Case Manager, LTSS
2 months ago
JOB DESCRIPTION For this position we are seeking a (RN) Registered Nurse who lives in VIRGINIA and must be licensed for the state of VIRGINIA. Case Manager will work in remote and field setting supporting our Medicaid Population with. Case Manager will be required to physically go to member’s homes to complete Face to Face assessment. You will participate in interdisciplinary care team meetings for our members and ensure they have care plans based on their concerns/health needs. Members have required assessments every six months and can also require “trigger assessments” if they have hospitalizations. Excellent computer skills and attention to detail are very 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. TRAVEL (50% or more) in the field to do member visits in the surrounding areas will be required. We are looking for a candidate who will work remotely primarily in the Virginia Beach Area. Mileage will be reimbursed. Home office with internet connectivity of high speed required. Schedule: Monday thru Friday 8:00AM to 5:00PM. - No weekends are 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.
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Case Manager
4 weeks ago
Virginia Beach, Virginia, United States Molina Healthcare Full timeJob Title: Case Manager, LTSSWe are seeking a highly skilled and experienced Registered Nurse to join our team as a Case Manager for our Long Term Services and Supports (LTSS) program.Job Summary:The Case Manager will work with our Medicaid population to assess, facilitate, plan, and coordinate an integrated delivery of care across the continuum, including...
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Case Manager, LTSS
4 weeks ago
Long Beach, CA, United States Molina Healthcare Full timeJob Title: Case Manager, LTSS Job Summary: Molina Healthcare Services (HCS) is seeking a skilled Registered Nurse to join our team as a Case Manager, LTSS. As a Case Manager, you will work with members, providers, and multidisciplinary team members to assess, facilitate, plan, and coordinate an integrated delivery of care across the continuum, including...
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Field Case Manager, LTSS
4 weeks ago
Long Beach, California, United States Molina Healthcare Full timeJob Title: Field Case Manager, LTSSMolina Healthcare is seeking a skilled and compassionate Field Case Manager to join our Long Term Services and Supports (LTSS) team. As a Field Case Manager, you will play a critical role in ensuring the health and well-being of our Medicaid members by providing comprehensive case management services.Key...
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Field Case Manager LTSS Specialist
4 weeks ago
Long Beach, California, United States Molina Healthcare Full timeJob Title: Field Case Manager LTSSMolina Healthcare Services (HCS) is seeking a skilled Field Case Manager LTSS to join our team. As a Field Case Manager LTSS, you will work with our Medicare Waiver Population to assess, facilitate, plan, and coordinate an integrated delivery of care across the continuum.Key Responsibilities:Completes face-to-face...
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Field Case Manager, LTSS Specialist
4 weeks ago
Long Beach, CA, United States Molina Healthcare Full timeJob Title: Field Case Manager, LTSS SpecialistJob Summary: Molina Healthcare Services (HCS) is seeking an experienced Field Case Manager to join our LTSS Team. The successful candidate will work with our Medicaid members who have an IDD diagnosis, conducting face-to-face meetings, completing assessments, and developing case management plans to ensure the...
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Field Case Manager, LTSS
4 weeks ago
Long Beach, California, United States Molina Healthcare Full timeJob SummaryMolina Healthcare Services (HCS) is seeking a skilled Field Case Manager, LTSS to join our team. As a key member of our multidisciplinary team, you will work closely with members, providers, and healthcare professionals to assess, facilitate, plan, and coordinate an integrated delivery of care across the continuum.Key ResponsibilitiesConduct...
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Field Case Manager, LTSS Specialist
3 weeks ago
Long Beach, California, United States Molina Healthcare Full timeJob DescriptionMolina Healthcare is seeking an experienced Case Manager to join our Long-Term Services and Supports (LTSS) team. As a Case Manager, you will work with our Medicaid members in the Dallas County service delivery area, conducting face-to-face meetings and assessments to determine the types of services needed. This is a great opportunity to make...
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LTSS Service Coordinator
3 weeks ago
West Palm Beach, United States Elevance Health Full timeAnticipated End Date: 2024-11-25 Position Title: LTSS Service Coordinator - Case Manager Job Description: ***$5,000 Sign On Bonus*** LTSS Service Coordinator Location: This is primarily a field based position. Candidate would need to reside in one of the following counties: Escambia, Volusia, Duval, Marion, Pinellas, Hillsborough, Polk, Orange, or Palm Beach...
