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Be aware that third parties posing as Molina Healthcare may be soliciting money from job seekers and extending offers to candidates who have not interviewed. Molina does not engage in these type of practices. If you have received an offer and have not been engaging with Molina Healthcare in an interview process, reach out to erc@molinahealthcare.com to validate the legitimacy of your offer. Please note that Molina has reported this activity to the appropriate law enforcement agencies for further investigation. If you feel you’ve been victimized, please report it to local law enforcement.

Case Manager ToC Coach LPN, LICSW, LMHC, LMHCA, Remote with field travel in Seattle, Tacoma or Everett WA

Molina Healthcare Seattle, Washington; Everett, Washington; Tacoma, Washington Job ID 2027647
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As a Case Manager, you will work with members, providers and multidisciplinary team members to assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long term care, for members with high need potential.

  • Full Time
  • Level: Mid-Level
  • Travel: Yes

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Success Profile

What makes you a successful Case Manager at Molina Healthcare? Check out the traits we're looking for and see if you're the right fit.

  • Consultative
  • Patient
  • Analytical
  • Quick-Thinking
  • Compassionate
  • Problem-Solver

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I love working at a company that sees our members as people not numbers and allow employees to provide individual care to meet the member’s needs.

-Lori K. MS, BSW, CADC, Case Manager

If they feel someone cares about them, they are more likely to care for themselves, and their health, in return. Sometimes we have to be their only friend.

-Joanne J., Case Manager

A member’s care is enhanced when their care providers think deeply about their situation and then offer assistance and guidance.

-Brent A., Case Manager

Benefits

  • Insurance

    Medical · Dental · Vision
    Group & Voluntary Life Insurance
    Aflac · Pet Health · Identity Theft
    Auto & Home Insurance

  • Savings

    Flexible Spending Accounts
    401K · Roth 401K
    Employee Stock Purchase Plan

  • Career Growth

    Continuing Education Units
    Education Reimbursement

  • Time Off

    Paid Time Off
    Volunteer Time Off
    Company Holidays

  • Additional Perks

    Legal Assistance Plan
    Employee Assistance & Well Being Programs
    Employee Perks Platform
    Rideshare Portal

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Responsibilities

JOB DESCRIPTION

Job Summary

Molina Healthcare Services (HCS) works with members, providers, and multidisciplinary team members to assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long-term care, for members with high need potential. HCS staff work to ensure that patients progress toward desired outcomes with quality care that is medically appropriate and cost-effective based on the severity of illness and the site of service.

This position will be supporting our Transition of Care program. We are seeking a candidate with one of the following licensures: LPN, LSWAIC, LICSW, LMHC, or LMHCA. Excellent computer skills and attention to detail are very important. The ToC Coach will multitask between systems, talk with members/providers on the phone, enter accurate and timely contact notes.Previous experience with discharge planning, collaborating with Providers, transportation and additional resources. Must be able to work independently with a quick turn over to ensure our members receive the adequate resources for discharge.Experience with the adult behavioral health system in Washington State is highly preferred.Further details to be discussed during our interview process.

Remote position with field travel in Seattle, Tacoma or Everette WA

Work schedule M-F 8:30 AM to 5:00 PM PST.  

KNOWLEDGE/SKILLS/ABILITIES

  • Manage and process HCS requests for Supportive Supervision and Behavioral Health Personal Care benefits within required timelines.
  • Create and update authorizations
  • Utilize advanced clinical skills to review Care Assessments and available collateral information against criteria to support decision making.
  • Comply with all policies, procedures, and documentation standards in appropriate systems, tracking mechanisms and databases.
  • Collaborate with providers to determine acuity of mental health concerns, barriers, and progress; coordinate appropriate services.
  • Refers appropriate cases to Medical Directors and presents them in a consistent and efficient manner.
  • Requests additional information from members or providers in consistent and efficient manner.

JOB QUALIFICATIONS

Required Education

Any of the following:

  • Completion of an accredited Licensed Vocational Nurse (LVN)
  • Licensed Practical Nurse (LPN) Program
  • Bachelor's or master’s degree in a social science, psychology, gerontology, public health or social work.

Required Experience

  • 1-3 years in case management, disease management, managed care or medical or behavioral health settings.
  • Knowledge of or experience using the Care Transitions Intervention or similar model; background in discharge planning and/or home health.

Required License, Certification, Association

  • If required by applicable State, an LVN/LPN license in good standing.
  • Otherwise, If licensed, license must be active, unrestricted and in good standing.
  • Must have valid driver's license with good driving record and be able to drive within applicable state or locality with reliable transportation.

Preferred Experience

3-5 years in case management, disease management, managed care or medical or behavioral health settings.

Preferred License, Certification, Association

Any of the following:

  • Transitions of Care Sub-Specialty Certification
  • Licensed Clinical Social Worker (LCSW)
  • Advanced Practice Social Worker (APSW)
  • Certified Case Manager (CCM)
  • Certified in Health Education and Promotion (CHEP)
  • Licensed Professional Counselor (LPC/LPCC)
  • Respiratory Therapist
  • Licensed Marriage and Family Therapist (LMFT)

To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing.

Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.

Pay Range: $21.6 - $46.81 / HOURLY
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

About Us

Molina Healthcare is a nationwide fortune 500 organization with a mission to provide quality healthcare to people receiving government assistance. If you are seeking a meaningful opportunity in a team-oriented environment, come be a part of a highly engaged workforce dedicated to our mission. Bring your passion and talents and together we can make a difference in the lives of others. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.

Job Type: Full Time Posting Date: 09/18/2024

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