Case Manager, LTSS
3 weeks ago
JOB DESCRIPTIONJob SummaryMolina 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. HCS staff work to ensure that patients progress toward desired outcomes with quality care that is medically appropriate and cost-effective based on the severity of illness and the site of service.KNOWLEDGE/SKILLS/ABILITIESCompletes 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 suggest 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 authorize all appropriate waiver services.Evaluates covered benefits and advise 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 managersWorks cases with members who have complex medical conditions and medication regimensConducts medication reconciliation when needed.50-75% travel required.JOB QUALIFICATIONSRequired EducationGraduate from an Accredited School of NursingRequired ExperienceAt 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.Required License, Certification, AssociationActive, unrestricted State Registered Nursing license (RN) in good standingIf 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.State Specific RequirementsVirginia: Must have at least one year of experience working directly with individuals with Substance Use DisordersPreferred EducationBachelor's Degree in NursingPreferred Experience3-5 years in case management, disease management, managed care or medical or behavioral health settings.1 year experience working with population who receive waiver services.Preferred License, Certification, AssociationActive and unrestricted Certified Case Manager (CCM)To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing.Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V. Pay Range: $23.76 - $51.49 / HOURLY *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. About Us Molina Healthcare is a nationwide fortune 500 organization with a mission to provide quality healthcare to people receiving government assistance. If you are seeking a meaningful opportunity in a team-oriented environment, come be a part of a highly engaged workforce dedicated to our mission. Bring your passion and talents and together we can make a difference in the lives of others. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V. Job Type: Full Time Posting Date: 04/17/2024
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Field Case Manager, LTSS RN
2 weeks ago
El Paso, United States Molina Healthcare Full timeJOB DESCRIPTIONJob SummaryMolina 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. HCS staff work to ensure that patients progress toward...
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Travel Nurse RN
2 days ago
El Paso, TX, United States TotalMed Case Management Staffing Full timeTotalMed Case Management Staffing is seeking a travel nurse RN Case Management for a travel nursing job in El Paso, Texas. Job Description & Requirements Specialty: Case Management Discipline: RN Start Date: 06/10/2024 Duration: 13 weeks 40 hours per week Shift: 8 hours, days Employment Type: Travel We are seeking a Case Manager-Registered Nurse...
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RN, Case Manager
4 days ago
El Paso, United States University Medical Center of El Paso Full timeJob Summary The Case Manager comprehensively plans for case management services for a targeted patient population. Carries out activities related to utilization management, discharge planning, care coordination and referral to other levels of care. Works with physician, Social Worker and interdisciplinary team to facilitate clinical pathways and...
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RN, Case Manager
3 days ago
El Paso, United States University Medical Center of El Paso Full timeJob Summary The Case Manager comprehensively plans for case management services for a targeted patient population. Carries out activities related to utilization management, discharge planning, care coordination and referral to other levels of care. Works with physician, Social Worker and interdisciplinary team to facilitate clinical pathways and...
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Case Management Processor
4 weeks ago
El Paso, United States Molina Healthcare Full timeJob DescriptionJOB DESCRIPTIONJob SummaryMolina 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. HCS staff work to ensure that patients...
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Case Manager, PRN
2 weeks ago
El Paso, United States University Medical Center of El Paso Full timeJob Description: Comprehensively plans for case management services for a targeted patient population. Carries out activities related to utilization management, discharge planning, care coordination and referral to other levels of care. Work with physicians, Social Workers with the interdisciplinary team to facilitate clinical pathways and achievement of...
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Case Manager
3 days ago
El Paso, United States Estrella del Paso Full timeJob DescriptionJob DescriptionSalary: Commensurate with Experience - starts at $54,829Applications will not be considered if you fail to submit a cover letter and the completed Estrella del Paso job application. Submitting only your resume is not sufficient. CLICK HERE for Estrella del Paso FILLABLE Application Estrella del Paso is a full service...
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Case Manager, PRN
1 month ago
El Paso, United States University Medical Center of El Paso Full timeJob Description: Comprehensively plans for case management services for a targeted patient population. Carries out activities related to utilization management, discharge planning, care coordination and referral to other levels of care. Work with physicians, Social Workers with the interdisciplinary team to facilitate clinical pathways and achievement of...
