Care Manager
Molina HealthcareOmaha, NE, US- Full-time
Job Description
JOB DESCRIPTION
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Job Summary
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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 \n \n
- 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.
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JOB QUALIFICATIONS
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REQUIRED EDUCATION : \n
Any of the following :
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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
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REQUIRED EXPERIENCE :
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1-3 years in case management, disease management, managed care or medical or behavioral health settings.
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REQUIRED LICENSE, CERTIFICATION, ASSOCIATION :
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If license required for the job, license must be active, unrestricted and in good standing.
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Must have valid driver’s license with good driving record and be able to drive within applicable state or locality with reliable transportation.
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STATE SPECIFIC REQUIREMENTS :
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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.
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PREFERRED EXPERIENCE :
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3-5 years in case management, disease management, managed care or medical or behavioral health settings.
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PREFERRED LICENSE, CERTIFICATION, ASSOCIATION :
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Any of the following :
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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).
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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.
Pay Range : $22.8 - $46.81 / HOURLY
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