Remote Otter LogoRemoteOtter

Case Manager - Remote

Posted 20 weeks ago
Customer Service
Full Time
USA

Overview

The Case Manager will work in a remote and field setting supporting our Medicaid Population, conducting face-to-face assessments and participating in interdisciplinary care team meetings to ensure members have appropriate care plans.

In Short

  • Conduct face-to-face comprehensive assessments of members.
  • Facilitate waiver enrollment and disenrollment processes.
  • Develop and implement case management plans.
  • Monitor care plans for effectiveness and suggest changes.
  • Promote integration of services for members.
  • Assess medical necessity and authorize waiver services.
  • Conduct home visits as required.
  • Facilitate interdisciplinary care team meetings.
  • Use motivational interviewing to support members.
  • Identify barriers to care and provide coordination.

Requirements

  • Completion of an accredited LVN or LPN Program or a degree in social science or related field.
  • At least 1 year of experience with persons with disabilities/chronic conditions.
  • 1-3 years in case management or related settings.
  • Preferred: 3-5 years in case management.
  • Active Certified Case Manager (CCM) certification.
  • Valid driver’s license and reliable transportation.

Benefits

  • Competitive benefits and compensation package.
  • Equal Opportunity Employer.

M.T.A

Molina Talent Acquisition

Molina Healthcare is a leading provider of managed healthcare services, dedicated to improving the health of its members through high-quality, cost-effective care. The company focuses on network strategy and development, ensuring compliance with federal, state, and local regulations while aligning with its core values and strategic goals. Molina Healthcare emphasizes the importance of building strong relationships with complex providers, including hospitals and physician groups, to enhance network adequacy and financial performance. With a commitment to value-based care, Molina Healthcare actively engages in contract negotiations and innovative reimbursement models to meet the diverse needs of its members.

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