Case Management Specialist

13 hours ago


Long Beach, California, United States Molina Healthcare Full time

Join Our Team as a Case Manager:

Molina Healthcare Services is seeking a skilled Case Management Specialist to join our team. In this role, you will work closely with members, providers, and multidisciplinary teams to assess, facilitate, plan, and coordinate integrated delivery of care across the continuum.

Responsibilities:

  • You will utilize a collaborative process of assessment, planning, implementation, and evaluation to engage, educate, and promote members' decisions related to achieving and maintaining optimal health status.
  • You may request RN input for member care planning.
  • You will typically work with members who have moderate to complex clinical needs.
  • You will conduct standardized Health Risk Appraisals (HRA) and applicable assessments, including verification of medical history and current health and wellness needs.
  • You are expected to meet daily production standards in terms of member outreach.
  • You will utilize a web-based software system to document all assessments, activities, and education provided.
  • You will develop a problem list and individualized care plan using program protocols based on members' needs and preferences.
  • You will conduct telephonic education to promote self-management strategies for all applicable conditions.
  • You may be required to perform 5-15% local travel.

Requirements:

  • You must have any of the following: completion of an accredited Licensed Vocational Nurse (LVN) or Licensed Practical Nurse (LPN) Program OR Bachelor's or master's degree in a social science, psychology, gerontology, public health, or social work.
  • You should have 1-3 years of experience in case management, disease management, managed care, or medical or behavioral health settings.
  • You must have an active, unrestricted license that is in good standing.
  • You must have a valid driver's license with a good driving record and the ability to drive within applicable state or locality with reliable transportation.

Salary Range: $75,000 - $95,000 per year

About Molina Healthcare: We offer a competitive benefits package and are an Equal Opportunity Employer (EOE).



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