Field Care Manager, LTSS (LVN)

JOB DESCRIPTION

Opportunity for a Texas licensed LVN to affix Molina as a Field Care Manager to work with our Medicare members within the service supply space within the northwestern space of Houston, protecting communities that embody Cypress, Tomball, and Jersey City. You will full assessments wanted for figuring out the forms of providers our members are eligible to obtain. Preference can 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, however we’re solely contemplating candidates who’re inside 30 – 45 minutes of the protection space. Hours are Monday – Friday, 8 AM – 5 PM CST.

Solid expertise with Microsoft Office Suite is critical, particularly with Outlook, Excel, One Note and Teams in addition to being assured in toggling between totally different packages to finish the mandatory kinds and documentation. 

 Job Summary

Provides help for care administration/care coordination long-term providers and helps (LTSS)-specific actions.  Collaborates with multidisciplinary crew 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 dwelling 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 deal with the member wants and targets.
• Performs ongoing monitoring of care plan to guage effectiveness, doc interventions and aim achievement, and counsel adjustments accordingly.
• Promotes integration of providers for members together with behavioral well being care and long-term providers and helps (LTSS) and residential and neighborhood assets to boost continuity of care.
• Assesses for medical necessity and authorizes all applicable waiver providers.
• Evaluates lined advantages and advises appropriately relating to funding sources.
• Facilitates interdisciplinary care crew (ICT) conferences for approval or denial of providers and casual ICT collaboration.
• Uses motivational interviewing and Molina medical guideposts to coach, help and encourage change throughout member contacts.
• Assesses for limitations to care and gives care coordination and help to members to deal with psycho/social, monetary, and medical obstacles considerations.
• 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 of well being care expertise, together with a minimum of 1 12 months of expertise working with individuals with disabilities/power circumstances long-term providers and helps (LTSS), and 1 12 months of expertise in care administration, or expertise in a medical and/or behavioral well being setting, or equal mixture of related schooling and expertise.
• 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 energetic and unrestricted in state of apply.
• 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 satisfactory auto insurance coverage for job associated journey necessities, until in any other case required by regulation.
• Demonstrated information of neighborhood assets.
• Ability to work inside quite a lot of settings and modify fashion as wanted – working with various populations, varied personalities and private conditions.
• Ability to function proactively and display detail-oriented work.
• Ability to work independently, with minimal supervision and self-motivation.
• Ability to display responsiveness in all types of communication and stay calm in high-pressure conditions.
• Ability to develop and keep skilled relationships.
• Time-management and prioritization expertise, and talent to concentrate on a number of tasks concurrently and adapt to alter.
• Problem-solving expertise.
• Strong verbal and written communication expertise.
• Microsoft Office suite/relevant software program program proficiency, and talent to navigate on-line portals and databases.
• In some states, will need to have a minimum of one 12 months of expertise working straight with people with substance use problems.

Preferred Qualifications

• Certified Case Manager (CCM), Licensed Vocational Nurse (LVN) or Licensed Practical Nurse (LPN). License have to be energetic and unrestricted in state of apply.
• 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 via 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 might fluctuate from posting primarily based on geographic location, work expertise, schooling and/or talent degree.

Molina Healthcare is a nationwide fortune 500 group with a mission to supply high quality healthcare to folks receiving authorities help. If you’re looking for a significant alternative in a team-oriented setting, come be part of a extremely engaged workforce devoted to our mission. Bring your ardour and skills and collectively we will make a distinction within the lives of others. Molina Healthcare presents a aggressive advantages and compensation package deal. Remote positions are U.S.-based solely. Candidates should reside and be approved to work within the United States. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.

Job Type Full Time

Posting Date 09/04/2026