Field Care Manager, LTSS (RN) - Local TravelRequired

JOB DESCRIPTION

Opportunity for a Texas licensed RN to join

Molina to work with our Medicaid members in the Fort Worth, TX

service delivery area. You will conduct face-to-face visits with

members in their homes, completing assessments needed for

determining the types of services they are eligible to receive.

Preference will be given to those candidates with previous

experience working with the Medicaid population within a Managed

Care Organization (MCO). Mileage is reimbursed as part of our

benefits package. Hours are Monday – Friday, 8 AM – 5 PM

CST.

Solid

experience with Microsoft Office Suite is necessary, especially

with Outlook, Excel, and Teams as well as being confident in moving

between different programs to complete the necessary forms and

documentation.

Job Summary

Provides support for

care management / care coordination long-term services and supports

specific activities and collaborates with multidisciplinary team

coordinating integrated delivery of member care across the

continuum for members with high-need potential. 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 comprehensive

member assessments within regulated timelines, including in-person

home visits as required.

waiver enrollment and disenrollment processes.

and implements care plans, including a waiver service plan in

collaboration with members, caregivers, physicians and / or other

appropriate health care professionals and member support network to

address the member needs and goals.

monitoring of care plan to evaluate effectiveness, document

interventions and goal achievement, and suggest changes

accordingly.

members including behavioral health care and long-term services and

supports (LTSS) and home and community resources to enhance

continuity of care.

authorizes all appropriate waiver services.

covered benefits and advises appropriately regarding funding

sources.

meetings for approval or denial of services and informal ICT

collaboration.

Molina clinical guideposts to educate, support and motivate change

during member contacts.

and provides care coordination and assistance to members to address

psycho / social, financial, and medical obstacles concerns.

assure member health and welfare.

consultation, resources and recommendations to peers as

needed.

cases and medication regimens.

conduct medication reconciliation as needed.

estimated local travel may be required (based upon

state / contractual requirements).

Required Qualifications

including at least 1 year experience in care management, managed

care, and / or experience in a medical or behavioral health setting,

and at least 1 year of experience working with persons with

disabilities, chronic conditions, substance abuse disorders, and

long-term services and supports (LTSS), or equivalent combination

of relevant education and experience.

(RN). License must be active and unrestricted in state of

practice.

reliable transportation, and adequate auto insurance for job

related travel requirements, unless otherwise required by

law.

detail-oriented work.

community resources.

of settings and adjust style as needed - working with diverse

populations and various personalities and personal

situations.

supervision and demonstrate self-motivation.

Responsiveness in all forms of communication, and ability to remain

calm in high-pressure situations.

and maintain professional relationships.

time-management and prioritization skills, and ability to focus on

multiple projects simultaneously and adapt to change.

Excellent problem-solving and critical-thinking skills.

Strong verbal and written communication skills.

Microsoft Office suite / applicable software program(s)

proficiency.

year of experience working directly with individuals with substance

use disorders.

Preferred Qualifications

Certified Case Manager (CCM).

populations that receive waiver services.

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

Pay Range :

$26.41 - $51.49 / HOURLY

from posting based on geographic location, work experience,

education and / or skill level.