Case Manager - Gulfport, United States - Molina Healthcare

Molina Healthcare Gulfport, United States

3 weeks ago

Description

JOB DESCRIPTION

We are looking for Case Managers (LCSW, LPC, and/or LMFT), who must live in either Northern or Central Mississippi. The Case Manager will work with Medicaid population supporting Foster Care Population. Excellent computer skills and attention to detail are very important to multitask between systems, talk with members and providers on the phone, and enter accurate contact notes. This is a fast-paced position and productivity is important. We are looking for candidates who have experience supporting the Foster Care population.

Home office with internet connectivity of high speed required.

40% Field Travel in the field - Mileage will be reimbursed.

(Central or North MS)

Schedule: Monday thru Friday 8:00AM to 5:00PM. (No Weekends or Holidays)

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. 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/ABILITIES

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 suggest 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 i.e. 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 member to address concerns.
Collaborates with RN case managers/supervisors as needed or required
Case managers in Behavioral Health and Social Science fields may provide consultation, resources and recommendations to peers as needed
Local travel of up to 40% may be required, depending on the complexity level of the assigned members, particular state-specific regulations, or whether the Case Manager position is located within Molina's Central Programs unit.

JOB QUALIFICATIONS

REQUIRED EDUCATION:

Any of the following:

Completion of an accredited Licensed Vocational Nurse (LVN) or Licensed Practical Nurse (LPN) Program OR Bachelor's or Master's Degree (preferably in a social science, psychology, gerontology, public health or social work or related

REQUIRED EXPERIENCE:

1-3 years in case management, disease management, managed care or medical or behavioral health settings.

REQUIRED LICENSE, CERTIFICATION, ASSOCIATION:

If license required for the job, license must be active, unrestricted and in good standing.

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 REQUIREMENTS:

Roles serving Family Care and Family Care Partnership in the State of Wisconsin are required to have a Bachelor's Degree and a minimum of one year of professional experience.

PREFERRED EXPERIENCE:

3-5 years in case management, disease management, managed care or medical or behavioral health settings.

PREFERRED LICENSE, CERTIFICATION, ASSOCIATION:

Any of the following:

Licensed Clinical Social Worker (LCSW), Advanced Practice Social Worker (APSW), Certified Case Manager (CCM), Certified in Health Education and Promotion (CHEP), Licensed Professional Counselor (LPC/LPCC), Respiratory Therapist, or Licensed Marriage and Family Therapist (LMFT).

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.

#PJCorp

Pay Range: $21.6 - $46.81 / HOURLY

*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

Case Manager

2 weeks ago

Molina Healthcare Gulfport, United States

JOB DESCRIPTION · We are looking for Case Managers (LCSW, LPC, and/or LMFT), who must live in either Northern or Central Mississippi. The Case Manager will work with Medicaid population supporting Foster Care Population. Excellent computer skills and attention to detail are very ...
Case Manager

3 weeks ago

Memorial Hospital Gulfport, United States Full time

Qualifications · Job Summary: · Coordinates the efforts of patient, family and healthcare professionals to develop a plan of care across the continuum based on identified needs. Reviews and assesses the appropriateness of patient admissions and continued stays in accordance wit ...
Case Manager in-CIRCLE

3 weeks ago

Canopy Gulfport, United States

Founded in 1912 as an adoption agency, Canopy Children's Solutions is Mississippi's most comprehensive nonprofit provider of children's behavioral health, educational, and social service solutions. Canopy employs a diverse group of mission-driven individuals committed to honoring ...
RN Case Manager

3 weeks ago

Amedisys Holding, LLC Biloxi, United States

This is a job for a RN Case Manager position with the company located in Biloxi, MS area. · Responsibilities: · Performs patient assessments and collaborates with the care team to develop and implement a plan of care. · Makes referrals to other disciplines as indicated by the pat ...
RN Case Manager

3 weeks ago

Bienville Orthopaedic Specialists Vancleave, United States Full time

PLEASE COPY&PASTE THE LINK AND APPLY: · Position Overview: · The Nurse Navigator ensures optimal quality and continuity of patient care from the pre-operative setting through a ninety-day episode of care. The Nurse Navigator collaborates with multi-disciplinary teams to provide ...
Independent Medical Evaluators

2 weeks ago

MRG Exams Harrison, United States Full time

Job Title: Independent Medical Evaluators - Occupational Medicine, Physical Medicine & Rehab, Orthopedists, Psychologists, Psychiatrists. · Location: Ohio (Southern Ohio Preferred) · Company Overview: · MRG Exams is a leading provider of Independent Medical Evaluations (IME) and ...
Independent Medical Evaluators

2 weeks ago

MRG Exams Harrison, United States Full time

Job Title: Independent Medical Evaluators - Occupational Medicine, Physical Medicine & Rehab, Orthopedists, · Location: Ohio (Southern Ohio Preferred) · Company Overview: · MRG Exams is a leading provider of Independent Medical Evaluations (IME) and Permanent Partial Impairment R ...
Marketing and Social Media Manager

