Field Case Manager - MMP Waiver Program

Job Description

For this position we are seeking a RN or a Licensed Social Worker who must live and have a current active unrestricted license (LMSW, LBSW, LLMSW) in the state of MI.

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This position will support our MMP (Medicaid Medicare Population). This position will have a case load and manage members enrolled in this program. We are looking for Registered Nurses who have experience working with manage care population and / or case management role. Excellent computer skills and diligence are especially important to multitask between systems, talk with members on the phone, and enter accurate contact notes. This is a fast-paced position and productivity is important. This position requires field work doing assessments with members face to face in homes.

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Home office with internet connectivity of high speed required.

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TRAVEL in the field to do member visits in the surrounding areas will be required : Macomb County (Detroit, Sterling Heights, Shelby Township, Macomb Township)

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Travel will be up to 50% of the time (Mileage is reimbursed)

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Schedule : Monday thru Friday 8 : 30AM to 5 : 00PM

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JOB DESCRIPTION

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Job Summary

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Provides support for care management / care coordination activities and collaborates with multidisciplinary team coordinating integrated delivery of member care across the continuum. Strives to ensure member progress toward desired outcomes and contributes to overarching strategy to provide quality and cost-effective member care.

Essential Job Duties

• Completes assessments of members per regulated timelines and determines who may qualify for care coordination / care management based on triggers identified in assessments.
• Develops and implements care plan in collaboration with member, caregiver, physician and / or other appropriate health care professionals and member support network to address member needs and goals.
• Conducts telephonic, face-to-face or home visits as required.
• Performs ongoing monitoring of care plan to evaluate effectiveness, document interventions and goal achievement, and suggest changes accordingly.
• Maintains ongoing member caseload for regular outreach and management.
• Promotes integration of services for members including behavioral health, long-term services and supports (LTSS), and home and community resources to enhance continuity of care.
• Facilitates interdisciplinary care team (ICT) 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 licensed care managers / leadership as needed or required.
• 25- 40% estimated local travel may be required (based upon state / contractual requirements).

Required Qualifications

Preferred Qualifications

To all current Molina employees : If you are interested in applying for this position, please apply through the Internal Job Board.

Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M / F / D / V

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Pay Range : $24 - $46.81 / HOURLY