Long-Term Services Case Coordinator

2 weeks ago

Oshkosh, Wisconsin, United States Molina Healthcare Full time
Job Overview

Position Summary

Molina Healthcare Services (HCS) collaborates with members, healthcare providers, and multidisciplinary teams to evaluate, facilitate, plan, and coordinate an integrated approach to care across various services, including 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 environment.

Key Responsibilities

  • Conduct comprehensive face-to-face assessments of members within regulated timelines.
  • Oversee the enrollment and disenrollment processes for comprehensive waivers.
  • Collaborate with members, caregivers, physicians, and other healthcare professionals to create and implement a tailored case management plan, including a waiver service plan that addresses the specific needs and goals of the member.
  • Continuously monitor the effectiveness of the care plan, documenting interventions and achievements, and recommending adjustments as necessary.
  • Facilitate the integration of services for members, including behavioral health and long-term support services, to enhance continuity of care.
  • Evaluate medical necessity and authorize all relevant waiver services.
  • Assess covered benefits and provide guidance on funding sources.
  • Conduct home visits or face-to-face meetings as required.
  • Lead interdisciplinary care team meetings to discuss service approvals or denials and foster informal collaboration.
  • Utilize motivational interviewing techniques and Molina clinical guidelines to educate and support members in making positive changes.
  • Identify barriers to care and provide coordination and assistance to members in overcoming psychosocial, financial, and medical challenges.
  • Recognize critical incidents and develop prevention strategies to ensure the health and safety of members.
  • Offer consultation and educational support to non-RN case managers as needed.
  • Manage cases involving members with complex medical conditions and medication regimens.
  • Perform medication reconciliation when necessary.
  • Travel requirements: 50-75%.

Qualifications

Education

Graduate from an accredited nursing program.

Experience

  • A minimum of 1 year of experience working with individuals with disabilities or chronic conditions, particularly in Long-Term Services & Supports.
  • 1-3 years of experience in case management, disease management, managed care, or medical/behavioral health environments.

Licensure/Certification

  • Active, unrestricted State Registered Nursing license (RN) in good standing.
  • If fieldwork is necessary, a valid driver's license with a good driving record is required, along with reliable transportation.

State-Specific Requirements

Virginia: At least one year of experience working directly with individuals with Substance Use Disorders is required.

Preferred Qualifications

Education

Bachelor's Degree in Nursing.

Experience

  • 3-5 years of experience in case management, disease management, managed care, or medical/behavioral health settings.
  • 1 year of experience working with populations receiving waiver services.

Licensure/Certification

Active and unrestricted Certified Case Manager (CCM) certification.

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

Pay Range: $51.49 / HOURLY
*Actual compensation may vary based on geographic location, work experience, education, and/or skill level.

  • Long-Term Services and Supports Case Manager

    1 week ago

    Oshkosh, Wisconsin, United States Molina Healthcare Full time

    Job OverviewPosition SummaryMolina 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 services, including behavioral health and long-term care, for individuals with significant needs. The HCS team is dedicated to...

  • Long-Term Services and Supports Case Manager

    1 week ago

    Oshkosh, Wisconsin, United States Molina Healthcare Full time

    Job OverviewPosition SummaryMolina Healthcare Services (HCS) collaborates with members, healthcare providers, and a multidisciplinary team to evaluate, facilitate, plan, and coordinate comprehensive care delivery across various services, including behavioral health and long-term care, for individuals with significant needs. The HCS team is dedicated to...

  • Long-Term Services and Supports Case Manager

    2 weeks ago

    Oshkosh, Wisconsin, United States Molina Healthcare Full time

    Job OverviewPosition SummaryMolina Healthcare Services (HCS) collaborates with members, healthcare providers, and a multidisciplinary team to evaluate, facilitate, plan, and coordinate a holistic delivery of care across various domains, including behavioral health and long-term care, for individuals with significant needs. The HCS team is dedicated to...

  • Long-Term Services and Supports Case Manager

    2 weeks ago

    Oshkosh, Wisconsin, United States Molina Healthcare Full time

    Job OverviewPosition SummaryMolina Healthcare Services (HCS) collaborates with members, healthcare providers, and a multidisciplinary team to evaluate, facilitate, plan, and coordinate comprehensive care delivery across various settings, including behavioral health and long-term care, for individuals with significant needs. The HCS team is dedicated to...

  • Registered Nurse

    1 week ago

    Oshkosh, Wisconsin, United States Genie Healthcare Full time

    Job SummaryWe are seeking a dedicated and compassionate Registered Nurse to join our healthcare team at Genie Healthcare. As a key member of our rehabilitation unit, you will provide high-quality patient care and make a positive impact on people's lives.Key ResponsibilitiesProvide direct patient care and support in various healthcare settingsConduct...

  • LTSS Case Management Specialist

    2 weeks ago

    Oshkosh, Wisconsin, United States Molina Healthcare Full time

    Job OverviewPosition SummaryMolina Healthcare Services (HCS) collaborates with members, healthcare providers, and multidisciplinary teams 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. The HCS team is dedicated to...

  • RN Long Term Care Specialist

    1 week ago

    Oshkosh, Wisconsin, United States Genie Healthcare Full time

    Job OverviewWe are seeking a dedicated Registered Nurse to provide high-quality patient care and support in a medical office setting. The ideal candidate will possess excellent clinical skills and a strong commitment to delivering exceptional patient outcomes.Key Responsibilities:Provide direct patient care and support to residents in a long-term care...

