Field Case Manager LTSS
4 hours ago
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 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 services, 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 population who receive waiver services.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
-
RN Case Manager
7 days ago
Cincinnati, Ohio, United States Molina Healthcare Full timeJob Title: Field Case Manager RN, LTSSWe are seeking a highly skilled Registered Nurse to join our team as a Field Case Manager RN, LTSS. As a key member of our healthcare services team, you will play a critical role in ensuring the delivery of high-quality, patient-centered care to our members.Job Summary:The Field Case Manager RN, LTSS will be responsible...
-
Field Case Manager RN, LTSS Specialist
2 weeks ago
Cincinnati, Ohio, United States Molina Healthcare Full timeJob SummaryMolina Healthcare Services (HCS) is seeking a skilled Registered Nurse to join our team as a Case Manager. In this role, 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...
-
Nurse Case Manager
5 days ago
Cincinnati, Ohio, United States Professional Case Management Full timeJob Title: Registered NurseWe are seeking a highly skilled and compassionate Registered Nurse to join our team at Professional Case Management. As a key member of our healthcare team, you will be responsible for providing high-quality patient care and case management services to our clients.Responsibilities:Assess and evaluate the health status of assigned...
-
RN Homecare Field Case Manager
3 days ago
Cincinnati, Ohio, United States Patriot At Home Full timeJob OpportunityWe are seeking a skilled Registered Nurse to join our Homecare team as a Field Case Manager. This role involves coordinating total patient care, evaluating the effectiveness of nursing service, and performing admission, transfer, recertification, resumption of care, and discharge Oasis for home care patients.ResponsibilitiesCoordinate patient...
-
RN Homecare Field Case Manager
2 days ago
Cincinnati, Ohio, United States Patriot At Home Full timeJob OverviewPatriot At Home is a veteran-owned and family-operated company that values its employees and the community it serves. We are seeking a skilled Registered Nurse to join our team as a Homecare Field Case Manager.ResponsibilitiesCoordinate total patient care and evaluate the effectiveness of nursing service to the patient and family on an ongoing...
-
Telephonic Nurse Case Manager Specialist
2 weeks ago
Cincinnati, Ohio, United States Elevance Health Full timeJob SummaryWe are seeking a skilled Telephonic Nurse Case Manager to join our team at Elevance Health. As a Telephonic Nurse Case Manager, you will be responsible for providing high-quality care management services to our members with complex and chronic care needs.Key ResponsibilitiesCare Management: Assess, develop, implement, coordinate, monitor, and...
-
Retail Merchandising Team Lead
3 weeks ago
Cincinnati, Ohio, United States Field Force Merchandising Full timeJob OverviewField Force Merchandising is seeking a highly skilled and experienced Team Lead to oversee retail store remodels and merchandising projects throughout the Eastern US. As a key member of our team, you will be responsible for supervising reset/remodel teams in major retail chains, ensuring seamless execution of projects, and maintaining exceptional...
-
Housing Case Manager
1 week ago
Cincinnati, Ohio, United States YWCA Greater Cincinnati Full timeJob SummaryThe YWCA Greater Cincinnati is seeking a skilled and compassionate Housing Case Manager to join our Transitional Living Program team. As a key member of our team, you will provide direct services to adult survivors of domestic violence, helping them achieve stability and independence in their lives.Key ResponsibilitiesDevelop and implement...
-
Medical Case Manager
3 weeks ago
Cincinnati, Ohio, United States Caracole Inc Full timeJob SummaryThis position provides medical case management services for individuals and families living with HIV/AIDS. As a Medical Case Manager, you will be responsible for providing comprehensive care and support to clients, ensuring they receive the necessary medical treatment and services to manage their condition.Key ResponsibilitiesClient Assessment and...
-
RN Case Manager
1 day ago
Cincinnati, Ohio, United States Molina Healthcare Full timeJob Title: RN Case ManagerWe are seeking a skilled RN Case Manager to join our team at Molina Healthcare. As a RN Case Manager, you will play a critical role in assessing, facilitating, planning, and coordinating care for our members with high need potential.Job SummaryMolina Healthcare Services (HCS) works with members, providers, and multidisciplinary team...
