Field Case Manager, LTSS

2 days ago


San Antonio, Texas, United States Molina Healthcare Full time
Job Title: Field Case Manager, LTSS

Job Summary:

Molina Healthcare Services (HCS) is seeking a skilled Field Case Manager to join our Long-Term Services and Supports (LTSS) team. As a Field Case Manager, you will work with our Medicaid members to assess, facilitate, plan, and coordinate an integrated delivery of care across the continuum, including behavioral health and long-term care.

Key Responsibilities:

  • Conduct face-to-face comprehensive assessments of members per regulated timelines.
  • Develop and implement a case management plan, including a waiver service plan, in collaboration with the member, caregiver, physician, and/or other appropriate healthcare professionals.
  • Perform ongoing monitoring of the care plan to evaluate effectiveness, document interventions, and suggest changes accordingly.
  • Promote integration of services for members, including behavioral health care and long-term services and supports, to enhance the continuity of care for Molina members.
  • Assess for medical necessity and authorize all appropriate waiver services.
  • Evaluate covered benefits and advise appropriately regarding funding source.
  • Conduct face-to-face or home visits as required.
  • Facilitate interdisciplinary care team meetings for approval or denial of services and informal ICT collaboration.
  • Use motivational interviewing and Molina clinical guideposts to educate, support, and motivate change during member contacts.
  • Assess for barriers to care, provide care coordination, and assistance to members to address psycho/social, financial, and medical obstacles concerns.
  • Identify critical incidents and develop prevention plans to assure member's health and welfare.
  • Provide consultation, recommendations, and education as appropriate to non-RN case managers.
  • Work cases with members who have complex medical conditions and medication regimens.
  • Conduct medication reconciliation when needed.

Requirements:

  • Graduate from an Accredited School of Nursing.
  • 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.
  • Active, unrestricted State Registered Nursing license (RN) in good standing.
  • If field work is required, must have a valid driver's license with a good driving record and be able to drive within applicable state or locality with reliable transportation.

Preferred Qualifications:

  • Bachelor's Degree in Nursing.
  • 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.
  • Active and unrestricted Certified Case Manager (CCM).

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


  • Field Case Manager

    3 weeks ago


    San Antonio, Texas, United States Genex Services Full time

    Job Summary:Genex Services is seeking a skilled Field Case Manager to join our team. As a Field Case Manager, you will work closely with treating physicians/providers, employers, customers, legal representatives, and the injured/disabled person to create and implement a treatment plan that returns the injured/disabled person back to work appropriately,...


  • San Antonio, Texas, United States Injury Management Organization, Inc Full time

    Job Title: RN Field Case ManagerAt Injury Management Organization, Inc., we are seeking a highly skilled and compassionate RN Field Case Manager to join our team. As a key member of our case management team, you will play a vital role in ensuring the optimal recovery and return-to-work of injured employees.Key Responsibilities:Develop and implement...


  • San Antonio, Texas, United States Injury Management Organization Full time

    Medical Case Manager Job DescriptionAt Injury Management Organization, we're seeking a skilled Medical Case Manager to join our team. As a Medical Case Manager, you will play a crucial role in ensuring the well-being of injured workers by providing proactive case management and rehabilitation services.Key Responsibilities:Oversee a portfolio of 20-35 case...

  • Nurse Case Manager

    1 month ago


    San Antonio, Texas, United States Professional Case Management Full time

    Make a Difference in Home HealthcareAt Professional Case Management, we're seeking a dedicated and compassionate Nurse Case Manager to join our team. As a key member of our home healthcare team, you'll have the opportunity to make a meaningful impact on the lives of our clients.About the Role:Provide case management services to assigned clients, directing a...

  • Nurse Case Manager

    3 weeks ago


    San Antonio, Texas, United States Professional Case Management Full time

    Make a Difference in the Lives of OthersAt Professional Case Management, we are dedicated to providing exceptional home healthcare services to those in need. As a Registered Nurse, you will have the opportunity to work one-on-one with patients in the comfort of their own homes, making a meaningful difference in their lives.Why Choose Professional Case...


  • San Antonio, Texas, United States University Health Full time

    ROLE SUMMARYThe RN Service Coordinator at University Health plays a vital role in the Long Term Services and Supports (LTSS) service coordination process. As a registered nurse, you will contribute to the development, monitoring, and evaluation of care plans to meet the unique needs of our members. Your expertise will help optimize healthcare across the care...


  • San Antonio, Texas, United States University Health Full time

    Job SummaryThe Service Coordinator - Registered Nurse provides critical support to STAR Kids Members by identifying, selecting, and coordinating Covered Services and other supports to enhance their well-being, independence, and integration in the community.Key ResponsibilitiesConduct holistic evaluations of Members' individual dynamics, needs, and...


  • San Antonio, Texas, United States TotalMed Case Management Staffing Full time

    Job Title: Travel Nurse RN Case ManagerTotalMed Case Management Staffing is seeking a skilled Travel Nurse RN Case Manager to join our team.Job Description & RequirementsSpecialty: Case ManagementDiscipline: RNShift: 8 hours, daysEmployment Type: TravelWe are looking for a dedicated Case Manager-Registered Nurse to work with our team in San Antonio,...

