Case Manager

3 months ago

Detroit, United States Molina Healthcare Full time

JOB DESCRIPTION For this position we are seeking a Licensed Social Worker (LMSW) who lives in Michigan and must be licensed for the state of Michigan. This position will support our MMP (Medicaid Medicare Population). This position will have a case load and manage members enrolled in this program. We are looking for licensed social workers who have experience working with manage care population and/or case management role. Excellent computer skills and diligence are especially 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. This position requires field work doing assessments with members face to face in homes. TRAVEL in the field to do member visits in the surrounding areas will be required: Wayne County Travel will be 25 to 50% of the time (Mileage is reimbursed) Schedule: Monday thru Friday 8:00AM to 5:00PM / 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 Pay Range: $21.6 - $46.81 / HOURLY *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

  • Medical Case Manager

    3 months ago

    Detroit, United States Wellspring Case Management Full time

    Job DescriptionJob DescriptionWellspring Case Management is a specialty compassionate care organization, ensuring caring advocacy for those impacted by motor vehicle accidents. A trusted partner in the journey of recovery, providing not just medical case management, but a genuine wellspring of support, hope, and healing.Medical Case Manager PositionThe...

  • Case Manager

    3 months ago

    Detroit, United States Neighborhood Service Organization Full time

    Job DescriptionJob Description: Job Title: Case Manager I/II/Sr. Job Number: Unit: All lines of business Date Originated: 1/2016 Work Location: Community Based/Clinic Revision Date: 08/17/2023 Reports to: Supervisor of Case Management EEOC Category Professional Worker’s Comp Code 8810 ☒Full-time ☐Part-time ☐On-Call ☒ Exempt Location: Ability to...

  • Case Manager

    3 months ago

    Detroit, United States Neighborhood Service Organization Full time

    Job DescriptionJob DescriptionJob Title: Case ManagerLocation: Detroit- In PersonSalariedFull Time- 8:30am-5pmOverview of Responsibilities: Under the direction of the supervisor of the division assigned, the case manager works to directly provide high quality care to NSO clients by assessing, coordinating, planning, and implementing client centered care plan...

  • Case Manager

    1 month ago

    Detroit, United States N2S Healthcare Staffing Solutions LLC Full time

    Job Title Integrated Case Manager Location Detroit MI 48202 Duration 13+ weeks of contract role (wishing to convert at the end of their assignment)Shift time 8:30AM - 5PM rotating scheduled, weekend availability required. Schedule Notes: Full Time Day Shift Position Utilization Management Or Telephonic Case Management Experience.REQUIRED: CLINICAL...

  • Case Manager

    1 month ago

    Detroit, United States N2S Healthcare Staffing Solutions LLC Full time

    Job Title Integrated Case Manager Location Detroit MI 48202 Duration 13+ weeks of contract role (wishing to convert at the end of their assignment)Shift time 8:30AM - 5PM rotating scheduled, weekend availability required. Schedule Notes: Full Time Day Shift Position Utilization Management Or Telephonic Case Management Experience.REQUIRED: CLINICAL...

  • Case Manager

    1 month ago

    Detroit, United States Strategic Staffing Solutions Full time

    STRATEGIC STAFFING SOLUTIONS (S3) HAS AN OPENING! Strategic Staffing Solutions is currently looking for an RN Case Manager for a contract opportunity with one of our largest healthcare clients! Title: Registered Nurse Case Manager Duration: Contract (long term) Location: Remote – Compact License states *100% remote – must reside in a state...

  • Case Manager

    2 months ago

    Detroit, United States Neighborhood Service Organization Full time

    Job DescriptionJob DescriptionJob Title: Case ManagerDepartment: IDD/SMIReports To: Program ManagerFLSA Status: ExemptSummary:Under the direction of the supervisor of the division assigned, the case manager works to directly provide high quality care to NSO clients by assessing, coordinating, planning, and implementing client centered care plan to achieve...

  • Manager of Case Management

    4 weeks ago

    Detroit, United States Henry Ford Health System Full time

    GENERAL SUMMARY: The Manager-Case Management HFH manages and oversees administrative and personnel functions of case management operations. Manages professionals responsible for the collaborative practice of assessment, planning, facilitation, care coordination, evaluation and advocacy for options and services to meet an individual's and family's...

  • Case Manager

    2 months ago

    Detroit, United States Net2Source Inc. Full time

    Job Title Integrated Case Manager Location Detroit Mi 48202 Duration 13 weeks of contract role (wishing to convert at the end of their assignment)Shift time 8:30AM - 5PM rotating scheduled, weekend availability required. Schedule Notes:Full Time Day Shift Position Utilization Management Or Telephonic Case Management ExperienceMust Be Able To Integrate...