-
Nurse Case Manager II Position
4 days ago
Cincinnati, Ohio, United States Elevance Health Full timeJob SummaryWe are seeking a skilled Telephonic Nurse Case Manager II to join our team at Elevance Health. As a Telephonic Nurse Case Manager II, you will be responsible for providing care management services to members with complex and chronic care needs.Key ResponsibilitiesAssess member needs and develop individualized care plans to address objectives and...
-
Senior Case Manager
3 weeks ago
Cincinnati, Ohio, United States Greater Cincinnati Behavioral Health Services Full timeJob DescriptionJob Summary:Greater Cincinnati Behavioral Health Services (GCBHS) is seeking a highly skilled Senior Case Manager to join our team. As a Senior Case Manager, you will play a critical role in providing community-based mental health services to individuals with severe and persistent mental illness.Key Responsibilities:Provide case management...
-
Home Health LPN
1 day ago
Cincinnati, Ohio, United States Professional Case Management Full timeJob SummaryWe are seeking a skilled Home Health Licensed Practical Nurse to join our team at Professional Case Management. As a key member of our healthcare team, you will provide high-quality nursing care to clients in their homes, promoting independence, comfort, and well-being.ResponsibilitiesAssess client health status and report changes to the case...
-
Care Manager
4 days ago
Cincinnati, Ohio, United States Council on Aging Full timeJob Title: Care ManagerAre you a dedicated and compassionate Licensed Social Worker (LSW) or Registered Nurse (RN)?We are seeking a skilled Care Manager to join our team at Council on Aging (COA). As a Care Manager, you will have the rewarding opportunity to assist the aging population and individuals with disabilities stay safe and comfortably in their...
-
Nurse Case Manager Supervisor
1 week ago
Cincinnati, Ohio, United States UC Health Full timeAbout the RoleWe are seeking a highly skilled and experienced Registered Nurse to join our Care Management Services team as a Case Management Supervisor. As a key member of our team, you will be responsible for ensuring the delivery of high-quality patient-centered care and providing guidance and support to our case management staff.Key...
-
School Based Case Manager
4 days ago
Cincinnati, Ohio, United States Necco, LLC Full timeJob Title: School Based Case ManagerWe are seeking a highly skilled and compassionate School Based Case Manager to join our team at Necco, LLC. As a key member of our clinical services team, you will work closely with clients and their treatment teams to help them achieve their goals.Job Summary:The School Based Case Manager will deliver solution-focused and...
-
Housing Case Manager
2 weeks ago
Cincinnati, Ohio, United States YWCA Greater Cincinnati Full timeAbout the RoleThe YWCA Greater Cincinnati is seeking a highly motivated and organized Housing Case Manager to join our team. As a key member of our Transitional Living Program, you will be responsible for delivering direct services to adult survivors of domestic violence.Key ResponsibilitiesCase Management: Develop and implement individual case plans with...
-
Nurse Case Manager Supervisor
3 weeks ago
Cincinnati, Ohio, United States UC Health Full timeAbout the Role:The UC Health organization is seeking a highly skilled and experienced Registered Nurse (RN) to serve as a Case Management Supervisor. This is a full-time position that will be responsible for ensuring quality standards and providing guidance to ensure patient-centered case management services are being provided to patients on a daily...
-
Youth Services Case Manager
4 weeks ago
Cincinnati, Ohio, United States Hamilton County Job & Family Services Full timePosition OverviewYour Impact Starts HereAs a case manager for Hamilton County Job & Family Services, you will embark on a fulfilling journey that opens doors to numerous opportunities. This role is ideal for recent graduates, seasoned human services professionals, or those seeking a career transition. Below are key aspects of this position:In this capacity,...
-
Case Management Team Leader
4 weeks ago
Cincinnati, Ohio, United States Greater Cincinnati Behavior Full timeGreater Cincinnati Behavioral Health Services (GCBHS) is in search of a Case Management Team Leader to join our dedicated case management unit. Be part of our commitment to empower individuals facing mental health challenges and substance use disorders to achieve fulfilling and productive lives. This role is crucial in overseeing a team that provides support...