Case Manager, LTSS

1 day ago


Long Beach CA, United States Molina Healthcare Full time
Job Title: Case Manager, LTSS Job Summary: Molina Healthcare Services (HCS) is seeking a skilled Registered Nurse to join our team as a Case Manager, LTSS. As a Case Manager, you will work with members, providers, and multidisciplinary team members 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. Key Responsibilities: * Completes face-to-face comprehensive assessments of members per regulated timelines. * Facilitates comprehensive waiver enrollment and disenrollment processes. * Develops and implements a case management plan, including a waiver service 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. * Performs ongoing monitoring of the care plan to evaluate effectiveness, document interventions, and goal achievement, and suggests changes accordingly. * Promotes integration of services for members, including behavioral health care and long-term services and supports, home and community to enhance the continuity of care for Molina members. * Assesses for medical necessity and authorizes all appropriate waiver services. * Evaluates covered benefits and advises appropriately regarding funding source. * Conducts face-to-face or home visits as required. * Facilitates interdisciplinary care team meetings for approval or denial of services 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 member to address psycho/social, financial, and medical obstacles concerns. * Identifies critical incidents and develops prevention plans to assure member's health and welfare. * Provides consultation, recommendations, and education as appropriate to non-RN case managers. * Works cases with members who have complex medical conditions and medication regimens. * Conducts medication reconciliation when needed. 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, Must have valid driver's license with good driving record and be able to drive within applicable state or locality with 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 population who receive waiver services * Active and unrestricted Certified Case Manager (CCM) About Molina Healthcare: Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V. We offer a competitive benefits and compensation package.
  • Case Manager, LTSS

    3 weeks ago


    Long Beach, California, United States Molina Healthcare Full time

    Job Title: Case Manager, LTSSMolina Healthcare Services (HCS) is seeking a skilled Registered Nurse (RN) to join our team as a Case Manager, Long Term Services and Supports (LTSS). This is a challenging and rewarding role that requires strong clinical skills, excellent communication, and a passion for delivering high-quality care to our Medicaid...


  • Long Beach, CA, United States Molina Healthcare Full time

    Job Title: Field Case Manager, LTSS SpecialistJob Summary: Molina Healthcare Services (HCS) is seeking an experienced Field Case Manager to join our LTSS Team. The successful candidate will work with our Medicaid members who have an IDD diagnosis, conducting face-to-face meetings, completing assessments, and developing case management plans to ensure the...


  • Long Beach, California, United States Molina Healthcare Full time

    Job Title: Field Case Manager, LTSSMolina Healthcare is seeking a skilled and compassionate Field Case Manager to join our Long Term Services and Supports (LTSS) team. As a Field Case Manager, you will play a critical role in ensuring the health and well-being of our Medicaid members by providing comprehensive case management services.Key...


  • Long Beach, California, United States Molina Healthcare Full time

    Job Title: Field Case Manager LTSSMolina Healthcare Services (HCS) is seeking a skilled Field Case Manager LTSS to join our team. As a Field Case Manager LTSS, you will work with our Medicare Waiver Population to assess, facilitate, plan, and coordinate an integrated delivery of care across the continuum.Key Responsibilities:Completes face-to-face...

  • Case Manager, LTSS

    1 week ago


    Long Beach, California, United States Molina Healthcare Full time

    Job Title: Case Manager, LTSSMolina Healthcare is seeking a skilled Case Manager to join our team. As a Case Manager, you will work with our Medicaid population to assess, facilitate, plan, and coordinate an integrated delivery of care across the continuum.Key Responsibilities:Completes face-to-face comprehensive assessments of members per regulated...

  • Case Manager, LTSS

    3 weeks ago


    Long Beach, California, United States Molina Healthcare Full time

    Job Title: Case Manager, LTSSMolina Healthcare is seeking a highly skilled and compassionate Case Manager to join our team. As a Case Manager, you will work with our Medicaid population to assess, facilitate, plan, and coordinate an integrated delivery of care across the continuum.Key Responsibilities:Completes face-to-face comprehensive assessments of...


