(Registered Dietician) Health Management Case Manager
Molina Healthcare Arizona; Covington, Kentucky; Santa Fe, New Mexico; Bellevue, Washington; Racine, Wisconsin; Cedar Rapids, Iowa; Lincoln, Nebraska; Bellevue, Nebraska; New Mexico; New York; Columbus, Ohio; Akron, Ohio; Texas; Salt Lake City, Utah; Madison, Wisconsin; Kenosha, Wisconsin; Chandler, Arizona; Jacksonville, Florida; Iowa; Des Moines, Iowa; Boise, Idaho; Meridian, Idaho; Nampa, Idaho; Grand Rapids, Michigan; Warren, Michigan; Kearney, Nebraska; New York, New York; Cleveland, Ohio; Orem, Utah; Tacoma, Washington; Wisconsin; Tucson, Arizona; Augusta, Georgia; Grand Island, Nebraska; Las Cruces, New Mexico; Yonkers, New York; Provo, Utah; Washington; Mesa, Arizona; Orlando, Florida; Columbus, Georgia; Lexington-Fayette, Kentucky; Omaha, Nebraska; Ohio; Austin, Texas; Vancouver, Washington; Phoenix, Arizona; Miami, Florida; Florida; Georgia; Iowa City, Iowa; Idaho; Owensboro, Kentucky; Kentucky; Michigan; Rochester, New York; Syracuse, New York; Dallas, Texas; Layton, Utah; Utah; Milwaukee, Wisconsin; St. Petersburg, Florida; Savannah, Georgia; Sterling Heights, Michigan; Nebraska; Rio Rancho, New Mexico; Albuquerque, New Mexico; Buffalo, New York; Houston, Texas; West Valley City, Utah; Spokane, Washington; Seattle, Washington; Green Bay, Wisconsin; Scottsdale, Arizona; Atlanta, Georgia; Idaho Falls, Idaho; Detroit, Michigan; Ann Arbor, Michigan; Roswell, New Mexico; Dayton, Ohio; Cincinnati, Ohio; Fort Worth, Texas; San Antonio, Texas; Tampa, Florida; Macon, Georgia; Davenport, Iowa; Sioux City, Iowa; Caldwell, Idaho; Louisville, Kentucky; Bowling Green, Kentucky Job ID 2030057As 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
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
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 ManagerIf 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 ManagerA member’s care is enhanced when their care providers think deeply about their situation and then offer assistance and guidance.
-Brent A., Case ManagerBenefits
-
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
Responsibilities
Job Description
Job Summary
The Molina Population Health Management Case Manager uses clinical judgment, knowledge, and direct hands-on member care experience to clinically evaluate the member based on formal assessment and determine the next step(s) for care. Care is then provided directly or referred / escalated. HM CM staff work to ensure that members 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.
Job Duties
- Based on clinical assessment and member reported health care concerns, use clinical judgment to provide care management or refer members to a higher level of care.
- Identify patient needs, close health care gaps, develop action plan and prioritize goals and educate patients best practice to manage medical needs.
- Provide condition specific education designed to assist members and their families in better understanding specific chronic health conditions, how to manage symptoms to prevent conditions from progressing and adopting healthy lifestyle behaviors.
- Provide general member education to assist with self-management goals; disease management or acute condition and provide indicated contingency plan.
- Assess for barriers to care, provides care coordination and assistance to member to address concerns.
- Act as an advocate for patients to guide them through the health care system for transition planning and longitudinal care.
- Reinforce medication adherence and education. Monitor patient reactions to medications and treatments.
- Engage patient, family, and caregivers telephonically to assure that a well-coordinated action plan is established and continually assess health status.
- Perform ongoing monitoring of the care plan to evaluate effectiveness, document interventions and goal achievement, and suggest changes accordingly.
- Maintain ongoing member case load for regular outreach and management.Â
- Use motivational interviewing and Molina clinical guideposts to educate, support and motivate change during member contacts.
- May facilitate interdisciplinary care team meetings and informal ICT collaboration.
- Collaborate with RN case managers/supervisors as needed or required
Job Qualifications
REQUIRED EDUCATION:
LVN/LPN/LCSW/LPC/LCPC licensure, Registered Dietician OR equivalent direct hands on clinical experience with a Master’s degree in social science, psychology, gerontology, public health, social work or related area
REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS & ABILITIES:
1-3 years in direct patient care, case management, disease management, managed care in medical or behavioral health settings.
REQUIRED LICENSE, CERTIFICATION, ASSOCIATION:
LVN/LPN/LCSW/LPC/LCPC licensure, Registered Dietician OR equivalent direct hands on clinical experience with a Master’s degree in social science, psychology, gerontology, public health, social work or related area
PREFERRED EXPERIENCE:
3-5 years in case management, disease management, managed care or medical or behavioral health settings.
PREFERRED LICENSE, CERTIFICATION, ASSOCIATION:
Certified Case Manager (CCM)
Certified Diabetes Educator
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: 02/26/2025ABOUT OUR LOCATION
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