Field Case Manager, LTSS Specialist

3 weeks ago


Mount Enterprise, Texas, United States Molina Healthcare Full time

Job Summary

Molina Healthcare Services (HCS) is seeking a skilled RN Case Manager to join our team. As a Field 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, 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.
  • Provides consultation, recommendations, and education as appropriate to non-RN case managers.
  • Works cases with members who have complex medical conditions and medication regimens.
  • Conducts medication reconciliation when needed.

Requirements

Required Education:

  • Graduate from an Accredited School of Nursing.

Required Experience:

  • 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.

Required License, Certification, Association:

  • Active, unrestricted State Registered Nursing license (RN) in good standing.

Preferred Qualifications

Preferred Education:

  • Bachelor's Degree in Nursing.

Preferred Experience:

  • 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.

Preferred License, Certification, Association:

  • 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: $51.49/HOURLY



  • Mount Calm, Texas, United States United States Postal Service Full time

    Job Summary:The United States Postal Service is seeking a highly motivated and detail-oriented individual to join our team as a Mail Processing Specialist. As a Mail Processing Specialist, you will play a critical role in the processing and sorting of mail, ensuring timely and efficient delivery to our customers.Key Responsibilities:Sort and process mail in...


  • Mount Pleasant, Texas, United States Fresenius Medical Care North America Full time

    Purpose and Scope:As an Administrative Support Specialist at Fresenius Medical Care North America, you will provide confidential administrative support to management, relieving them of clerical, administrative, and business details as necessary.You will perform standard administrative functions such as screening telephone calls, opening mail, scheduling...


  • Mount Calm, Texas, United States NextEra Energy Full time

    At NextEra Energy, we are seeking a skilled Wind Technician II to join our team. As a Wind Technician II, you will play a critical role in ensuring the safe and optimal performance of all wind farm operations. Your primary focus will be on the safe execution of field-based equipment maintenance, diagnostics, and long-term reliability and...

  • Supply Chain Manager

    4 weeks ago


    Mount Pleasant, Texas, United States Newly Weds Foods- Mt. Pleasant, TX Full time

    Job SummaryAs a key member of our team, the Supply Chain Manager will oversee the daily operations of our Material's Management functions, ensuring seamless execution and maximum efficiency. This role will be responsible for managing inventory, purchasing, warehousing, and cycle counting, as well as implementing changes to improve efficiency and reduce...


  • Mount Pleasant, Texas, United States Guaranty Bank & Trust Full time

    Deposit Operations Specialist Part-TimeAt Guaranty Bank and Trust, we're committed to delivering exceptional customer service and building a brighter financial future for our community. As a Deposit Operations Specialist Part-Time, you'll play a vital role in our mission by providing top-notch support to our Deposit Services team.Key...

  • Greenhouse Specialist

    4 weeks ago


    Mount Pleasant, Texas, United States Local Bounti Full time

    Job OverviewLocal Bounti is seeking a highly skilled and experienced Grower or Senior Grower to join our team. As a key member of our production team, you will be responsible for ensuring the health and happiness of our plants, maximizing yield, and maintaining the highest quality standards.Key ResponsibilitiesEstablish and maintain ideal growing conditions...


  • Mount Pleasant, Texas, United States United Ag & Turf Full time

    Job Title: Heavy Equipment Field MechanicUnited Ag & Turf is a leading John Deere dealership with multiple locations across Texas, Oklahoma, Arkansas, and New Mexico. We serve customers in various industries, including commercial, construction, agriculture, and consumers. Our goal is to provide exceptional customer experience across all our locations and...


  • Mount Pleasant, Texas, United States Soliant Full time

    Job OverviewWe are seeking skilled Speech-Language Pathologists (SLPs) and Speech-Language Pathology Assistants (SLPAs) to provide high-quality therapy services in the Mount Pleasant, Texas area.Key Responsibilities:SLPs: Conduct comprehensive assessments, develop and implement individualized treatment plans, and provide speech-language therapy services to...


  • Mount Pleasant, Texas, United States Soliant Full time

    Job DescriptionWe are seeking talented and dedicated Speech-Language Pathologists (SLPs) and Speech-Language Pathology Assistants (SLPAs) to provide essential therapy services across various settings in the Mount Pleasant, Texas area.Key Responsibilities:SLPs: Provide comprehensive speech-language therapy services, including assessment, diagnosis, and...


