Case Manager - Molina Healthcare - Remote

Overview

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.

In Short

• Support Molina Healthcare of Florida Plan.
• Conduct field travel visiting members in their homes.
• Complete comprehensive assessments of members.
• Develop and implement case management plans.
• Monitor care plans for effectiveness.
• Promote integration of services for members.
• Assess medical necessity and authorize waiver services.
• Conduct face-to-face or home visits as required.
• Facilitate interdisciplinary care team meetings.
• Use motivational interviewing to support members.

Requirements

• Completion of an accredited LVN/LPN Program or relevant degree.
• At least 1 year of experience with disabilities/chronic conditions.
• 1-3 years in case management or related settings.
• Bilingual candidates (Spanish) encouraged to apply.
• Valid driver’s license and reliable transportation.

Benefits

• Competitive benefits and compensation package.
• Equal Opportunity Employer (EOE) M/F/D/V.