Case Manager, LTSS (RN)

JOB DESCRIPTION

Job Summary

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

• Completes face-to-face comprehensive assessments of members per regulated timelines.
• Facilitates comprehensive waiver enrollment and disenrollment processes.
• Develops and implements a case management plan, including a waiver service plan, in collaboration with the member, caregiver, physician, and/or other appropriate healthcare professionals and member's support network to address the member's needs and goals.
• Performs ongoing monitoring of the care plan to evaluate effectiveness, document interventions and goal achievement, and suggest changes accordingly.
• Promotes integration of services for members including behavioral health care and long-term services and supports, home and community to enhance the continuity of care for Molina members.
• Assesses for medical necessity and authorizes all appropriate waiver services.
• Evaluates covered benefits and advises appropriately regarding funding sources.
• Conducts face-to-face or home visits as required.
• Facilitates interdisciplinary care team 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 for barriers to care, provides care coordination, and assists the member to address psycho/social, financial, and medical obstacles.
• Identifies critical incidents and develops prevention plans to assure the member's health and welfare.
• Provides consultation, recommendations, and education as appropriate to non-RN case managers.
• Works cases with members who have complex medical conditions and medication regimens.
• Conducts medication reconciliation when needed.
• 50-75% travel required.

Job Qualifications

Required Education

• Graduate from an Accredited School of Nursing

Required Experience

• At least 1 year of experience working with persons with disabilities/chronic conditions and Long Term Services & Supports.
• 1-3 years in case management, disease management, managed care, or medical or behavioral health settings.

Required License, Certification, Association

• Active, unrestricted State Registered Nursing license (RN) in good standing
• If field work is required, must have valid driver's license with good driving record and be able to drive within applicable state or locality with reliable transportation.

State Specific Requirements

• Virginia: Must have at least one year of experience working directly with individuals with Substance Use Disorders

Preferred Education

• Bachelor's Degree in Nursing

Preferred Experience

• 3-5 years in case management, disease management, managed care, or medical or behavioral health settings.
• 1 year experience working with a population that receives waiver services.

Preferred License, Certification, Association

• Active and unrestricted Certified Case Manager (CCM)

To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing.

Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.

Pay Range: $27.73 - $54.06 / HOURLY

• Actual compensation may vary from posting based on geographic location, work experience, education, and/or skill level.