeks ago
Dallas, United States American GI Forum - NVOP Full timeJob DescriptionJob DescriptionAbout the CompanyAmerican GI Forum - National Veterans Outreach Program is a nonprofit organization. Our mission is to establish and maintain a comprehensive community service agency with a diversified funding source serving the needs of Veterans, their families, and other individuals of the community who are in need. Our goal...
