Long-Term Services and Supports Case Manager

1 week ago

Fort Worth, Texas, United States Molina Healthcare Full time

Internal Number:

JOB DESCRIPTION

Position Overview

Molina Healthcare Services (HCS) collaborates with members, healthcare providers, and a multidisciplinary team to evaluate, facilitate, plan, and coordinate an integrated care delivery system. This encompasses both behavioral health and long-term care for individuals with significant needs. The HCS team is dedicated to ensuring that patients achieve their desired health outcomes through quality care that is both medically appropriate and cost-effective, tailored to the severity of their conditions and the service setting.

REQUIRED KNOWLEDGE/SKILLS/ABILITIES

  • Conducts in-person comprehensive evaluations of members within regulated timeframes.
  • Manages the enrollment and disenrollment processes for comprehensive waivers.
  • Develops and executes a case management strategy, including a waiver service plan, in partnership with the member, their caregiver, healthcare providers, and the member's support network to meet individual needs and objectives.
  • Performs continuous monitoring of the care plan to assess its effectiveness, document interventions and achievements, and recommend adjustments as necessary.
  • Encourages the integration of services for members, including behavioral health and long-term services and supports, to enhance continuity of care.
  • Evaluates medical necessity and authorizes all relevant waiver services.
  • Reviews covered benefits and provides guidance on funding sources.
  • Conducts in-person or home visits as required.
  • Facilitates interdisciplinary care team meetings for service approvals or denials and informal collaboration.
  • Utilizes motivational interviewing techniques and Molina clinical guidelines to educate, support, and inspire change during member interactions.
  • Identifies barriers to care and provides coordination and assistance to members to address psychosocial, financial, and medical challenges.
  • Recognizes critical incidents and formulates prevention strategies to ensure the health and safety of members.
  • Offers consultation, recommendations, and education to non-RN case managers as needed.
  • Manages cases involving members with complex medical conditions and medication regimens.
  • Conducts medication reconciliation when necessary.
  • % travel required.

JOB QUALIFICATIONS

Required Education

Graduate from an Accredited School of Nursing.

Required Experience

  • Minimum of 1 year of experience working with individuals with disabilities or chronic conditions and Long-Term Services & Supports.
  • Experience in case management, disease management, managed care, or medical or behavioral health environments.

Required License, Certification, Association

  • Active, unrestricted State Registered Nursing license (RN) in good standing.
  • If fieldwork is necessary, must possess a valid driver's license with a clean driving record and be able to travel within the applicable state or locality using reliable transportation.

State Specific Requirements

Virginia: Must have at least one year of experience working directly with individuals with Substance Use Disorders.

Preferred Education

Bachelor's Degree in Nursing.

Preferred Experience

  • Experience in case management, disease management, managed care, or medical or behavioral health settings.
  • 1 year of experience working with populations receiving waiver services.

Preferred License, Certification, Association

Active and unrestricted Certified Case Manager (CCM).

Molina Healthcare provides a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.

Pay Range: $ - $ / HOURLY
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

  • Long-Term Services and Supports Case Manager

    1 week ago

    Fort Worth, Texas, United States Molina Healthcare Full time

    Internal Number: JOB DESCRIPTION Job Overview Molina Healthcare Services (HCS) collaborates with members, healthcare providers, and a multidisciplinary team to evaluate, facilitate, plan, and coordinate a comprehensive delivery of care across various settings, including behavioral health and long-term care, for individuals with significant needs....

  • Youth Services Case Coordinator

    2 weeks ago

    Fort Worth, Texas, United States ACH Child and Family Services Full time

    Job OverviewPosition Purpose:The Transitional Support Case Manager is dedicated to working with homeless youth and young adults in Extended Foster Care, guiding them towards achieving their goals for independent living. This role necessitates a deep understanding of the cultural and socioeconomic backgrounds of the service...

  • Youth Services Case Coordinator

    2 weeks ago

    Fort Worth, Texas, United States ACH Child and Family Services Full time

    Job OverviewPosition Purpose: The role is designed to assist and empower young individuals and their families by delivering and managing comprehensive case management services, therapeutic interventions, crisis response, and transitional support.Key Responsibilities:Respond promptly to all client referrals and manage admissions for designated...

  • Child Welfare Case Management Supervisor

    2 weeks ago

    Fort Worth, Texas, United States Divinity Family Services Full time

    Job OverviewSalary: TBDPosition SummaryThe Case Management Team Lead is responsible for overseeing, guiding, and ensuring that all services provided by their case management team adhere to contractual obligations and minimum standard guidelines. This role demands a high level of supervision over the execution and documentation of case-related activities....

  • Case Manager

    5 days ago

    Fort Worth, Texas, United States Catholic Charities Diocese of Fort Worth Full time

    Job SummaryCatholic Charities Diocese of Fort Worth is seeking a highly motivated and compassionate Bilingual Case Manager to join our Refugee Services team. As a key member of our team, you will be responsible for providing critical support to refugees and asylum seekers, helping them navigate the complexities of our services and achieve economic...

  • Case Manager

    1 week ago

    Fort Worth, Texas, United States Divinity Family Services Full time

    Job DescriptionJob Title: Case ManagerDepartment/Group: Family ServicesPosition Type: Entry LevelLocation: Divinity Family ServicesJob Summary:We are seeking a highly motivated and detail-oriented Case Manager to join our team at Divinity Family Services. The successful candidate will be responsible for providing case management services to children in care,...

