Case Manager Remote in Iowa (Relocation Assistance Available)
Company: Molina Healthcare
Location: Grand Forks
Posted on: January 18, 2023
**Relocation packages are offered to candidates willing to
relocate -to Iowa** 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
- 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 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. #PJHPO
Keywords: Molina Healthcare, Grand Forks , Case Manager Remote in Iowa (Relocation Assistance Available), Executive , Grand Forks, North Dakota
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