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Licensed Vocational Nurse

1 month ago

Nicholasville, Kentucky, United States Molina Healthcare Full time
Job Summary

Molina Healthcare Services (HCS) is seeking a skilled Licensed Vocational Nurse (LVN) to join our team as a Case Manager. The successful candidate will work with members, providers, and multidisciplinary teams 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.

The ideal candidate will have prior experience in case management, disease management, managed care, or medical or behavioral health settings. A valid driver's license with a good driving record and reliable transportation are also required.

Key Responsibilities
  • Completes clinical assessments of members per regulated timelines and determines who may qualify for case management based on clinical judgment, changes in member's health or psychosocial wellness, and triggers from the assessment.
  • Develops and implements a case management 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.
  • Conducts telephonic, face-to-face, or home visits as required.
  • Performs ongoing monitoring of the care plan to evaluate effectiveness, document interventions, and goal achievement, and suggests changes accordingly.
  • Maintains ongoing member case load for regular outreach and management.
  • Promotes integration of services for members, including behavioral health care and long-term services and supports, to enhance the continuity of care for Molina members.
  • May implement specific Molina wellness programs, such as asthma and depression disease management.
  • Facilitates interdisciplinary care team meetings 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 concerns.
  • Collaborates with RN case managers/supervisors as needed or required.
Requirements
  • Completion of an accredited Licensed Vocational Nurse (LVN) or Licensed Practical Nurse (LPN) Program.
  • 1-3 years of experience in case management, disease management, managed care, or medical or behavioral health settings.
  • Valid driver's license with a good driving record and reliable transportation.
Preferred Qualifications
  • 3-5 years of experience in case management, disease management, managed care, or medical or behavioral health settings.
  • Compact Nursing licensure preferred.
Benefits

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