Case Manager

5 days ago


Alexandria, Virginia, United States Molina Healthcare Full time

Job Summary

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 teams to assess, facilitate, plan, and coordinate integrated care delivery across the continuum.

Key Responsibilities:

  • Conduct clinical assessments of members and determine who may qualify for case management based on clinical judgment, changes in member health or psychosocial wellness, and triggers from the assessment.
  • Develop and implement a case management plan in collaboration with the member, caregiver, physician, and/or other healthcare professionals to address member needs and goals.
  • Perform ongoing monitoring of the care plan to evaluate effectiveness, document interventions, and suggest changes accordingly.
  • Maintain ongoing member case load for regular outreach and management.
  • Promote integration of services for members, including behavioral health care and long-term services and supports, to enhance continuity of care.

Requirements:

  • 1-3 years of experience in case management, disease management, managed care, or medical or behavioral health settings.
  • Valid driver's license with a good driving record and reliable transportation.
  • Active, unrestricted, and in-good-standing license, certification, or association, if required for the job.

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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