Molina Healthcare
Field Care Manager, LTSS - Local Travel Required
Molina Healthcare, New Hampton, Iowa, United States, 50659
Field Care Manager, LTSS - Local Travel Required
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Field Care Manager, LTSS - Local Travel Required
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Molina Healthcare
Job Description Opportunity for an experienced Care Manager who is Bachelors or Masters trained in a social services field to join the LTSS team with our Iowa Health Plan. Responsibilities include conducting face-to-face visits with our Medicaid members and completing assessments to determine the types of services needed and managing their care until they are discharged. The ideal candidate will have experience as a Care Manager within a managed care organization (MCO) like Molina or have experience working with IHH. Hours are Monday – Friday, 8 AM – 5 PM CST; 75% of the time will be spent in the field and the remainder from a home office. Mileage is reimbursed as part of the benefit package. Solid experience with Microsoft Office Suite is required, especially Outlook, Excel, and Teams.
Essential Job Duties
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 in collaboration with members, caregivers, physicians, and other health care professionals.
Performs ongoing monitoring of care plans to evaluate effectiveness, document interventions, and suggest changes.
Promotes integration of services including behavioral health care and long‑term services and supports (LTSS) and community resources.
Assesses for medical necessity and authorizes appropriate waiver services.
Evaluates covered benefits and advises on funding sources.
Facilitates interdisciplinary care team (ICT) meetings for service approval or denial.
Uses motivational interviewing and Molina clinical guideposts to educate and motivate members.
Identifies barriers to care and provides coordination to address psycho‑social, financial, and medical obstacles.
Identifies critical incidents and develops prevention plans to assure member health and welfare.
Collaborates with licensed care managers/leadership as needed.
25‑40% estimated local travel may be required.
Required Qualifications
At least 2 years of health care experience, including 1 year with persons with disabilities/chronic conditions in LTSS and 1 year in care management.
Licensed Practical Nurse (LPN) or Licensed Vocational Nurse (LVN); clinical licensure required only if mandated by state or regulation.
Valid and unrestricted driver’s license and reliable transportation.
Knowledge of community resources.
Ability to work in diverse settings and adjust style as needed.
Detail‑oriented, proactive, and independent work style.
Strong communication skills and ability to stay calm in high‑pressure situations.
Excellent time‑management, prioritization, problem‑solving, and critical‑thinking skills.
Strong verbal and written communication skills.
Proficiency with Microsoft Office Suite and online portals.
Preferred Qualifications
Certified Case Manager (CCM), LVN or LPN with active, unrestricted license.
Experience working with populations receiving waiver services.
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: $21.60 – $46.81 / hourly
Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
Seniority level
Mid‑Senior level
Employment type
Full‑time
Job function
Health Care Provider
Industries
Hospitals and Health Care
#J-18808-Ljbffr
Field Care Manager, LTSS - Local Travel Required
role at
Molina Healthcare
Job Description Opportunity for an experienced Care Manager who is Bachelors or Masters trained in a social services field to join the LTSS team with our Iowa Health Plan. Responsibilities include conducting face-to-face visits with our Medicaid members and completing assessments to determine the types of services needed and managing their care until they are discharged. The ideal candidate will have experience as a Care Manager within a managed care organization (MCO) like Molina or have experience working with IHH. Hours are Monday – Friday, 8 AM – 5 PM CST; 75% of the time will be spent in the field and the remainder from a home office. Mileage is reimbursed as part of the benefit package. Solid experience with Microsoft Office Suite is required, especially Outlook, Excel, and Teams.
Essential Job Duties
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 in collaboration with members, caregivers, physicians, and other health care professionals.
Performs ongoing monitoring of care plans to evaluate effectiveness, document interventions, and suggest changes.
Promotes integration of services including behavioral health care and long‑term services and supports (LTSS) and community resources.
Assesses for medical necessity and authorizes appropriate waiver services.
Evaluates covered benefits and advises on funding sources.
Facilitates interdisciplinary care team (ICT) meetings for service approval or denial.
Uses motivational interviewing and Molina clinical guideposts to educate and motivate members.
Identifies barriers to care and provides coordination to address psycho‑social, financial, and medical obstacles.
Identifies critical incidents and develops prevention plans to assure member health and welfare.
Collaborates with licensed care managers/leadership as needed.
25‑40% estimated local travel may be required.
Required Qualifications
At least 2 years of health care experience, including 1 year with persons with disabilities/chronic conditions in LTSS and 1 year in care management.
Licensed Practical Nurse (LPN) or Licensed Vocational Nurse (LVN); clinical licensure required only if mandated by state or regulation.
Valid and unrestricted driver’s license and reliable transportation.
Knowledge of community resources.
Ability to work in diverse settings and adjust style as needed.
Detail‑oriented, proactive, and independent work style.
Strong communication skills and ability to stay calm in high‑pressure situations.
Excellent time‑management, prioritization, problem‑solving, and critical‑thinking skills.
Strong verbal and written communication skills.
Proficiency with Microsoft Office Suite and online portals.
Preferred Qualifications
Certified Case Manager (CCM), LVN or LPN with active, unrestricted license.
Experience working with populations receiving waiver services.
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: $21.60 – $46.81 / hourly
Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
Seniority level
Mid‑Senior level
Employment type
Full‑time
Job function
Health Care Provider
Industries
Hospitals and Health Care
#J-18808-Ljbffr