  • Kinship Family Support Coordinator

    2 weeks ago

    Fort Worth, Texas, United States ACH Child and Family Services Full time

    Job OverviewPosition Purpose:The primary aim of this role is to assist and advocate for kinship families by delivering and managing comprehensive case management services. This includes organizing support groups, training sessions, in-home therapeutic interventions, crisis response, and transitional assistance. The Kinship Connections Case Manager will...

  • Long-Term Care Billing Specialist

    2 weeks ago

    Fort Worth, Texas, United States Creative Solutions in Healthcare Full time

    Position OverviewCreative Solutions in Healthcare is seeking a dedicated Medicaid Billing Specialist to join our team. The successful candidate will possess a minimum of 2-5 years of experience in a billing environment focused on Long-Term Care.Employee Benefits:Comprehensive Health, Dental, and Vision InsuranceAdditional policies including Accidental Death...

  • Family Support Specialist

    2 weeks ago

    Fort Worth, Texas, United States ACH Child and Family Services Full time

    Position Overview: The primary role of the Resource Navigator is to assist and empower youth and their families by delivering and coordinating access to essential services and navigating complex systems to address their specific needs. This position is crucial in ensuring timely responses to all referrals. The Resource Navigator conducts comprehensive...

  • Case Manager

    1 week ago

    Fort Worth, Texas, United States Divinity Family Services Full time

    Job DescriptionJob Title: Case ManagerDepartment/Group: Family ServicesPosition Type: Entry LevelLocation: Divinity Family ServicesJob Summary:We are seeking a highly motivated and detail-oriented Case Manager to join our team at Divinity Family Services. The successful candidate will be responsible for providing case management services to children in care,...

  • Bilingual Case Manager

    1 day ago

    Fort Worth, Texas, United States Catholic Charities Diocese of Fort Worth Full time

    Job SummaryCatholic Charities Diocese of Fort Worth is seeking a highly motivated and compassionate Bilingual Case Manager to join our Refugee Services team. As a key member of our team, you will be responsible for providing critical support to refugees and asylum seekers, helping them navigate the complexities of our services and achieve economic...

  • Case Manager

    1 day ago

    Fort Worth, Texas, United States Meals On Wheels Inc. of Tarrant County Full time

    Job Summary: We are seeking a highly skilled and compassionate Case Manager to join our team at Meals On Wheels Inc. of Tarrant County. As a Case Manager, you will be responsible for providing exceptional care and support to our clients, ensuring their needs are met and their well-being is prioritized.Key Responsibilities:Client Intake and Assessment:...

  • Case Management Assistant

    6 days ago

    Fort Worth, Texas, United States Volunteers of America-Texas Full time

    About the RoleWe are seeking a highly organized and detail-oriented Case Clerk to join our team at Volunteers of America-Texas. As a Case Clerk, you will play a critical role in supporting our clients and staff by maintaining accurate and up-to-date records, performing job verification checks, and preparing weekly records of extra duty hours worked by...

  • Family and Youth Support Coordinator

    2 weeks ago

    Fort Worth, Texas, United States ACH Child and Family Services Full time

    Position OverviewRole Summary:The Family and Youth Support Coordinator plays a crucial role in identifying, evaluating, and delivering crisis support, emergency housing, and therapeutic services to adolescents facing homelessness or those who are victims of trafficking. This position is dedicated to educating both youth and the broader community about the...

  • Adolescent and Family Support Coordinator

    2 weeks ago

    Fort Worth, Texas, United States ACH Child and Family Services Full time

    Job OverviewPosition Summary:The Adolescent and Family Support Coordinator plays a crucial role in identifying, evaluating, and delivering crisis support, emergency accommodations, and therapeutic services within a Trauma-Informed Care framework for youth facing homelessness or trafficking challenges. This position is responsible for disseminating...

  • Administrative Support Specialist

    12 hours ago

    Fort Worth, Texas, United States ACH Child and Family Services Full time

    Job SummaryWe are seeking a highly organized and detail-oriented Administrative Support Specialist to join our team at ACH Child and Family Services. The successful candidate will provide administrative support to our supervisor and staff, ensuring the smooth operation of our office.Key ResponsibilitiesProvide administrative support to supervisor and staff,...

  • Youth Services Coordinator

    2 weeks ago

    Fort Worth, Texas, United States ACH Child and Family Services Full time

    Job OverviewPosition Summary:The primary role of the Resource Navigator is to assist and empower youth and their families by facilitating access to essential services and resources. This position involves responding promptly to referrals and conducting comprehensive assessments to identify the unique strengths and needs of each family. The Resource Navigator...

  • Administrative Support Specialist

    2 weeks ago

    Fort Worth, Texas, United States ACH Child and Family Services Full time

    Job OverviewPosition Purpose: To deliver comprehensive administrative assistance to the management and team members.Qualifications:Education: High School Diploma or equivalent required.Experience: Minimum of one year in a full-time administrative role, including general office, clerical, or secretarial experience, preferably within a related field.Skills:...

  • Client Services Coordinator

    2 weeks ago

    Fort Worth, Texas, United States BrightSpring Health Services Full time

    Company OverviewBrightSpring Health ServicesPosition SummaryThe operational team at BrightSpring Health Services is dedicated to effectively addressing the needs of our clients across diverse service areas. If you are passionate about delivering exceptional care to empower clients to achieve their best quality of life, we invite you to explore this...

  • Pharmacy Case Management Specialist

    2 weeks ago

    Fort Worth, Texas, United States Maxor Full time

    OverviewPharmacy Case Management SpecialistMaxor National Pharmacy Services is in search of a dedicated and skilled nationally certified pharmacy technician for a Case Manager role within the Emergency Department. This position requires candidates to be exceptional communicators, detail-oriented, and possess strong time management abilities. The Case Manager...