  • Long Beach, CA, United States Molina Healthcare Full time

    Job Title: Field Case Manager, LTSS Job Summary: Molina Healthcare Services (HCS) works with members, providers, and multidisciplinary team members 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. Responsibilities: *...


  • Long Beach, California, United States Molina Healthcare Full time

    Job SummaryMolina 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 ResponsibilitiesConduct...


  • Long Beach, CA, United States Molina Healthcare Full time

    Job Title: Field Case Manager, LTSSMolina Healthcare is seeking a highly skilled and compassionate Field Case Manager to join our team. As a Field Case Manager, you will play a critical role in providing case management services to our Medicaid members in the Livingston/Corrigan, TX, Service Delivery Area.Job Summary:Molina Healthcare Services (HCS) works...

  • Case Manager

    2 days ago


    Virginia Beach, Virginia, United States Molina Healthcare Full time

    Job Title: Case Manager, LTSSWe are seeking a highly skilled and experienced Registered Nurse to join our team as a Case Manager for our Long Term Services and Supports (LTSS) program.Job Summary:The Case Manager will work with our Medicaid population to assess, facilitate, plan, and coordinate an integrated delivery of care across the continuum, including...


  • Long Beach, California, United States Molina Healthcare Full time

    Job Title: Case Manager, LTSSMolina Healthcare is seeking a skilled Case Manager to join our team. As a Case Manager, you 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...

  • Case Manager, LTSS

    2 days ago


    Long Beach, California, United States Molina Healthcare Full time

    Job Overview Molina Healthcare Services (HCS) is seeking a skilled Case Manager to join our team. As a Case Manager, you will work with members, providers, and multidisciplinary team members 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...

  • Case Manager, LTSS

    2 days ago


    Long Beach, California, United States Molina Healthcare Full time

    Job OverviewMolina Healthcare Services (HCS) is seeking a skilled Case Manager to join our team. As a Case Manager, you 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...


  • Long Beach, CA, United States Molina Healthcare Full time

    Job SummaryMolina Healthcare is seeking a skilled Case Manager to join our team. As a Case Manager, you will work with members, providers, and multidisciplinary teams to assess, facilitate, plan, and coordinate integrated care delivery across the continuum, including behavioral health and long-term care, for members with high need potential.You will develop...


  • Long Beach, California, United States Molina Healthcare Full time

    Job SummaryMolina Healthcare Services (HCS) is seeking a skilled Care Coordinator, LTSS to join our team. As a Care Coordinator, you 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...


  • Long Beach, California, United States Molina Healthcare Full time

    Job SummaryMolina Healthcare Services (HCS) is seeking a skilled Care Coordinator, LTSS to join our team. As a Care Coordinator, you 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...


  • Long Beach, California, United States Molina Healthcare Full time

    Job DescriptionMolina Healthcare Services (HCS) is seeking a skilled Case Manager to join our team. As a Case Manager, you 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...


  • West Palm Beach, Florida, United States Elevance Health Full time

    Job Title: LTSS Service CoordinatorWe are seeking a highly skilled LTSS Service Coordinator to join our team at Elevance Health. As a key member of our healthcare team, you will play a vital role in coordinating care for our members with chronic illnesses, co-morbidities, and/or disabilities.Job Summary:The LTSS Service Coordinator will work under the...


  • West Palm Beach, Florida, United States Elevance Health Full time

    Job Title: LTSS Service CoordinatorElevance Health is seeking a highly skilled LTSS Service Coordinator to join our team. As a key member of our healthcare team, you will be responsible for providing exceptional care coordination services to our members.Job Summary:The LTSS Service Coordinator will work under the direction of a RN to provide care...


  • West Palm Beach, Florida, United States Elevance Health Full time

    Job Title: LTSS Service CoordinatorWe are seeking a highly skilled LTSS Service Coordinator to join our team at Elevance Health. As a key member of our healthcare team, you will play a vital role in providing exceptional care and support to our members.Job Summary:The LTSS Service Coordinator will work under the direction of a Registered Nurse (RN) to...