Molina Healthcare
Field Care Manager, LTSS (RN) - Central Houston - Local Travel Required
Molina Healthcare, Jacinto City, Texas, United States
Overview
Field Care Manager, LTSS (RN) - Central Houston - Local Travel Required. Texas licensed RN to join Molina to work with Medicaid members in the East Central part of Houston, completing assessments needed to determine the types of services they are eligible to receive. Preference given to candidates with experience working with the Medicaid population within a Managed Care Organization (MCO). Mileage is reimbursed as part of benefits. Hours are Monday – Friday, 8 AM – 5 PM CST. 2 days ago Be among the first 25 applicants. Solid experience with Microsoft Office Suite is necessary, especially Outlook, Excel, and Teams, and ability to move between programs to complete forms and documentation. Responsibilities
Completes comprehensive member assessments within regulated timelines, including in-person home visits as required. Facilitates comprehensive waiver enrollment and disenrollment processes. Develops and implements care plans, including a waiver service plan, in collaboration with members, caregivers, physicians and/or other health care professionals and the member support network to address member needs and goals. Monitors care plan effectiveness, documents interventions and goal achievement, and suggests changes as needed. Promotes integration of services for members, including behavioral health care and LTSS and home and community resources to enhance continuity of care. Assesses medical necessity and authorizes appropriate waiver services. Evaluates covered benefits and advises regarding funding sources. Facilitates interdisciplinary care team (ICT) meetings for approval or denial of services and informal ICT collaboration. Uses motivational interviewing and Molina clinical guideposts to educate, support and motivate change during member contacts. Assesses barriers to care and provides care coordination to address psycho/social, financial, and medical obstacles. Identifies critical incidents and develops prevention plans to protect member health and welfare. May provide consultation, resources and recommendations to peers as needed. Care manager RNs may be assigned complex member cases and medication regimens; may conduct medication reconciliation as needed. Travel: 25-40% local travel may be required (based on state/contractual requirements). Qualifications
Required: At least 2 years in health care, including at least 1 year in care management, managed care, and/or medical or behavioral health settings; at least 1 year working with persons with disabilities, chronic conditions, substance use disorders, and LTSS (or equivalent). Registered Nurse (RN). Active, unrestricted license in state of practice. Valid driver's license, reliable transportation, and adequate auto insurance for job-related travel, unless otherwise required by law. Ability to operate proactively, detail-oriented work, and strong knowledge of community resources. Ability to work in diverse settings with various populations and personalities; able to work independently with minimal supervision. Strong communication (verbal and written), time management, prioritization, problem-solving and critical-thinking skills. Proficiency with Microsoft Office Suite and applicable software. In some states, at least one year of experience working directly with individuals with substance use disorders. Preferred: Certified Case Manager (CCM). Experience with populations that receive waiver services. Additional information
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 Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. Job categories
Seniority level: Entry level • Employment type: Full-time • Job function: Health Care Provider • Industries: Hospitals and Health Care
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Field Care Manager, LTSS (RN) - Central Houston - Local Travel Required. Texas licensed RN to join Molina to work with Medicaid members in the East Central part of Houston, completing assessments needed to determine the types of services they are eligible to receive. Preference given to candidates with experience working with the Medicaid population within a Managed Care Organization (MCO). Mileage is reimbursed as part of benefits. Hours are Monday – Friday, 8 AM – 5 PM CST. 2 days ago Be among the first 25 applicants. Solid experience with Microsoft Office Suite is necessary, especially Outlook, Excel, and Teams, and ability to move between programs to complete forms and documentation. Responsibilities
Completes comprehensive member assessments within regulated timelines, including in-person home visits as required. Facilitates comprehensive waiver enrollment and disenrollment processes. Develops and implements care plans, including a waiver service plan, in collaboration with members, caregivers, physicians and/or other health care professionals and the member support network to address member needs and goals. Monitors care plan effectiveness, documents interventions and goal achievement, and suggests changes as needed. Promotes integration of services for members, including behavioral health care and LTSS and home and community resources to enhance continuity of care. Assesses medical necessity and authorizes appropriate waiver services. Evaluates covered benefits and advises regarding funding sources. Facilitates interdisciplinary care team (ICT) meetings for approval or denial of services and informal ICT collaboration. Uses motivational interviewing and Molina clinical guideposts to educate, support and motivate change during member contacts. Assesses barriers to care and provides care coordination to address psycho/social, financial, and medical obstacles. Identifies critical incidents and develops prevention plans to protect member health and welfare. May provide consultation, resources and recommendations to peers as needed. Care manager RNs may be assigned complex member cases and medication regimens; may conduct medication reconciliation as needed. Travel: 25-40% local travel may be required (based on state/contractual requirements). Qualifications
Required: At least 2 years in health care, including at least 1 year in care management, managed care, and/or medical or behavioral health settings; at least 1 year working with persons with disabilities, chronic conditions, substance use disorders, and LTSS (or equivalent). Registered Nurse (RN). Active, unrestricted license in state of practice. Valid driver's license, reliable transportation, and adequate auto insurance for job-related travel, unless otherwise required by law. Ability to operate proactively, detail-oriented work, and strong knowledge of community resources. Ability to work in diverse settings with various populations and personalities; able to work independently with minimal supervision. Strong communication (verbal and written), time management, prioritization, problem-solving and critical-thinking skills. Proficiency with Microsoft Office Suite and applicable software. In some states, at least one year of experience working directly with individuals with substance use disorders. Preferred: Certified Case Manager (CCM). Experience with populations that receive waiver services. Additional information
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 Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. Job categories
Seniority level: Entry level • Employment type: Full-time • Job function: Health Care Provider • Industries: Hospitals and Health Care
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