Field Case Manager, LTSS

3 days ago


Long Beach, California, United States Molina Healthcare Full time
Job Summary

Molina Healthcare Services (HCS) is seeking a skilled Field Case Manager, LTSS to join our team. As a key member of our multidisciplinary team, you will work closely with members, providers, and healthcare professionals to assess, facilitate, plan, and coordinate an integrated delivery of care across the continuum.

Key Responsibilities
  • Conduct comprehensive assessments of members to identify their needs and goals.
  • Develop and implement case management plans, including waiver service plans, in collaboration with members, caregivers, physicians, and other healthcare professionals.
  • Perform ongoing monitoring of care plans to evaluate effectiveness, document interventions, and suggest changes as needed.
  • Promote integration of services for members, including behavioral health care and long-term services and supports, to enhance continuity of care.
  • Assess medical necessity and authorize waiver services as required.
  • Conduct face-to-face or home visits as necessary to ensure member engagement and satisfaction.
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 of experience in case management, disease management, managed care, or medical or behavioral health settings.
  • Active, unrestricted state registered nursing license (RN) in good standing.
Preferred Qualifications
  • Bachelor's degree in nursing.
  • 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.
  • Active and unrestricted certified case manager (CCM) certification.

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



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