  • Mount Pleasant, Texas, United States Titus Regional Medical Center Full time

    Job Title: Clinical Education CoordinatorJob Summary:We are seeking a highly motivated and experienced Clinical Education Coordinator to join our team at Titus Regional Medical Center. The successful candidate will be responsible for developing, coordinating, and presenting education programs for orientation and workforce development for providers and staff...


  • Enterprise, Alabama, United States Covington Electric Cooperative Inc Full time

    About Covington Electric Cooperative, Inc.Covington Electric Cooperative, Inc. is a leading provider of fiber-optic communications services. We are seeking a skilled Broadband Field Specialist - Fiber Network Installation to join our team. This is an exciting opportunity to work with cutting-edge technology and contribute to the growth of our fiber...

  • Case Manager

    4 months ago


    Mount Juliet, United States TruRoots Health Center Full time

    Join Our Team as a Case Manager Team Member - Empower Patients Towards Health Goals!Are you passionate about making a positive impact on people's lives? Do you have a knack for effective communication and a keen eye for detail? We are seeking a dedicated and empathetic Case Manager Team Member to join our dynamic Exam & Case Acceptance department and play a...


  • Mount Vernon, Washington, United States Sea Mar Community Health Centers Full time

    Job Title: Behavioral Health Case ManagerSea Mar Community Health Centers is seeking a skilled Behavioral Health Case Manager to join our team. As a key member of our community health organization, you will play a vital role in providing high-quality care to our patients.Job Summary:The Behavioral Health Case Manager will serve as an internal resource for...


  • Mount Vernon, Ohio, United States Knox County Job & Family Services Full time

    Job SummaryKnox County Job & Family Services is seeking a highly motivated and detail-oriented Child Support Case Manager to join our team. The successful candidate will be responsible for investigating cases, monitoring compliance, and enforcing child support obligations.Key ResponsibilitiesConduct investigations to obtain information about case...


  • Rocky Mount, United States Piedmont Community Services Full time

    Provide case management services to adults in the catchment area. Assure individuals receive the appropriate services to assist them in accessing needed medical, psychiatric, social, educational, & other supports to meet their basic needs. Bachelor's degree in human services or related field preferred with one-year experience of direct care or any equivalent...


  • Mount Vernon, Ohio, United States Knox County, OH Full time

    Job SummaryWe are seeking a highly motivated and detail-oriented Child Support Case Manager to join our team at Knox County, OH. As a Child Support Case Manager, you will be responsible for enforcing child support orders, conducting investigations, and providing excellent customer service to our clients.Key ResponsibilitiesEnforce child support orders...

  • Senior Case Manager

    3 weeks ago


    Mount Vernon, New York, United States HELP USA Full time

    About HELP USAAt HELP USA, we strive to provide a safe and supportive environment for individuals and families in need. Our organization is dedicated to ensuring that everyone has a place to call home.We are one of the nation's largest homeless services providers and low-income housing developers, serving at-risk populations including families, individuals,...


  • Mount Holly, New Jersey, United States Actalent Full time

    Job Title: Electrical Field Service SpecialistJob Summary:We are seeking an experienced Electrical Field Service Specialist to join our team at Actalent. As a Field Service Specialist, you will conduct a broad range of inspection, engineering, and supervisory tasks in support of in-house test, installation, start-up, and service/repair of industrial...


  • Mount Holly, North Carolina, United States Actalent Full time

    Job Title:Electrical Field Service SpecialistAt Actalent, we are seeking an experienced Electrical Field Service Specialist to join our team. As an Electrical Field Service Specialist, you will be responsible for conducting a broad range of inspection, engineering, and supervisory tasks in support of in-house test, installation, start-up, and service/repair...

  • RN Case Manager

    4 weeks ago


    Rocky Mount, Virginia, United States Carilion Clinic Full time

    Job SummaryWe are seeking a skilled RN Case Manager to join our team at Carilion Clinic. As a key member of our healthcare team, you will be responsible for providing case management services to assigned patient populations, utilizing your clinical expertise, communication, and problem-solving skills to achieve optimal clinical and resource outcomes.Key...


