Molina Healthcare
Field Care Manager, LTSS - Guthrie and Dallas Counties. IA -Local Travel Require
Molina Healthcare, Adel, Iowa, United States, 50003
Field Care Manager, LTSS - Guthrie and Dallas Counties. IA
Opportunity for an experienced Care Manager with a Bachelor’s or Master’s degree to work as a Field Care Manager, joining Molina as a Case Manager for our Medicaid members in Dallas and Guthrie Counties. The role includes face‑to‑face meetings with members in their homes to conduct assessments, determine service needs, and coordinate care. Mileage is reimbursed. Hours: Monday – Friday, 8 AM – 5 PM CST.
Job Summary Provides support for care management and care coordination activities, collaborating with a multidisciplinary team to deliver integrated care for high‑need members. The Field Care Manager ensures members progress toward desired outcomes and contributes to the overall strategy to provide quality and cost‑effective care.
Essential Job Duties
Complete comprehensive member assessments within regulated timelines, including in‑person home visits as required.
Facilitate comprehensive waiver enrollment and disenrollment processes.
Develop and implement care plans, including waiver service plans, in collaboration with members, caregivers, physicians, and other health professionals.
Monitor care plans, evaluate effectiveness, document interventions, and suggest changes as needed.
Promote integration of services for members, including behavioral health and long‑term services and supports (LTSS) and home/community resources.
Assess for medical necessity and authorize appropriate waiver services.
Evaluate covered benefits and advise members regarding funding sources.
Facilitate interdisciplinary care team (ICT) meetings for approval or denial of services.
Use motivational interviewing and Molina clinical guideposts to educate, support, and motivate change during member contacts.
Identify barriers to care and provide coordination and assistance to address psycho/social, financial, and medical obstacles.
Identify critical incidents and develop prevention plans.
Collaborate with licensed care managers/leadership as needed.
Estimated 25‑40 % local travel may be required.
Required Qualifications
At least 2 years of health‑care experience, including at least 1 year working with persons with disabilities or chronic conditions in LTSS, and 1 year in care management or a related setting.
Licensed Practical Nurse (LPN) or Licensed Vocational Nurse (LVN). Clinical licensure/certification required only if mandated by state regulations.
Valid and unrestricted driver’s license, reliable transportation, and adequate auto insurance.
Demonstrated knowledge of community resources.
Ability to work in diverse settings, adapt style, and demonstrate detail‑oriented work.
Ability to work independently with minimal supervision.
Strong verbal and written communication skills.
Microsoft Office Suite proficiency and ability to navigate portals and databases.
In some states, a bachelor’s degree in a health‑care related field may be required.
Preferred Qualifications
Certified Case Manager (CCM), LPN, or LVN with active, unrestricted license.
Experience working with populations receiving waiver services.
Benefits and Compensation Molina Healthcare offers a competitive benefits and compensation package.
Pay Range: $22.8–$46.81 per hour. Compensation may vary based on location, experience, education, and skill level.
Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
Seniority Level Mid‑Senior level
Employment Type Full‑time
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Job Summary Provides support for care management and care coordination activities, collaborating with a multidisciplinary team to deliver integrated care for high‑need members. The Field Care Manager ensures members progress toward desired outcomes and contributes to the overall strategy to provide quality and cost‑effective care.
Essential Job Duties
Complete comprehensive member assessments within regulated timelines, including in‑person home visits as required.
Facilitate comprehensive waiver enrollment and disenrollment processes.
Develop and implement care plans, including waiver service plans, in collaboration with members, caregivers, physicians, and other health professionals.
Monitor care plans, evaluate effectiveness, document interventions, and suggest changes as needed.
Promote integration of services for members, including behavioral health and long‑term services and supports (LTSS) and home/community resources.
Assess for medical necessity and authorize appropriate waiver services.
Evaluate covered benefits and advise members regarding funding sources.
Facilitate interdisciplinary care team (ICT) meetings for approval or denial of services.
Use motivational interviewing and Molina clinical guideposts to educate, support, and motivate change during member contacts.
Identify barriers to care and provide coordination and assistance to address psycho/social, financial, and medical obstacles.
Identify critical incidents and develop prevention plans.
Collaborate with licensed care managers/leadership as needed.
Estimated 25‑40 % local travel may be required.
Required Qualifications
At least 2 years of health‑care experience, including at least 1 year working with persons with disabilities or chronic conditions in LTSS, and 1 year in care management or a related setting.
Licensed Practical Nurse (LPN) or Licensed Vocational Nurse (LVN). Clinical licensure/certification required only if mandated by state regulations.
Valid and unrestricted driver’s license, reliable transportation, and adequate auto insurance.
Demonstrated knowledge of community resources.
Ability to work in diverse settings, adapt style, and demonstrate detail‑oriented work.
Ability to work independently with minimal supervision.
Strong verbal and written communication skills.
Microsoft Office Suite proficiency and ability to navigate portals and databases.
In some states, a bachelor’s degree in a health‑care related field may be required.
Preferred Qualifications
Certified Case Manager (CCM), LPN, or LVN with active, unrestricted license.
Experience working with populations receiving waiver services.
Benefits and Compensation Molina Healthcare offers a competitive benefits and compensation package.
Pay Range: $22.8–$46.81 per hour. Compensation may vary based on location, experience, education, and skill level.
Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
Seniority Level Mid‑Senior level
Employment Type Full‑time
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