Subject Care Manager, LTSS (LVN)

JOB DESCRIPTION 

Opportunity for a Texas licensed RN to affix Molina to work with our DSNIP members in Dallas, TX. Our Care Managers meet with members of their properties finishing assessments to find out the sorts of providers we have to present. Preference shall be given to these candidates with earlier expertise working with the Medicare inhabitants inside a Managed Care Organization (MCO). Mileage is reimbursed as a part of our advantages package deal. Hours are Monday – Friday, 8 AM – 5 PM CST. 

Solid expertise with Microsoft Office Suite is critical, particularly with Outlook, Excel, and Teams in addition to being assured in transferring between completely different packages to finish the required types and documentation. 

Job Summary

Provides help for care administration/care coordination long-term providers and helps particular actions and collaborates with multidisciplinary group coordinating built-in supply of member care throughout the continuum for members with high-need potential. Strives to make sure member progress towards desired outcomes and contributes to overarching technique to supply high quality and cost-effective member care.

Essential Job Duties

• Completes complete member assessments inside regulated timelines, together with in-person residence visits as required.
• Facilitates complete waiver enrollment and disenrollment processes.
• Develops and implements care plans, together with a waiver service plan in collaboration with members, caregivers, physicians and/or different applicable well being care professionals and member help community to handle the member wants and objectives.
• Performs ongoing monitoring of care plan to guage effectiveness, doc interventions and objective achievement, and recommend modifications accordingly.
• Promotes integration of providers for members together with behavioral well being care and long-term providers and helps (LTSS) and residential and neighborhood sources to boost continuity of care.
• Assesses for medical necessity and authorizes all applicable waiver providers.
• Evaluates coated advantages and advises appropriately concerning funding sources.
• Facilitates interdisciplinary care group (ICT) conferences for approval or denial of providers and casual ICT collaboration.
• Uses motivational interviewing and Molina scientific guideposts to teach, help and inspire change throughout member contacts.
• Assesses for limitations to care and supplies care coordination and help to members to handle psycho/social, monetary, and medical obstacles issues.
• Identifies important incidents and develops prevention plans to guarantee member well being and welfare.
• Collaborates with licensed care managers/management as wanted or required.
• 25-40% estimated native journey could also be required (primarily based upon state/contractual necessities).

Required Qualifications

• At least 2 years well being care expertise, together with a minimum of 1 yr of expertise working with individuals with disabilities/persistent situations long-term providers and helps (LTSS), and 1 yr of expertise in care administration, or expertise in a medical and/or behavioral well being setting, or equal mixture of related training and expertise. 

•Licensed Practical Nurse (LPN) or Licensed Vocational Nurse (LVN). Clinical licensure and/or certification required ONLY if required by state contract, regulation, enterprise working mannequin, or state board licensing mandates. If licensed, license have to be lively and unrestricted in state of observe.

• In some states, a bachelor’s diploma in a well being care associated area could also be required (dependent upon state/contractual necessities).

• Valid and unrestricted driver’s license, dependable transportation, and sufficient auto insurance coverage for job associated journey necessities, until in any other case required by regulation.

• Demonstrated data of neighborhood sources.

• Ability to work inside a wide range of settings and modify type as wanted – working with various populations, numerous personalities and private conditions.

• Ability to function proactively and exhibit detail-oriented work.

• Ability to work independently, with minimal supervision and self-motivation.

• Ability to exhibit responsiveness in all types of communication, and stay calm in high-pressure conditions.

• Ability to develop and preserve skilled relationships.

• Excellent time-management and prioritization expertise, and skill to concentrate on a number of initiatives concurrently and adapt to alter.

• Excellent problem-solving, and critical-thinking expertise.

• Strong verbal and written communication expertise.

• Microsoft Office suite/relevant software program program proficiency, and skill to navigate on-line portals and databases.

• In some states, a bachelor’s diploma in a well being care associated area could also be required (dependent upon state/contractual necessities).

Preferred Qualifications

• Certified Case Manager (CCM), Licensed Vocational Nurse (LVN) or Licensed Practical Nurse (LPN). License have to be lively and unrestricted in state of observe.
• Experience working with populations that obtain waiver providers.

To all present Molina workers: If you have an interest in making use of for this place, please apply by the Internal Job Board.

Molina Healthcare presents a aggressive advantages and compensation package deal. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V

Pay Range: $24 – $46.81 / HOURLY
*Actual compensation could fluctuate from posting primarily based on geographic location, work expertise, training and/or ability stage.

Molina Healthcare is a nationwide fortune 500 group with a mission to supply high quality healthcare to folks receiving authorities help. If you’re searching for a significant alternative in a team-oriented surroundings, come be part of a extremely engaged workforce devoted to our mission. Bring your ardour and skills and collectively we are able to make a distinction within the lives of others. Molina Healthcare presents a aggressive advantages and compensation package deal. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.

Job Type Full Time

Posting Date 06/05/2026