Talent.com
Case Manager, LTSS

Case Manager, LTSS

Molina HealthcarePost Falls, ID, US
4 hours ago
Job type
  • Full-time
Job description

Job Description

JOB DESCRIPTION

\n

Job Summary

\n

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.

\n

KNOWLEDGE / SKILLS / ABILITIES

\n \n

  • Completes face-to-face comprehensive assessments of members per regulated timelines.

\n

  • Facilitates comprehensive waiver enrollment and disenrollment processes.
  • \n

  • 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.
  • \n

  • Performs ongoing monitoring of the care plan to evaluate effectiveness, document interventions and goal achievement, and suggest changes accordingly.
  • \n

  • 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.
  • \n

  • Assesses for medical necessity and authorize all appropriate waiver services.
  • \n

  • Evaluates covered benefits and advise appropriately regarding funding source.
  • \n

  • Conducts face-to-face or home visits as required.
  • \n

  • Facilitates interdisciplinary care team meetings for approval or denial of services and informal ICT collaboration.
  • \n

  • Uses motivational interviewing and Molina clinical guideposts to educate, support and motivate change during member contacts.
  • \n

  • Assesses for barriers to care, provides care coordination and assistance to member to address psycho / social, financial, and medical obstacles concerns.
  • \n

  • Identifies critical incidents and develops prevention plans to assure member's health and welfare.
  • \n

  • 50-75% local travel required.
  • \n \n

    JOB QUALIFICATIONS

    \n

    REQUIRED EDUCATION : \n \n

  • Completion of an accredited Licensed Vocational Nurse (LVN) or Licensed Practical Nurse (LPN) Program OR Bachelor's or master's degree in a social science, psychology, gerontology, public health or social work OR any combination of education and experience that would provide an equivalent background
  • \n \n

    REQUIRED EXPERIENCE :

    \n \n

  • At least 1 year of experience working with persons with disabilities / chronic conditions and Long Term Services & Supports.
  • \n

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

    PREFERRED EXPERIENCE :

    \n \n

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

  • 1 year experience working with population who receive waiver services.
  • \n \n

    PREFERRED LICENSE, CERTIFICATION, ASSOCIATION :

    \n

    Active and unrestricted Certified Case Manager (CCM)

    \n

    Active, unrestricted State Nursing license (LVN / LPN) OR Clinical Social Worker license in good standing

    \n

    Valid driver's license with good driving record and be able to drive within applicable state or locality with reliable transportation

    \n

    STATE SPECIFIC REQUIREMENTS :

    \n

    For the state of Wisconsin :

    \n

    Bachelor's degree or more advanced degree in the human services area and a minimum of one (1) year experience working with at least one of the Family Care target populations; or

    Bachelor's degree or more advanced degree in any area other than human services with a minimum of three (3) years' experience working with at least one of the Family Care target populations.

    \n

    \n

    \n

    \n

    To all current Molina employees : If you are interested in applying for this position, please apply through the intranet job listing.

    \n

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

    \n

    #PJHS2

    Pay Range : $21.6 - $46.81 / HOURLY

  • Actual compensation may vary from posting based on geographic location, work experience, education and / or skill level.
  • Create a job alert for this search

    Case Manager • Post Falls, ID, US

    Related jobs
    • Promoted
    Care Manager RN - Case Management

    Care Manager RN - Case Management

    ProvidenceSpokane Valley, WA, US
    Full-time
    The Care Manager RN is an experienced RN who functions as a core member of a multidisciplinary team and communicates patient's health care needs with primary care, behavioral health services, h...Show moreLast updated: 4 days ago
    • Promoted
    Travel Nurse RN - Case Management

    Travel Nurse RN - Case Management

    NuWest Travel NursingSpokane, WA, US
    Full-time
    NuWest Travel Nursing is seeking a travel nurse RN Case Management for a travel nursing job in Spokane, Washington.Job Description & Requirements. Minimum Experience : 3 years CM with at least 1 ...Show moreLast updated: 2 days ago
    Case Manager - LifeSet

    Case Manager - LifeSet

    Catholic Charities Serving Central WashingtonSpokane, Washington, United States
    Full-time
    Quick Apply
    The Case Manager responsible for providing services to address the needs of young people who are transitioning out of care and need individualized skill development and support to transition succes...Show moreLast updated: 30+ days ago
    Supportive Housing Case Manager

    Supportive Housing Case Manager

    ClarvidaSpokane Valley, WA, US
    Full-time
    Clarvida’s success is built on the strength of our people : individuals who bring the right skills and a deep commitment to our mission of improving lives and communities. Our employees are empowered...Show moreLast updated: 30+ days ago
    Employment Case Manager

    Employment Case Manager

    ClarvidaSpokane Valley, WA, US
    Full-time
    Clarvida’s success is built on the strength of our people : individuals who bring the right skills and a deep commitment to our mission of improving lives and communities. Our employees are empowered...Show moreLast updated: 27 days ago
    WFS HEN Case Manager