  • Registered Nurse

    2 weeks ago

    Oshkosh, Wisconsin, United States Amergis Full time

    Compensation: $2,000/weekThe Long Term Care Registered Nurse (RN) is responsible for overseeing and delivering high-quality care to patients in Long Term Care and Assisted Living environments. This role requires the nurse to demonstrate sound clinical judgment and critical thinking skills while coordinating patient care effectively. The RN is accountable for...

  • Registered Nurse for Long Term Care Facilities

    2 weeks ago

    Oshkosh, Wisconsin, United States Amergis Full time

    Compensation: $2,000/weekThe Long Term Care Registered Nurse is responsible for the comprehensive delivery of nursing care to patients residing in Long Term Care and Assisted Living environments. This role requires the nurse to demonstrate effective clinical judgment and critical thinking skills while coordinating patient care with supervision. The nurse is...

  • Employment Services Coordinator

    2 weeks ago

    Oshkosh, Wisconsin, United States Forward Full time

    Join our team as an Employment Services Coordinator at Forward Service Corporation.About Us: At Forward Service Corporation, we are dedicated to empowering individuals to achieve independence through our Foodshare Employment & Training (FSET) initiative. In this role, you will be instrumental in delivering crucial case management services and support to...

  • Travel LPN/LVN Long Term Care Specialist

    3 days ago

    Oshkosh, Wisconsin, United States GetMed LTC Full time

    Job SummaryGetMed LTC is seeking a skilled Long Term Care LPN/LVN to join our team as a travel nurse. This is a 13-week assignment with a 40-hour workweek, offering a unique opportunity to gain diverse experiences in a dynamic healthcare setting.Job ResponsibilitiesProvide high-quality patient care in a long-term care settingCollaborate with healthcare teams...

  • Foodshare Program Case Coordinator

    2 weeks ago

    Oshkosh, Wisconsin, United States Forward Service Full time

    Employment Support Specialist at Forward Service CorporationAre you a dedicated professional with a strong desire to assist individuals in achieving their aspirations? Forward Service Corporation is looking for an enthusiastic Employment Support Specialist to become part of our team. In this role, you will be instrumental in delivering customized support and...

  • LPN (Licensed Practical Nurse) - Long Term Care Specialist

    1 week ago

    Oshkosh, Wisconsin, United States Genie Healthcare Full time

    Job SummaryGenie Healthcare is seeking a skilled and compassionate Licensed Practical Nurse to provide high-quality patient care in various healthcare settings. The ideal candidate will have a passion for delivering exceptional patient outcomes and possess a diverse skill set to provide comprehensive nursing services.Key ResponsibilitiesAdminister...

  • Project Coordinator

    3 days ago

    Oshkosh, Wisconsin, United States Oceanic Solutions Full time

    Job Description:We are seeking a highly organized and detail-oriented Project Coordinator to support our team at Oceanic Solutions. In this role, you will be responsible for providing administrative support to our Project Manager, as well as assisting with project planning and coordination.Main Responsibilities:Provide infrastructure documentation for...

  • North America Service Operations Manager

    1 week ago

    Oshkosh, Wisconsin, United States Core Link Inc Full time

    Job OverviewWe are looking for a skilled Service Operations Manager for North America. This role entails supervising and collaborating with the service team to facilitate the support of both existing and new equipment installations across the region.Key Responsibilities:Direct and manage the activities of the Service team.Collaborate with project managers...

  • Customer Relations Coordinator I

    2 weeks ago

    Oshkosh, Wisconsin, United States Amcor plc Full time

    Join Us in Transforming the Packaging Industry At Amcor, we are dedicated to revolutionizing the packaging sector and are committed to the ambitious goal of ensuring all our products are recyclable or reusable by 2025. With our extensive product range and global presence, we have a unique opportunity to make a significant impact in the packaging domain. Our...

  • Production Coordinator

    2 weeks ago

    Oshkosh, Wisconsin, United States Avail Infrastructure Solutions Full time

    Position Overview:Company Overview:AVAIL Infrastructure Solutions stands at the forefront of innovative technologies and specialized services within the electrical and welding sectors. Our extensive global network of manufacturing facilities, supported by a dedicated workforce of over 1,750 professionals, underscores our commitment to excellence and...

  • Meat Cutter Floater

    4 days ago

    Oshkosh, Wisconsin, United States Festival Foods Full time

    Job SummaryThe Meat Cutter Floater is a key member of the Retail Meat Department team at Festival Foods. This role is responsible for assisting in various tasks within the meat department to provide exceptional products and services to our guests. The successful candidate will be a team player who is committed to delivering high-quality results and providing...

  • Travel Nurse RN Position

    4 days ago

    Oshkosh, Wisconsin, United States GrapeTree Medical Staffing LTC Full time

    Job Title: Travel Nurse RN PositionGrapeTree Medical Staffing LTC is seeking a skilled travel nurse RN for a long-term care travel nursing opportunity.Job Summary:We are looking for a dedicated and compassionate travel nurse RN to join our team in providing high-quality patient care in a long-term care setting.Responsibilities:Provide direct patient care to...

  • Patient Care Coordinator

    2 weeks ago

    Oshkosh, Wisconsin, United States Advocate Aurora Health Full time

    Position Title: Patient Care CoordinatorCompany: Advocate Aurora HealthRole Overview:The Patient Care Coordinator is responsible for managing front desk operations, which includes welcoming patients, processing check-ins, and registering walk-in individuals. This role involves answering phone inquiries and collecting patient payments as necessary.Key...