Iowa Case Manager, LTSS

3 days ago

Cedar Falls, Iowa, 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 an integrated delivery of care across the continuum, including behavioral health and long-term care, for members with high need potential.

Key Responsibilities:

  • Conduct comprehensive assessments of members to identify their needs and goals.
  • Develop and implement case management plans, including waiver service plans, in collaboration with members, caregivers, physicians, and other healthcare professionals.
  • Monitor the effectiveness of care plans, document interventions, and suggest changes as needed.
  • Promote integration of services for members, including behavioral health care and long-term services and supports, to enhance the continuity of care.
  • Assess medical necessity and authorize waiver services as needed.
  • Evaluate covered benefits and advise members on funding sources.
  • Conduct face-to-face or home visits as required.
  • Facilitate interdisciplinary care team meetings and informal collaboration.
  • Use motivational interviewing and clinical guideposts to educate, support, and motivate members during contacts.
  • Identify barriers to care and provide care coordination and assistance to members to address psycho-social, financial, and medical obstacles.
  • Develop prevention plans to ensure members' 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.

Molina Healthcare Offers:

A competitive benefits and compensation package, including a pay range of $21.6 - $46.81 per hour. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.

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