Long Term Services and Supports Case Manager

3 weeks ago


Brownsville, Texas, United States DirectEmployers Full time
Job Summary

Molina Healthcare Services (HCS) is seeking a skilled Long Term Services and Supports Case Manager to join our team. As a vital member of our multidisciplinary team, you will work closely with members, providers, and healthcare professionals to assess, facilitate, and coordinate integrated care delivery across the continuum. This includes behavioral health and long-term care services for members with high need potential.

Key Responsibilities:

  1. Conduct comprehensive assessments of members, ensuring timely and accurate evaluations.
  2. Facilitate waiver enrollment and disenrollment processes, streamlining member care coordination.
  3. Develop and implement case management plans, collaborating with members, caregivers, physicians, and healthcare professionals to address member needs and goals.
  4. Monitor care plans, evaluating effectiveness, documenting interventions, and suggesting changes as needed.
  5. Promote integration of services, enhancing continuity of care for Molina members.
  6. Assess medical necessity and authorize waiver services, ensuring member needs are met.
  7. Evaluate covered benefits and advise on funding sources, ensuring seamless care coordination.
  8. Conduct face-to-face or home visits as required, providing personalized support and education.
  9. Facilitate interdisciplinary care team meetings, ensuring collaborative decision-making and care planning.
  10. Utilize motivational interviewing and clinical guideposts to educate, support, and motivate member behavior change.
  11. Identify and address barriers to care, providing care coordination and assistance to members.
  12. Develop prevention plans to ensure member health and welfare, addressing psycho-social, financial, and medical obstacles.

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, a valid driver's license with a good driving record and 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 populations receiving waiver services.
  • Active and unrestricted certified case manager (CCM) certification.

Compensation and Benefits:

Molina Healthcare offers a competitive benefits and compensation package, including a salary range of $23.76 - $51.49 per hour, based on experience, education, and location. Our comprehensive benefits package includes health insurance, retirement plans, and paid time off.

About Us:

Molina Healthcare is an Equal Opportunity Employer (EOE) and welcomes diverse candidates to apply. We are committed to providing high-quality, patient-centered care to our members and communities. Join our team and be part of a dynamic organization dedicated to improving healthcare outcomes.


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