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Case Manager, PRN
1 week ago
El Paso, United States University Medical Center of El Paso Full timeJob Description: Comprehensively plans for case management services for a targeted patient population. Carries out activities related to utilization management, discharge planning, care coordination and referral to other levels of care. Work with physicians, Social Workers with the interdisciplinary team to facilitate clinical pathways and achievement of...
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Waiver Support Specialist
4 weeks ago
El Paso, United States Molina Healthcare Full timeJob DescriptionJOB DESCRIPTIONJob SummaryMolina 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. HCS staff work to ensure that patients...
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Nurse (Clinical/Case Management)
1 month ago
El Paso, Texas, United States Department Of The Army Full timeSummary This is a Direct Hire Authority (DHA) solicitation utilizing the DHA for Certain Personnel of the DoD Workforce to recruit and appoint qualified candidates to positions in the competitive service.About the Position: This position is for a Nurse (Clinical/Case Management) with Soldier Recovery Unit located at El Paso, TX. DutiesConduct a...
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Case Manager RN, FT Days Rotating
1 month ago
El Paso, United States El Paso Children's Hospital Full timeCase Manager RN, FT Days Rotating (4103-029)Comprehensively plans for case management services for a targeted patient population. Carries out activities related to utilization management, discharge planning, care coordination and referral to other levels of care. The Case Manager works with Physicians, Social Services and interdisciplinary team to facilitate...
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Case Manager LTFC
5 days ago
El Paso, Texas, United States Upbring Full timeOverviewAbout Upbring At Upbring, we are servants on a mission to break the cycle of child abuse. We are warriors, brave as the thousands of Texas Children and families we serve. We stand up for those who can't speak for themselves. We are a family who values innovation, empathy, patience, understanding and trustworthiness. About our Children's SheltersMany...
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Sr Case Management Processor
4 weeks ago
El Paso, United States Molina Healthcare Full timeJob Description Job SummaryResponsible for working with members and providers to assess, facilitate, plan and coordinate the delivery of care across the continuum for members with potential risk for high cost and high utilization. Responsible for leading project initiatives aimed at reducing the cost of care and quality improvement. Oversees the development...
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Sr Case Management Processor
4 weeks ago
El Paso, United States Molina Healthcare Full timeJob DescriptionJob DescriptionJob SummaryResponsible for working with members and providers to assess, facilitate, plan and coordinate the delivery of care across the continuum for members with potential risk for high cost and high utilization. Responsible for leading project initiatives aimed at reducing the cost of care and quality improvement. Oversees...
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Drop In Center Case Manager
5 days ago
El Paso, United States El Paso Center for Children Full timeJob DescriptionJob DescriptionThe Drop-In Center Case Manager will help manage a Drop-in Center space that provides a safe environment for homeless youth, at-risk youth, and survivors of commercial sexual exploitation to learn new life skills, build healthy relationships, access resources, receive crisis support, and build internal resources that reduce...
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Case Manager ORR TFC
5 days ago
El Paso, United States Upbring Full timeOverview About Upbring At Upbring, we are servants on a mission to break the cycle of child abuse. We are warriors, brave as the thousands of Texas Children and families we serve. We stand up for those who can’t speak for themselves. We are a family who values innovation, empathy, patience, understanding and trustworthiness. About our Children's...
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Case Manager ORR TFC
5 days ago
El Paso, Texas, United States Upbring Full timeOverviewAbout Upbring At Upbring, we are servants on a mission to break the cycle of child abuse. We are warriors, brave as the thousands of Texas Children and families we serve. We stand up for those who can't speak for themselves. We are a family who values innovation, empathy, patience, understanding and trustworthiness. About our Children's SheltersMany...
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Case Manager ORR TFC
4 days ago
El Paso, United States Upbring Full timeOverview: About Upbring At Upbring, we are servants on a mission to break the cycle of child abuse. We are warriors, brave as the thousands of Texas Children and families we serve. We stand up for those who cant speak for themselves. We are a family who values innovation, empathy, patience, understanding and trustworthiness. About our Children's Shelters...
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Registered Nurse Case Manager
5 days ago
El Paso, Texas, United States HCA Healthcare Full timeDescription IntroductionAre you looking for a place to deliver excellent care patients deserve? At Del Sol Medical Center we support our colleagues in their positions. Join our Team as a(an) Registered Nurse Case Manager and access programs to assist with every stage of your career.BenefitsDel Sol Medical Center, offers a total rewards package that supports...
