Field Case Manager, LTSS

4 days ago

Fort Worth, Texas, United States Molina Healthcare Full time
Job Summary

Molina Healthcare Services (HCS) is seeking a skilled Field Case Manager to join our team. As a Field 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 potential.

Key Responsibilities
  • 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 suggests changes accordingly.
  • Promotes integration of services for members, including behavioral health care and long-term services and supports, home and community-based care, to enhance the continuity of care for Molina members.
  • Assesses for medical necessity and authorizes all appropriate waiver services.
  • Evaluates covered benefits and advises 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 members to address psycho/social, financial, and medical obstacles concerns.
  • Identifies critical incidents and develops prevention plans to assure member's health and welfare.
Requirements
  • 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.
  • 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 Qualifications
  • 3-5 years in case management, disease management, managed care, or medical or behavioral health settings.
  • 1 year experience working with populations who receive waiver services.
  • Active and unrestricted Certified Case Manager (CCM) certification.
  • 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.
About Molina Healthcare

Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V. We offer a competitive benefits and compensation package. If you are interested in applying for this position, please apply through the intranet job listing.

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