2 weeks ago

Somnia Anesthesia Harrison, United States

**MARKETING AND SOCIAL MEDIA MANAGER POSITION DESCRIPTION** · **MARKETING AND SOCIAL MEDIA MANAGER RESPONSIBILITIES /TASKS**: · - Concept/write/edit all social media content across all platforms · - Assistance with Google ads content (PPC/SEM) · - Concept/write/edit/manage digita ...
Deputy Court Clerk I

3 weeks ago

City of Gulfport Gulfport, United States

Deputy Court Clerk I (DCC1) · Department: 125 - Municipal Court · FLSA Status: Non-Exempt $12.79/hour - $13.57/hour · Position Overview · Under general supervision of the Court Administrator or designee, performs tasks in conjunction with other Deputy Court Clerks and adminis ...
Inpatient Discharge Coordinator

2 weeks ago

Singing River Health System Gulfport, MS, United States

Inpatient Discharge Coordinator (LPN) · Singing River Health System Hospital - Gulfport / EMPLOYEMENT.TYPE / Weekend 8:00-16:30 Friday/Saturday/Sunday 3/12 / · 15200 Community Rd. · Gulfport, Mississippi, 39503 · United States · Position Overview: · The Inpatient Discharge Coordi ...
inpatient discharge coordinator

2 weeks ago

Singing River Health System Gulfport, MS, USA, United States

Inpatient Discharge Coordinator (LPN) · Singing River Health System Hospital - Gulfport / M-F Rotating weekends / · Gulfport, Mississippi · United States · Position Overview: · The Inpatient Discharge Coordinator provides services to meet the needs of the hospitalized patient in ...
Clinical Liaison

3 weeks ago

Carpenter Health Network Gulfport, United States

St. Joseph Hospice located in New Orleans, LA is seeking a Full-Time Clinical Liaison (RN/LPN/Therapist) to join our team. · We are seeking a candidate with a strong clinical background, payer knowledge, and great communication skills. · The Clinical Liaison (MSW) will be respons ...
Quality Manager

3 weeks ago

Radiant Ventures Garrison, United States

We are the association of Creditreform companies, the high-tech service provider for our 128 locations in Germany. With over 140 years of knowledge and experience, we incorporate innovative software solutions. We ensure the best possible customer experience in the areas of busine ...
MYPAC Therapist

3 weeks ago

Canopy Children's Solutions Gulfport, MS, United States

Founded in 1912 as an adoption agency, Canopy Children's Solutions is Mississippi's most comprehensive nonprofit provider of children's behavioral health, educational, and social service solutions. Canopy employs a diverse group of mission-driven individuals committed to honoring ...
Mental Health Therapist Community Services

3 weeks ago

Canopy Children's Solutions Gulfport, MS, United States

Founded in 1912 as an adoption agency, Canopy Children's Solutions is Mississippi's most comprehensive nonprofit provider of children's behavioral health, educational, and social service solutions. Canopy employs a diverse group of mission-driven individuals committed to honoring ...
Travel Nurse RN

1 week ago

Gifted Healthcare Gulfport, United States

· Registered Nurse (RN) · 06/03/2024 to 08/31/2024 · $1,932 - $2,146/week · Travel · Day Shift · 13 weeks at 40/week · The Gifted Healthcare Experience · Gifted Healthcare is an award-winning travel nursing agency that offers nursing contracts at premier healthcare facilities ac ...
program therapist

3 weeks ago

Universal Health Services GULFPORT, United States

Responsibilities · Gulfport Behavioral Health System (a UHS facility): · Gulfport Behavioral Health System, is a 90-bed psychiatric hospital offering child, adolescent, adult and military service behavioral health programs and treatment services. · For more information, please ...
care navigator

3 weeks ago

UHS Gulfport, United States

Responsibilities · Gulfport Behavioral Health System (a UHS facility): · Gulfport Behavioral Health System, is a 90-bed psychiatric hospital offering child, adolescent, adult and military service behavioral health programs and treatment services. · For more information, please ...
Supervisor in-CIRCLE

3 weeks ago

Canopy Gulfport, United States

Founded in 1912 as an adoption agency, Canopy Children's Solutions is Mississippi's most comprehensive nonprofit provider of children's behavioral health, educational, and social service solutions. Canopy employs a diverse group of mission-driven individuals committed to honoring ...
Travel Case Mgmt Registered Nurse

16 hours ago

Gifted Healthcare Careers Gulfport, United States

· The Gifted Healthcare Experience · Gifted Healthcare is an award-winning travel nursing agency that offers nursing contracts at premier healthcare facilities across the United States. Gifted Healthcare believes in the power one person has to make a difference in a patient's ca ...