Case Manager, LTSS
4 weeks ago
JOB DESCRIPTION This position will support our MMP (Medicaid Medicare Population) with members within Nursing Facilities. This position will have a case load and manage members enrolled in this program. We are looking for Registered Nurses 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: Clark & Madison County Travel will be up to 20% of the time (5 to 10 Visits a month) (Mileage is reimbursed) Schedule – Monday thru Friday 800 AM to 5 PM EST (No weekends or Holidays) 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. Pay Range: $23.76 - $51.49 / HOURLY *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
-
LTSS Service Coordinator-ECF TN
3 weeks ago
Cleveland, United States Elevance Health Full timeLocation: This position will serve the Chattanooga area, working from your home-based office with field visits to member homes and/or nursing facilities. The LTSS Service Coordinator is responsible for conducting service coordination functions for a defined caseload of individuals in specialized programs. In collaboration with the person supported,...
-
Case Manager
3 months ago
Cleveland, United States PATH INTEGRATED HEALTH Full timePATH BEHAVIORAL HEALTHCARE TITLE: Case Manager RESPONSIBLE TO: Case Manager Supervisor/Regional Leadership WORK AREA: Community, Clinical work sites SUMMARY: PATH Behavioral Health, an expanding force in the realm of behavioral healthcare, is on the lookout for outstanding individuals to join our dynamic team. Path is dedicated to redefining the mental...
-
Case Manager
2 months ago
Cleveland, United States The Black Mental Health Corporation Full timeJob DescriptionJob DescriptionSalary: $20.00-$25.00Case Manager Job DescriptionOur Mission: The Black Mental Health Corporation strives to provide excellent, quality mentalhealth care to underserved communities. It is the goal of The Black Mental Health Corporation torebuild these communities one family at a time through excellent mental health and...
-
Case Manager
3 months ago
Cleveland, United States CommuniCare Family of Companies Full timeNew Vista Health and Wellness, a leader in Behavioral Health, is currently recruiting certified Chemical Dependency Counselor Assistants to serve as Case Managers / Skills Trainers at Ethan Crossing of Euclid, one of our SUD Treatment Centers. THE ROLE: Case Managers/Skills Trainers work in partnership with the multi-disciplinary treatment team to support...
-
Case Manager
2 weeks ago
Cleveland, United States Recovery Resources Full timeJob Details Level Experienced Job Location Pearl Road - Cleveland, OH Position Type Full Time Job Shift Any Case Manager - Forensic Assertive Community Treatment Do you have a passion to help individuals with behavioral health diagnoses and/or addiction on their journey to maintain psychiatric stability and sobriety? Are you willing to work with clients...
-
Case Manager
2 months ago
Cleveland, United States Recovery Resources Full timeJob Details Level Experienced Job Location Pearl Road - Cleveland, OH Position Type Full Time Job Shift Any Forensic Assertive Community Treatment - Case Management Do you have a passion to help individuals with behavioral health diagnoses and/or addiction on their journey to maintain psychiatric stability and sobriety? Are you willing to work with...
-
Case Manager-Care Management
3 weeks ago
Cleveland, United States Metro Health Full timeLocation: METROHEALTH MEDICAL CENTER Biweekly Hours: 80.00 Shift: 7:30am-4:00pm OR 8:00am-4:30pm The MetroHealth System is redefining health care by going beyond medical treatment to improve the foundations of community health and well-being: affordable housing, a cleaner environment, economic opportunity and access to fresh food, convenient...
-
Case Manager-Care Management
3 weeks ago
Cleveland, United States The MetroHealth System Full timeLocation: METROHEALTH MEDICAL CENTER Biweekly Hours: 80.00 Shift: 7:30am-4:00pm OR 8:00am-4:30pm The MetroHealth System is redefining health care by going beyond medical treatment to improve the foundations of community health and well-being: affordable housing, a cleaner environment, economic opportunity and access to fresh food, convenient transportation,...
-
Manager of Case Management Services
6 days ago
Cleveland, Ohio, United States Towards Employment Full timeJob OverviewAbout Towards EmploymentEstablished in 1976, Towards Employment (TE) stands as a prominent non-profit organization dedicated to delivering innovative strategies aimed at helping individuals escape poverty, secure quality employment, and navigate their career trajectories. TE has earned both local and national acclaim for its outstanding results,...
