Molina Healthcare
Field Case Manager (Detroit MI) - RN, LBSW, LLMSW, LMSW
Molina Healthcare, Detroit, Michigan, United States, 48228
Field Case Manager (Detroit MI) - RN, LBSW, LLMSW, LMSW
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. Job Summary
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 managed 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. Home office with internet connectivity of high speed required. Travel in the field to do member visits in the surrounding areas will be required: Macomb County (Detroit, Sterling Heights, Shelby Township, Macomb Township). Travel will be up to 50% of the time (Mileage is reimbursed). Schedule: Monday thru Friday 8:30AM to 5:00PM Knowledge/Skills/Abilities
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. Develops and implements a case management 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. Conducts telephonic, face-to-face or home visits as required. Performs ongoing monitoring of the care plan to evaluate effectiveness, document interventions and goal achievement, and suggest changes accordingly. Maintains ongoing member case load for regular outreach and management. Promotes integration of services for members including behavioral health care and long term services and supports to enhance the continuity of care for Molina members. May implement specific Molina wellness programs i.e. asthma and depression disease management. Facilitates interdisciplinary care team 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 RN case managers/supervisors as needed or required. Case managers in Behavioral Health and Social Science fields may provide consultation, resources and recommendations to peers as needed. Job Qualifications
REQUIRED EDUCATION:
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).
Required Experience:
1-3 years in case management, disease management, managed care or medical or behavioral health settings.
Required License, Certification, Association:
If license required for the job, license must be active, unrestricted and in good standing. Must have valid driver's license with good driving record and be able to drive within applicable state or locality with reliable transportation. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
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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. Job Summary
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 managed 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. Home office with internet connectivity of high speed required. Travel in the field to do member visits in the surrounding areas will be required: Macomb County (Detroit, Sterling Heights, Shelby Township, Macomb Township). Travel will be up to 50% of the time (Mileage is reimbursed). Schedule: Monday thru Friday 8:30AM to 5:00PM Knowledge/Skills/Abilities
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. Develops and implements a case management 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. Conducts telephonic, face-to-face or home visits as required. Performs ongoing monitoring of the care plan to evaluate effectiveness, document interventions and goal achievement, and suggest changes accordingly. Maintains ongoing member case load for regular outreach and management. Promotes integration of services for members including behavioral health care and long term services and supports to enhance the continuity of care for Molina members. May implement specific Molina wellness programs i.e. asthma and depression disease management. Facilitates interdisciplinary care team 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 RN case managers/supervisors as needed or required. Case managers in Behavioral Health and Social Science fields may provide consultation, resources and recommendations to peers as needed. Job Qualifications
REQUIRED EDUCATION:
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).
Required Experience:
1-3 years in case management, disease management, managed care or medical or behavioral health settings.
Required License, Certification, Association:
If license required for the job, license must be active, unrestricted and in good standing. Must have valid driver's license with good driving record and be able to drive within applicable state or locality with reliable transportation. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
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