    WFS HEN Case Manager

    Goodwill Industries of the Inland NorthwestSpokane, WA, USA
    Full-time
    Quick Apply
    Spokane, WA - Full-time / Hourly.Please apply early, as this job posting is subject to removal before the deadline if sufficient number of qualified applications are received.Provide Housing & Es...Show moreLast updated: 30+ days ago
    • Promoted
    Travel Nurse RN - Med Surg / Telemetry

    Travel Nurse RN - Med Surg / Telemetry

    AHS StaffingCoeur d'Alene, ID, US
    Full-time
    AHS Staffing is seeking a travel nurse RN Med Surg / Telemetry for a travel nursing job in Coeur d'Alene, Idaho.Job Description & Requirements. AHS Staffing is looking for a Med - Surg / Tele ...Show moreLast updated: 13 days ago
    • Promoted
    Travel Nurse RN - Med Surg / Telemetry

    Travel Nurse RN - Med Surg / Telemetry

    Stability HealthcareCoeur d'Alene, ID, US
    Full-time
    Stability Healthcare is seeking a travel nurse RN Med Surg / Telemetry for a travel nursing job in Coeur d'Alene, Idaho.Job Description & Requirements. Stability Healthcare is looking for a ...Show moreLast updated: 30+ days ago
    • Promoted
    • New!
    Employment Case Manager

    Employment Case Manager

    Clarvida - WashingtonSpokane, WA, United States
    Full-time
    Position at Clarvida - Washington.Clarvida's success is built on the strength of our people : individuals who bring the right skills and a deep commitment to our mission of improving lives and commu...Show moreLast updated: 2 hours ago
    • Promoted
    Case Manager - Independent Living Skills - Spokane

    Case Manager - Independent Living Skills - Spokane

    Catholic Charities of Central WashingtonSpokane, WA, United States
    Full-time
    The Independent Living Skills Case Manager will be responsible for preparing and supporting current and former foster youth who are participating in Youth and Young Adult Services and Independent L...Show moreLast updated: 30+ days ago
    • Promoted
    • New!
    Manager, Case Management

    Manager, Case Management

    Premera Blue CrossSpokane, WA, United States
    Full-time
    Join Our Team : Do Meaningful Work and Improve People's Lives.Our purpose, to improve customers' lives by making healthcare work better, is far from ordinary. Working at Premera means you have the op...Show moreLast updated: 4 hours ago
    • Promoted
    Travel Nurse RN - Med Surg

    Travel Nurse RN - Med Surg

    Triage StaffingCoeur d'Alene, ID, US
    Full-time
    Triage Staffing is seeking a travel nurse RN Med Surg for a travel nursing job in Coeur D Alene, Idaho.Job Description & Requirements. Travel Nursing : Med / Surg Coeur D Alene.Location : ...Show moreLast updated: 30+ days ago
    • Promoted
    • New!
    RN - Case Management in Spokane, Washington - $2,764 / week

    RN - Case Management in Spokane, Washington - $2,764 / week

    Vetted HealthSpokane, WA, United States
    Full-time
    Vetted is seeking a RN - Case Management for a travel job in Spokane, Washington.The assignment starts on Jan 12 and is 13 weeks long with 8 hour shifts 5 days a week. You must live 60 miles away fr...Show moreLast updated: 3 hours ago
    • Promoted
    Travel Nurse RN - Home Health

    Travel Nurse RN - Home Health

    Skyline Med Staff Home HealthCoeur d'Alene, ID, US
    Full-time
    Skyline Med Staff Home Health is seeking a travel nurse RN Home Health for a travel nursing job in Coeur d`Alene, Idaho.Job Description & Requirements. Weekly amount stated in the job postings i...Show moreLast updated: 30+ days ago
    • Promoted
    Travel CVOR Technologist

    Travel CVOR Technologist

    Nurse FirstCoeur d'Alene, ID, US
    Full-time
    Nurse First is seeking a travel CVOR Technologist for a travel job in Coeur d'Alene, Idaho.Job Description & Requirements. Pay package is based on 10 hour shifts and 40 hours per week (subje...Show moreLast updated: 30+ days ago
    • Promoted
    • New!
    RN - Case Management in Spokane, Washington - $2,342 / week

    RN - Case Management in Spokane, Washington - $2,342 / week

    Vetted HealthSpokane, WA, United States
    Full-time
    Vetted is seeking a RN - Case Management for a travel job in Spokane, Washington.The assignment starts on Jan 26 and is 13 weeks long with 8 hour shifts 5 days a week. You must live 60 miles away fr...Show moreLast updated: 3 hours ago
    • Promoted
    Travel Nurse RN - Med Surg

    Travel Nurse RN - Med Surg

    American TravelerCoeur d'Alene, ID, US
    Full-time
    American Traveler is seeking a travel nurse RN Med Surg for a travel nursing job in Coeur d'Alene, Idaho.Job Description & Requirements. American Traveler is seeking an experienced RN for a ...Show moreLast updated: 30+ days ago
    • Promoted
    LIFEGUARD (FILL-IN)

    LIFEGUARD (FILL-IN)

    Marimn HealthWorley, ID, US
    Full-time
    Come work for Marimn Health - voted one of the Best Places to Work in the Inland Northwest every year since 2018 and Modern Healthcare's Family Friendliest Employer in 2020!.Fantastic benefits,...Show moreLast updated: 30+ days ago