Case Manager - Remote in Iowa
Company: Molina Healthcare
Location: Des Moines
Posted on: November 26, 2022
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.
- 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
- 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
- Uses motivational interviewing and Molina clinical guideposts
to educate, support and motivate change during member
- Assesses for barriers to care, provides care coordination and
assistance to member to address concerns.
- Collaborates with RN case managers/supervisors as needed or
- Case managers in Behavioral Health and Social Science fields
may provide consultation, resources and recommendations to peers as
- Local travel of up to 40% may be required, depending on the
complexity level of the assigned members, particular state-specific
regulations, or whether the Case Manager position is located within
Molina's Central Programs unit. JOB QUALIFICATIONS REQUIRED
EDUCATION: Any of the following: 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. PREFERRED EXPERIENCE: 3-5 years in case
management, disease management, managed care or medical or
behavioral health settings. PREFERRED LICENSE, CERTIFICATION,
ASSOCIATION: Any of the following: Licensed Clinical Social Worker
(LCSW), Advanced Practice Social Worker (APSW), Certified Case
Manager (CCM), Certified in Health Education and Promotion (CHEP),
Licensed Professional Counselor (LPC/LPCC), Respiratory Therapist,
or Licensed Marriage and Family Therapist (LMFT). 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: -$24.00 - $46.81 an hour* *Actual compensation
may vary from posting based on geographic location, work
experience, education and/or skill level.
Keywords: Molina Healthcare, Des Moines , Case Manager - Remote in Iowa, Executive , Des Moines, Iowa
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