Case Manager-Remote (Must live in Iowa)
Company: Molina Healthcare
Location: Sioux Falls
Posted on: January 27, 2023
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: 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, Sioux Falls , Case Manager-Remote (Must live in Iowa), Executive , Sioux Falls, South Dakota
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