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Care Manager (non-RN)- Must Reside in Iowa

Care Manager (non-RN)- Must Reside in Iowa

Molina HealthcareDES MOINES, IA, US
12 hours ago
Job type
  • Full-time
Job description

JOB DESCRIPTION Job SummaryProvides 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

  • At least 2 years experience in health
  • care, preferably in care management, or experience in a medical

    and / or behavioral health setting, or equivalent combination of

    relevant education and experience.

  • Clinical licensure
  • and / or certification required ONLY if required by state contract,

    regulation or state board licensing mandates.

  • Valid
  • and unrestricted driver's license, reliable transportation, and

    adequate auto insurance for job related travel requirements, unless

    otherwise required by law.

  • Demonstrated knowledge of
  • community resources.

  • Ability to operate proactively
  • and demonstrate detail-oriented work.

  • Ability to work
  • within a variety of settings and adjust style as needed - working

    with diverse populations, various personalities and personal

    situations.

  • Ability to work independently, with
  • minimal supervision and self-motivation.

  • Ability to
  • demonstrate responsiveness in all forms of communication, and

    remain calm in high-pressure situations.

  • Ability to
  • develop and maintain professional relationships.

    Excellent 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.

  • In some states, a bachelor's
  • degree in a health care related field may be required (dependent

    upon state / contractual requirements).

    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

    Pay Range : $22.8 - $46.81 / HOURLY

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

    level.

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    Care Manager Must In • DES MOINES, IA, US

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