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LTSS Service Coordinator
15 hours ago
West Palm Beach, United States Elevance Health Full timeAnticipated End Date: 2024-12-09 Position Title: LTSS Service Coordinator - Case Manager Job Description: ***$5,000 Sign On Bonus*** LTSS Service Coordinator Location: This is primarily a field based position. Candidate would need to reside in one of the following counties: Escambia, Broward, Volusia, Marion, Pinellas, Hillsborough, Polk, Orange, or Palm...
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LTSS Service Coordinator
3 weeks ago
West Palm Beach, United States Elevance Health Full timeAnticipated End Date:2024-11-25Position Title:LTSS Service Coordinator - Case ManagerJob Description:***$5,000 Sign On Bonus***LTSS Service CoordinatorLocation: This is primarily a field based position. Candidate would need to reside in one of the following counties: Escambia, Volusia, Duval, Marion, Pinellas, Hillsborough, Polk, Orange, or Palm Beach...
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Field Case Manager, LTSS
4 weeks ago
Long Beach, CA, United States Molina Healthcare Full timeJob Title: Field Case Manager, LTSS 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. Responsibilities: *...
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Field Case Manager, LTSS
4 weeks ago
Long Beach, CA, United States Molina Healthcare Full timeJob Title: Field Case Manager, LTSSMolina Healthcare is seeking a highly skilled and compassionate Field Case Manager to join our team. As a Field Case Manager, you will play a critical role in providing case management services to our Medicaid members in the Livingston/Corrigan, TX, Service Delivery Area.Job Summary:Molina Healthcare Services (HCS) works...
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LTSS Service Coordinator
3 weeks ago
West Palm Beach, United States Elevance Health Full timeAnticipated End Date: 2024-11-25 Position Title: LTSS Service Coordinator - LPN Case Manager Job Description: ***$6,000 Sign On Bonus*** LTSS Service Coordinator - Clinician Location: This is a field based position. Candidate would need to reside in one of the following counties: Lee, Sarasota, Palm Beach, St. Lucie, Broward, or Miami-Dade counties, FL. The...
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Care Coordinator, LTSS
3 weeks ago
Virginia Beach, Virginia, United States Molina Healthcare Full timeJob Summary:Molina Healthcare is seeking a skilled Care Coordinator, LTSS to join our team. As a Care Coordinator, you will play a critical role in supporting our Medicaid population by working in remote and field settings.Key Responsibilities:Participate in interdisciplinary care team meetings to ensure members have care plans based on their concerns and...
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LTSS Service Coordinator
2 weeks ago
West Palm Beach, United States Elevance Health Full timeAnticipated End Date:2024-11-25Position Title:LTSS Service Coordinator - LPN Case ManagerJob Description:***$6,000 Sign On Bonus***LTSS Service Coordinator - ClinicianLocation: This is a field based position. Candidate would need to reside in one of the following counties: Lee, Sarasota, Palm Beach, St. Lucie, Broward, or Miami-Dade counties, FL.The LTSS...
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Case Manager
4 weeks ago
Virginia Beach, Virginia, United States Molina Healthcare Full timeJob SummaryMolina Healthcare Services (HCS) is seeking a highly skilled Registered Nurse (RN) to join our team as a Case Manager. As a Case Manager, you will work with members, providers, and multidisciplinary teams to assess, facilitate, plan, and coordinate an integrated delivery of care across the continuum, including behavioral health and long-term care,...
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Case Manager, LTSS
4 weeks ago
Virginia Beach, Virginia, United States Molina Healthcare Full timeJob SummaryMolina Healthcare Services (HCS) is seeking a highly skilled Registered Nurse to join our team as a Case Manager. This role will involve working with members, providers, and multidisciplinary teams to assess, facilitate, plan, and coordinate an integrated delivery of care across the continuum, including behavioral health and long-term care, for...
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Case Manager, LTSS
3 weeks ago
Virginia Beach, Virginia, United States Molina Healthcare Full timeJob 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...
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Care Coordinator, LTSS
4 weeks ago
Long Beach, California, United States Molina Healthcare Full timeJob Title: Case Manager, LTSSMolina Healthcare is seeking a skilled Case Manager to join our team. As a Case Manager, you will work with members, providers, and multidisciplinary teams 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...
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Case Manager, LTSS
4 weeks ago
Long Beach, California, United States Molina Healthcare Full timeJob Overview Molina Healthcare Services (HCS) is seeking a skilled Case Manager to join our team. As a Case Manager, you will work 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...
