Field Care Manager, LTSS (LVN) - North Houston Local Travel Required

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    "ExternalDescriptionStr": "JOB DESCRIPTION Job Summary \n<p><span>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.</span><br><br>\n  &nbsp;</p>Essential Job Duties \n<p><br><span>• Completes comprehensive member assessments within regulated timelines, including in-person home visits as required.</span><br><span>• Facilitates comprehensive waiver enrollment and disenrollment processes.</span><br><span>• 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.</span><br><span>• Performs ongoing monitoring of care plan to evaluate effectiveness, document interventions and goal achievement, and suggest changes accordingly.</span><br><span>• 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.</span><br><span>• Assesses for medical necessity and authorizes all appropriate waiver services.</span><br><span>• Evaluates covered benefits and advises appropriately regarding funding sources.</span><br><span>• Facilitates interdisciplinary care team (ICT) meetings for approval or denial of services and informal ICT collaboration.</span><br><span>• Uses motivational interviewing and Molina clinical guideposts to educate, support and motivate change during member contacts.</span><br><span>• Assesses for barriers to care and provides care coordination and assistance to members to address psycho/social, financial, and medical obstacles concerns.</span><br><span>• Identifies critical incidents and develops prevention plans to assure member health and welfare.</span><br><span>• Collaborates with licensed care managers/leadership as needed or required.</span><br><span>• 25-40% estimated local travel may be required (based upon state/contractual requirements).</span><br><br>\n  &nbsp;</p>Required Qualifications \n<p><span>• 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;</span></p>\n<p><span>•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.</span></p>\n<p><span>• In some states, a bachelor's degree in a health care related field may be required (dependent upon state/contractual requirements).</span></p>\n<p><span>• Valid and unrestricted driver's license, reliable transportation, and adequate auto insurance for job related travel requirements, unless otherwise required by law.</span></p>\n<p><span>• Demonstrated knowledge of community resources.</span></p>\n<p><span>• Ability to work within a variety of settings and adjust style as needed - working with diverse populations, various personalities and personal situations.</span></p>\n<p><span>• Ability to operate proactively and demonstrate detail-oriented work.</span></p>\n<p><span>• Ability to work independently, with minimal supervision and self-motivation.</span></p>\n<p><span>• Ability to demonstrate responsiveness in all forms of communication, and remain calm in high-pressure situations.</span></p>\n<p><span>• Ability to develop and maintain professional relationships.</span></p>\n<p><span>• Excellent time-management and prioritization skills, and ability to focus on multiple projects simultaneously and adapt to change.</span></p>\n<p><span>• Excellent problem-solving, and critical-thinking skills.</span></p>\n<p><span>• Strong verbal and written communication skills.</span></p>\n<p><span>• Microsoft Office suite/applicable software program proficiency, and ability to navigate online portals and databases.</span></p>\n<p><span>• In some states, a bachelor's degree in a health care related field may be required (dependent upon state/contractual requirements).</span><br><br><br><span><strong>Preferred Qualifications</strong></span></p>\n<p><span>• Certified Case Manager (CCM), Licensed Vocational Nurse (LVN) or Licensed Practical Nurse (LPN). License must be active and unrestricted in state of practice.</span><br><span>• Experience working with populations that receive waiver services.</span><br><br>\n  &nbsp;</p>\n<p>&nbsp;</p>\n<p><span>To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board.</span><br><br><span>Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V</span></p>",
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