-
Case Management Automation Specialist
2 weeks ago
Cleveland, Ohio, United States Ohio Northern Bankruptcy Court Full timePosition Overview: Case Management and Automation Support Specialist The Ohio Northern Bankruptcy Court is seeking a dedicated professional to provide essential support in case management and automation processes. This role is crucial in ensuring the efficient handling of bankruptcy cases. Key Responsibilities: Assist in the management of case files and...
-
RN Case Manager
1 month ago
Cleveland, United States Cleveland Clinic Full timeJoin Cleveland Clinic's Main Campus where research and surgery are advanced, technology is leading-edge, patient care is world-class, and caregivers are family. Cleveland Clinic is recognized as one of the top hospitals in the nation. At Cleveland Clinic, you will work alongside passionate and dedicated caregivers, receive endless support and appreciation...
-
Case Management Automation Specialist
6 days ago
Cleveland, Ohio, United States Ohio Northern Bankruptcy Court Full timePosition Overview for Case Management and Automation Support Specialist The Ohio Northern Bankruptcy Court is seeking a dedicated professional to assist in the management and automation of case processes. This role is essential in ensuring the efficient handling of bankruptcy cases and the optimization of related workflows. Key Responsibilities: Support the...
-
Case Manager
2 weeks ago
Cleveland, United States Youth Opportunities Unlimited Full timeJob Type Full-time Description Description Since 1982, over 160,000 youth have been helped with Youth Opportunities Unlimited (Y.O.U.) programs. Y.O.U. helps teens and young adults, ages 14-24 living in economically distressed communities succeed by providing educational and workforce opportunities, skills development, and access to career pathways. We offer...
-
Case Management Automation Specialist
6 days ago
Cleveland, Ohio, United States Ohio Northern Bankruptcy Court Full timePosition Overview for Case Management and Automation Support Specialist The Ohio Northern Bankruptcy Court is seeking a dedicated professional to enhance our case management and automation processes. This role is essential in ensuring the efficiency and effectiveness of our operations. Key Responsibilities: Manage and streamline case management systems to...
-
Case Management Specialist
2 weeks ago
Cleveland, Ohio, United States Goodwill Industries of Gr. Cleveland & East Central Ohio Full timePosition OverviewGoodwill Industries of Greater Cleveland and East Central Ohio is looking for a dedicated Case Management Specialist to join our Good Partner Program.The Case Management Specialist plays a crucial role in providing essential support and resources to help individuals navigate various life challenges. These challenges may include issues...
-
Case Management Specialist
6 days ago
Cleveland, Ohio, United States Goodwill Industries of Gr. Cleveland & East Central Ohio Full timePosition OverviewGoodwill Industries of Greater Cleveland and East Central Ohio is looking for a dedicated Case Management Specialist to join our Good Partner Program.The Case Management Specialist plays a crucial role in providing assistance and resources to help individuals navigate and overcome various life challenges. These challenges may include issues...
-
Case Management Specialist
2 weeks ago
Cleveland, Ohio, United States Goodwill Industries of Gr. Cleveland & East Central Ohio Full timePosition OverviewGoodwill Industries of Greater Cleveland and East Central Ohio is on the lookout for a dedicated Case Management Specialist to join our Good Partner Program.The Case Management Specialist plays a crucial role in providing essential support and resources aimed at helping individuals navigate various challenges in their daily lives. These...
-
Case Manager Community Access-Care Management
2 months ago
Cleveland, United States The MetroHealth System Full timeLocation: METROHEALTH MEDICAL CENTER Biweekly Hours: 80.00 Shift: 8:00am - 4:30pm The MetroHealth System is redefining health care by going beyond medical treatment to improve the foundations of community health and well-being: affordable housing, a cleaner environment, economic opportunity and access to fresh food, convenient transportation, legal help and...
-
Lead, Case Management Services
4 weeks ago
Cleveland, United States Towards Employment Full time $48,000 - $50,000Job DescriptionJob DescriptionAbout Towards EmploymentFounded in 1976, Towards Employment (TE) is a non-profit leader in providing innovative solutions to move people out of poverty, into quality jobs and along a career pathway. Towards Employment has gained local and national recognition for achieving excellent outcomes through the hard work of its...
-
Foster Care Case Manager
4 weeks ago
Cleveland, United States Ohio Mentor Full timeCase Manager Foster CareProvide support and resources to children and foster families within Cuyahoga County. Responsibilities: Coordinate the development, review, and implementation of services, case management, behavior intervention plans, and treatments provided to individuals served. Oversee all services provided to individuals and their families,...