- RN case managersWorks cases with members who have complex medical conditions and medication regimensConducts medication reconciliation when needed.
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Case Manager, Ltss
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Case Manager, LTSS RN
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Case Manager, LTSS
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Molina Healthcare Houston, United StatesInternal Number: · JOB DESCRIPTION · 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 ...
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Director, Long Term Services
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Manager, Svcs Coord Advocate
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Network Manager
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Star+plus Ltss Svcs Coor Lvl1
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LTSS Service Coordinator-Clinician
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Star Plus Senior Director Health Services
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CareBridge Health Houston, United StatesJob Description · Job DescriptionLTSS Specialist-Texas, Spanish Bilingual · The CareBridge Long Term Services and Supports (LTSS) Specialist, working under the guidance of an Occupational Therapist, collaborates with Managed Care Organizations to support persons aging in place re ...
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Manager, Svcs Coord Advocate
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QUEST Integration Care Coordinator
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HICHW Workforce Development Houston, United StatesJob Summary: · **Hybrid Work Environment Must reside in Maui** · To provide care coordination for eligible HMSA members and facilitate a collaborative relationship among members, providers, community agencies and HMSA staff to ensure members receive timely and integrated access ...
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QUEST Integration Care Coordinator
1 week ago
HICHW Workforce Development Houston, United StatesJob Summary: · **Hybrid Work Environment – Must reside in Maui** · To provide care coordination for eligible HMSA members and facilitate a collaborative relationship among members, providers, community agencies and HMSA staff to ensure members receive timely and integrated acce ...
Case Manager, LTSS RN - Houston, United States - Molina Healthcare
Description
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
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:
$ $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: 05/09/2024