  • Case Manager

    3 months ago

    Detroit, United States Net2Source Inc. Full time

    Job Title Integrated Case Manager Location Detroit Mi 48202 Duration 13 weeks of contract role (wishing to convert at the end of their assignment)Shift time 8:30AM - 5PM rotating scheduled, weekend availability required. Schedule Notes:Full Time Day Shift Position Utilization Management Or Telephonic Case Management ExperienceMust Be Able To Integrate...

  • Case Manager

    2 weeks ago

    Detroit, United States TekWissen LLC Full time

    Job DescriptionJob DescriptionOverview: TekWissen Group is a workforce management provider throughout the USA and many other countries in the world. Our client is a health insurance company. It offers different types of health care coverage plans that include individual and family, dental and vision, plans for employers, etc. Title: Case ManagerWork...

  • Case Manager

    1 month ago

    Detroit, United States TekWissen LLC Full time

    Job DescriptionJob DescriptionOverview: TekWissen Group is a workforce management provider throughout the USA and many other countries in the world. Our client is a health insurance company. It offers different types of health care coverage plans that include individual and family, dental and vision, plans for employers, etc. Title: Case ManagerWork...

  • Case Manager

    1 week ago

    Detroit, United States TekWissen LLC Full time

    Job DescriptionJob DescriptionOverview: TekWissen Group is a workforce management provider throughout the USA and many other countries in the world. Our client is a health insurance company. It offers different types of health care coverage plans that include individual and family, dental and vision, plans for employers, etc. Title: Case ManagerWork...

  • Case Manager

    4 weeks ago

    Detroit, United States TekWissen ® Full time

    Title: Case ManagerWork Location: Detroit, MI, 48226Duration: 12 Months Job Type: Contract Work Type: Remote Pay Rate: $35-35.00/hrENGAGEMENT DESCRIPTION: "The Care Manager RN leads the coordination of a multidisciplinary team to deliver a holistic, person centric care management program to a diverse health plan population with a variety of health and social...

  • Case Manager

    4 weeks ago

    Detroit, United States TekWissen ® Full time

    Title: Case ManagerWork Location: Detroit, MI, 48226Duration: 12 Months Job Type: Contract Work Type: Remote Pay Rate: $35-35.00/hrENGAGEMENT DESCRIPTION: "The Care Manager RN leads the coordination of a multidisciplinary team to deliver a holistic, person centric care management program to a diverse health plan population with a variety of health and social...

  • Case Manager

    3 weeks ago

    Detroit, Michigan, United States Matrix Human Services Full time

    Position Location: Ferndale, MIJOB SUMMARY/ACCOUNTIBILITY:The Case Manager works with persons living with chronic illnesses addressing their social determinants of health needs (food, transportation, housing, etc.) while helping them manage their medical care to facilitate optimal patient outcomes; promote ongoing long-term engagement in medical care and...

  • Case Manager

    3 weeks ago

    Detroit, United States Matrix Human Services Full time

    Position Location: Ferndale, MI JOB SUMMARY/ACCOUNTIBILITY: The Case Manager works with persons living with chronic illnesses addressing their social determinants of health needs (food, transportation, housing, etc.) while helping them manage their medical care to facilitate optimal patient outcomes; promote ongoing long-term engagement in medical...

  • Case Manager

    2 weeks ago

    Detroit, United States w3r Consulting Full time

    This requisition is for a Michigan license RN The contract worker will not be required to work onsite for any reason The Care Manager RN leads the coordination of a multidisciplinary team to deliver a holistic, person centric care management program to a diverse health plan population with a variety of health and social needs. They serve as the single...

  • Case Manager

    3 weeks ago

    Detroit, United States Michigan Eastern District Court Full time

    Qualification The following qualifications must be met at the time of the application: Consistent, high-quality past job experience/performance An attendance record that indicates reliability/commitment Excellent verbal and written communication skills Ability to organize, plan, solve problems, and work independently Ability to work under...

  • Case Manager

    2 weeks ago

    Detroit, United States EPITEC Full time

    **Candidate must have current, active, and unrestricted Michigan Registered Nurse license**The Care Manager RN leads the coordination of a multidisciplinary team to deliver a holistic, person centric care management program to a diverse health plan population with a variety of health and social needs. They serve as the single point of contact for members,...