Iowa Case Manager, LTSS
2 days ago
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 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.
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.
- Monitor and evaluate the effectiveness of care plans, making adjustments 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 needed.
- Evaluate covered benefits and advise members on funding sources.
- Conduct face-to-face or home visits as required.
- Facilitate interdisciplinary care team meetings and informal collaboration.
- Use motivational interviewing and clinical guideposts to educate and support members.
- Identify barriers to care and provide care coordination and assistance to members.
- Develop prevention plans to ensure member health and welfare.
Requirements:
- Completion of an accredited Licensed Registered Nurse (RN) program or a Bachelor's or Master's degree in a social science, psychology, gerontology, public health, or social work.
- 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.
Preferred Qualifications:
- 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 receiving waiver services.
Molina Healthcare offers a competitive benefits and compensation package. We are an Equal Opportunity Employer (EOE) M/F/D/V.
Pay Range: $21.6 - $46.81 / HOURLY
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