  • Rocky Mount, North Carolina, United States Volunteers of America Chesapeake and Carolinas Full time

    Job Title: Case Manager for Homeless VeteransJob Summary: We are seeking a highly motivated and compassionate Case Manager to join our team at Volunteers of America Chesapeake and Carolinas. As a Case Manager, you will provide day-to-day support and services for participating veteran households, working closely with clients to address their housing,...

  • OB-GYN Specialist

    3 weeks ago


    Enterprise, Alabama, United States Britt Medical Search Full time

    Britt Medical Search is seeking a skilled OB-GYN Specialist to join a well-established hospital-owned practice in a charming town just outside of Dothan, AL.Join a practice with over 20 years of experienceEmployed opportunity with a shared call schedule of 1:4Bread and butter OB-GYN casesOffice located in the Medical Center Office BuildingBenefits...

  • Nurse Case Manager

    4 weeks ago


    Mount Vernon, New York, United States Eastern Connecticut Health Network Full time

    Job Title: RN Case ManagerJob Summary: We are seeking a skilled and compassionate RN Case Manager to join our team at Eastern Connecticut Health Network. As a RN Case Manager, you will be responsible for providing high-quality patient care and coordinating services to ensure optimal health outcomes.Key Responsibilities:Conduct comprehensive assessments of...

  • Sales Specialist

    1 month ago


    Enterprise, United States RainSoft of the Wiregrass Full time

    Company Descriptionwe suggest you enter details hereRole DescriptionThis is a full-time hybrid role for a Sales Specialist at RainSoft of the Wiregrass through out lower Alabama and the Pan Handle of Fl. (Enterprise AL, Dothan AL, Panama City, Destin, Ft. Walton). The Sales Specialist will be responsible for day-to-day sales tasks and will have the...


  • Mount Vernon, IL, United States Knox County Job & Family Services Full time

    Job Summary:Knox County Job & Family Services is seeking a highly skilled Child Support Case Manager to join our team. As a Child Support Case Manager, you will be responsible for enforcing child support obligations and ensuring that parents support their children.Key Responsibilities:Conduct investigations to obtain information about case participants...

  • Field Engineer

    4 weeks ago


    Mount Pleasant, Michigan, United States Cherne Contracting Corporation Full time

    Job Title: Field Engineer - Advanced Technologies SpecialistCherne Contracting Corporation is seeking a highly skilled Field Engineer - Advanced Technologies Specialist to join our team. As a key member of our project team, you will be responsible for ensuring the successful execution of our construction projects.Key Responsibilities:Assist in the...

  • RN Case Manager

    4 weeks ago


    Mount Pleasant, United States Interim HealthCare Staffing Full time

    Full Time Hospice RN Case Manager Serving Charleston, Berkeley, and Dorchester CountiesJoin our team as a Hospice RN Case Manager, where compassion meets expertise. Lead with care, compassion, and skill, providing exceptional hospice care to patients and families. Make a difference every day by upholding our high standards of nursing practice. As a Hospice...


  • Rocky Mount, United States Commonwealth of Virginia Full time

    Hiring Range: $36,993 to $45,000 Full Time or Part Time: Full Time Title Description- Family Services Specialist I represents the entry level employees working under close supervision while being trained in program areas such as, Adult/Adult Protective Services, Child Protective Services, Foster Care/’Adoption, Child Care, and Employment...


  • Enterprise, Alabama, United States Ladgov Corporation Full time

    Job DescriptionAt Ladgov Corporation, we are seeking a skilled Biomedical Equipment Specialist to join our team.Key Responsibilities:Perform preventive maintenance and corrective repairs on medical equipment to ensure optimal performance and safety.Complete scheduled PM services on time and maintain high standards of equipment performance.Collaborate with...


  • Enterprise, Alabama, United States Jacent Strategic Merchandising Full time

    About the RoleWe're seeking a skilled Strategic Merchandising Specialist to join our team at Jacent Strategic Merchandising. As a key member of our merchandising team, you will be responsible for cultivating relationships with in-store management, executing merchandising resets, and building retail displays. If you're a self-starter with excellent...