Care Manager, LTSS - Must reside in IL

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    "ExternalDescriptionStr": "<p><b>This is a remote field-based role requiring travel within </b><span><b>Knox, Mcdoungh, Peoria, and Tazewell Counties.</b></span></p>\n<p><b>Job Summary</b></p>\n<p>Provides support for care management/care coordination long-term services and supports specific activities and collaborates with multidisciplinary team coordinating integrated delivery of member care across the continuum for members with high-need potential. Strives to ensure member progress toward desired outcomes and contributes to overarching strategy to provide quality and cost-effective member care.<br><br><b>Essential Job Duties</b></p>\n<p>• Completes comprehensive member assessments within regulated timelines, including in-person home visits as required.<br>\n  • Facilitates comprehensive waiver enrollment and disenrollment processes.<br>\n  • Develops and implements care plans, including a waiver service plan in collaboration with members, caregivers, physicians and/or other appropriate health care professionals and member support network to address the member needs and goals.<br>\n  • Performs ongoing monitoring of care plan to evaluate effectiveness, document interventions and goal achievement, and suggest changes accordingly.<br>\n  • Promotes integration of services for members including behavioral health care and long-term services and supports (LTSS) and home and community resources to enhance continuity of care.<br>\n  • Assesses for medical necessity and authorizes all appropriate waiver services.<br>\n  • Evaluates covered benefits and advises appropriately regarding funding sources.<br>\n  • Facilitates interdisciplinary care team (ICT) meetings for approval or denial of services and informal ICT collaboration.<br>\n  • Uses motivational interviewing and Molina clinical guideposts to educate, support and motivate change during member contacts.<br>\n  • Assesses for barriers to care and provides care coordination and assistance to members to address psycho/social, financial, and medical obstacles concerns.<br>\n  • Identifies critical incidents and develops prevention plans to assure member health and welfare.<br>\n  • Collaborates with licensed care managers/leadership as needed or required.<br>\n  • 25-40% estimated local travel may be required (based upon state/contractual requirements).<br><br><b>Required Qualifications</b></p>\n<p>• At least 2 years health care experience, including at least 1 year of experience working with persons with disabilities/chronic conditions long-term services and supports (LTSS), and 1 year of experience in care management, or experience in a medical and/or behavioral health setting, or equivalent combination of relevant education and experience.&nbsp;</p>\n<p>•Licensed Practical Nurse (LPN) or Licensed Vocational Nurse (LVN). Clinical licensure and/or certification required ONLY if required by state contract, regulation, business operating model, or state board licensing mandates. If licensed, license must be active and unrestricted in state of practice.</p>\n<p>• In some states, a bachelor's degree in a health care related field may be required (dependent upon state/contractual requirements).</p>\n<p>• Valid and unrestricted driver's license, reliable transportation, and adequate auto insurance for job related travel requirements, unless otherwise required by law.</p>\n<p>• Demonstrated knowledge of community resources.</p>\n<p>• Ability to work within a variety of settings and adjust style as needed - working with diverse populations, various personalities and personal situations.</p>\n<p>• Ability to operate proactively and demonstrate detail-oriented work.</p>\n<p>• Ability to work independently, with minimal supervision and self-motivation.</p>\n<p>• Ability to demonstrate responsiveness in all forms of communication, and remain calm in high-pressure situations.</p>\n<p>• Ability to develop and maintain professional relationships.</p>\n<p>• Excellent time-management and prioritization skills, and ability to focus on multiple projects simultaneously and adapt to change.</p>\n<p>• Excellent problem-solving, and critical-thinking skills.</p>\n<p>• Strong verbal and written communication skills.</p>\n<p>• Microsoft Office suite/applicable software program proficiency, and ability to navigate online portals and databases.</p>\n<p>• In some states, a bachelor's degree in a health care related field may be required (dependent upon state/contractual requirements).<br><br><br><b>Preferred Qualifications</b></p>\n<p>• Certified Case Manager (CCM), Licensed Vocational Nurse (LVN) or Licensed Practical Nurse (LPN). License must be active and unrestricted in state of practice.<br>\n  • Experience working with populations that receive waiver services.<br><br>\n  &nbsp;</p>\n<p>To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board.<br><br>\n  Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V</p>",
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