Care Coordinator, LTSS
4 weeks ago
Molina Healthcare Services 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 to address member needs and goals.
- Monitor and evaluate the effectiveness of care plans and make adjustments as needed.
- Promote integration of services for members, including behavioral health care and long-term services and supports.
- Assess for medical necessity and authorize waiver services.
- 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 and support members.
- Assess for barriers to care and provide care coordination and assistance to members.
- Identify critical incidents and develop prevention plans to ensure member health and welfare.
Requirements:
- Bachelor's or master's degree in a social science, psychology, gerontology, public health, or social work.
- At least 1 year of experience working with persons with disabilities/chronic conditions and Long Term Services & Supports.
- 1-3 years of experience in case management, disease management, managed care, or medical or behavioral health settings.
Preferred Qualifications:
- 3-5 years of experience in case management, disease management, managed care, or medical or behavioral health settings.
- 1 year of experience working with populations who receive waiver services.
Molina Healthcare offers a competitive benefits and compensation package. We are an Equal Opportunity Employer (EOE) M/F/D/V.
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