  • Case Manager

    3 weeks ago


    San Antonio, Texas, United States Laurel Ridge Treatment Center Full time

    Job Title: Case ManagerJob Summary:We are seeking a skilled Case Manager to join our team at Laurel Ridge Treatment Center. As a Case Manager, you will play a critical role in ensuring the delivery of high-quality patient care and promoting optimal outcomes.Responsibilities:Conduct admission and continued stay reviews to ensure that care meets the clinical...

  • Case Manager

    1 month ago


    San Antonio, Texas, United States Laurel Ridge Treatment Center Full time

    Job SummaryLaurel Ridge Treatment Center is seeking a skilled Case Manager to join our team. As a Case Manager, you will play a critical role in ensuring that our patients receive high-quality, comprehensive care.Key ResponsibilitiesConduct thorough admission and continued stay reviews to ensure that patient care meets clinical needs and reduces financial...

  • Case Manager

    2 weeks ago


    San Antonio, Texas, United States Laurel Ridge Treatment Center Full time

    Job Title: Case ManagerJob Summary:We are seeking a skilled Case Manager to join our team at Laurel Ridge Treatment Center. As a Case Manager, you will play a critical role in ensuring that our patients receive high-quality, compassionate care. Your expertise in utilization review, patient advocacy, and clinical case management will enable you to make a...

  • Case Manager

    3 days ago


    San Antonio, Texas, United States Laurel Ridge Treatment Center Full time

    Job Title: Case ManagerJob Summary: We are seeking a skilled Case Manager to join our team at Laurel Ridge Treatment Center. As a Case Manager, you will be responsible for coordinating patient care to optimize outcomes, advocating for patients and facilities, and promoting quality care and documentation.Responsibilities:Conduct admission and continued stay...

  • RN Case Manager

    2 weeks ago


    San Antonio, Texas, United States UT Health San Antonio Full time

    Clinical Excellence**Job Summary**As a RN Case Manager at UTHP ADM Quality, you will play a vital role in enhancing the quality of patient management and satisfaction. Your expertise will promote continuity of care and cost-effectiveness through integrating functions of case management, utilization review, and management, and discharge planning.**Key...

  • RN Case Manager

    4 weeks ago


    San Antonio, Texas, United States UT Health San Antonio Full time

    RN Case Manager Job Description **Job Summary** We are seeking a skilled RN Case Manager to join our team at UTHP ADM Quality. As a RN Case Manager, you will play a critical role in enhancing the quality of patient management and satisfaction. **Key Responsibilities** * Manage cases to promote continuity of care and cost effectiveness through integrating...

  • Case Manager

    4 weeks ago


    San Antonio, Texas, United States Laurel Ridge Treatment Center Full time

    Job Title: Case ManagerJob Summary:We are seeking a skilled Case Manager to join our team at Laurel Ridge Treatment Center. As a Case Manager, you will play a critical role in ensuring the delivery of high-quality patient care and promoting optimal outcomes.Responsibilities:Conduct thorough admission and continued stay reviews to ensure that patient care...

  • RN Case Manager

    4 weeks ago


    San Antonio, Texas, United States UT Health San Antonio Full time

    RN Case Manager Job Description **Job Summary** We are seeking a skilled RN Case Manager to join our team at UTHP ADM Quality. As a RN Case Manager, you will play a critical role in enhancing the quality of patient management and satisfaction. **Key Responsibilities** * Manage cases to promote continuity of care and cost effectiveness through integrating...

  • Case Manager

    2 days ago


    San Antonio, Texas, United States Endeavors Full time

    Job SummaryWe are seeking a highly skilled Case Manager to join our team at Endeavors. As a Case Manager, you will be responsible for providing quality case management services to our service population, ensuring their safety and well-being.Key ResponsibilitiesCoordinate referrals, service planning, and documentation for assigned caseload.Interview...


  • San Antonio, Texas, United States Thrive Youth Center Inc Full time

    Job Title: Director of Case ManagementThrive Youth Center Inc is seeking a highly skilled and compassionate Director of Case Management to lead our team of case managers in providing exceptional support to LGBTQ+ youth experiencing homelessness.Job Summary:The Director of Case Management will oversee the development, implementation, and evaluation of...


  • San Antonio, Texas, United States Thrive Youth Center Inc Full time

    Job Title: Director of Case ManagementThrive Youth Center Inc is seeking a highly skilled and compassionate Director of Case Management to lead our team of case managers in providing exceptional services to LGBTQ+ youth experiencing homelessness.Job Summary:The Director of Case Management will be responsible for overseeing the development, implementation,...

  • RN Case Manager

    3 weeks ago


    San Antonio, Texas, United States SERENITY HOSPICE AND PALLIATIVE CARE OF TEXAS Full time

    Job OpportunityWe are seeking a skilled RN Case Manager to join our team at Serenity Hospice and Palliative Care of Texas.The ideal candidate will have experience in managing small hospice case loads and possess excellent communication skills.Key Responsibilities:Manage a small hospice case load with compassion and care.Collaborate with healthcare teams to...