Field Care Manager, LTSS - LVN or Licensed Social Worker
Molina Healthcare Zapata, Texas; Roma, Texas Job ID 2031716JOB DESCRIPTION
Opportunity for an experienced LVN or Licensed Behavioral Health professional in Texas to join Molina as a Case Manager working with our Medicaid members in the service delivery area of Zapata and Roma, TX. Part of the responsibilities of the role is to conduct face-to-face meetings with the members in their homes, completing assessments needed for determining the types of services we need to provide. Preference will be given to those candidates with previous experience working with the LTSS population. Mileage is reimbursed as part of our benefits package. Hours are Monday – Friday, 8 AM – 5 PM CST.
Solid experience with Microsoft Office Suite is necessary, especially with Outlook, Excel, Teams, and One Note.
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.
KNOWLEDGE/SKILLS/ABILITIES
- Completes face-to-face comprehensive assessments of members per regulated timelines.
- Facilitates comprehensive waiver enrollment and disenrollment processes.
- Develops and implements a case management plan, including a waiver service plan, in collaboration with the member, caregiver, physician and/or other appropriate healthcare professionals and member's support network to address the member needs and goals.
- Performs ongoing monitoring of the care plan to evaluate effectiveness, document interventions and goal achievement, and suggest changes accordingly.
- Promotes integration of services for members including behavioral health care and long-term services and supports, home and community to enhance the continuity of care for Molina members.
- Assesses for medical necessity and authorize all appropriate waiver services.
- Evaluates covered benefits and advise appropriately regarding funding source.
- Conducts face-to-face or home visits as required.
- Facilitates interdisciplinary care team meetings for approval or denial of services and informal ICT collaboration.
- Uses motivational interviewing and Molina clinical guideposts to educate, support and motivate change during member contacts.
- Assesses for barriers to care, provides care coordination and assistance to member to address psycho/social, financial, and medical obstacles concerns.
- Identifies critical incidents and develops prevention plans to assure member’s health and welfare.
- 50-75% local travel required.
JOB QUALIFICATIONS
REQUIRED EDUCATION:
- Completion of an accredited Licensed Vocational Nurse (LVN) or Licensed Practical Nurse (LPN) Program OR Bachelor's or master’s degree in a social science, psychology, gerontology, public health or social work OR any combination of education and experience that would provide an equivalent background
REQUIRED EXPERIENCE:
- At least 1 year of experience working with persons with disabilities/chronic conditions and Long Term Services & Supports.
- 1-3 years in case management, disease management, managed care or medical or behavioral health settings.
PREFERRED EXPERIENCE:
- 3-5 years in case management, disease management, managed care or medical or behavioral health settings.
- 1 year experience working with population who receive waiver services.
PREFERRED LICENSE, CERTIFICATION, ASSOCIATION:
Active and unrestricted Certified Case Manager (CCM)
Active, unrestricted State Nursing license (LVN/LPN) OR Clinical Social Worker license in good standing
Valid driver’s license with good driving record and be able to drive within applicable state or locality with reliable transportation
STATE SPECIFIC REQUIREMENTS:
For the state of Wisconsin:
Bachelor’s degree or more advanced degree in the human services area and a minimum of one (1) year experience working with at least one of the Family Care target populations; or
Bachelor’s degree or more advanced degree in any area other than human services with a minimum of three (3) years’ experience working with at least one of the Family Care target populations.
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: $24 - $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: 05/12/2025ABOUT OUR LOCATION
View Map- Representative, Pharmacy Wisconsin, Rochester New York, Orlando Florida, Grand Island Nebraska, Detroit Michigan, Vancouver Washington, Houston Texas, Bellevue Nebraska, Dallas Texas, Cincinnati Ohio, Green Bay Wisconsin, Syracuse New York, Idaho, Madison Wisconsin, Grand Rapids Michigan, Florida, Scottsdale Arizona, Lincoln Nebraska, Covington Kentucky, Tacoma Washington, Warren Michigan, Fort Worth Texas, Dayton Ohio, Cleveland Ohio, Salt Lake City Utah, Michigan, Augusta Georgia, Macon Georgia, Idaho Falls Idaho, Austin Texas, Boise Idaho, Chandler Arizona, Tampa Florida, Des Moines Iowa, Columbus Ohio, Santa Fe New Mexico, Kentucky, Tucson Arizona, Kearney Nebraska, Cedar Rapids Iowa, Albany New York, Nampa Idaho, Meridian Idaho, Rio Rancho New Mexico, Orem Utah, Albuquerque New Mexico, New York, West Valley City Utah, Savannah Georgia, Omaha Nebraska, Racine Wisconsin, Roswell New Mexico, Miami Florida, Yonkers New York, Spokane Washington, Owensboro Kentucky, Kenosha Wisconsin, Jacksonville Florida, San Antonio Texas, Phoenix Arizona, Buffalo New York, Lexington-Fayette Kentucky, Utah, New Mexico, Everett Washington, Bellevue Washington, Sterling Heights Michigan, Sioux City Iowa, Mesa Arizona, St. Petersburg Florida, Louisville Kentucky, Ann Arbor Michigan, Iowa City Iowa, Akron Ohio, Bowling Green Kentucky, Georgia, Texas, Nebraska, Atlanta Georgia, Provo Utah, Milwaukee Wisconsin, Caldwell Idaho, Davenport Iowa, Columbus Georgia, Layton Utah, Iowa, Ohio, Las Cruces New Mexico, Washington 06/24/2025
- Hospice Oversight Care Manager (RN) California Burbank California, Glendale California, Simi Valley California, Santa Monica California, Compton California, Carson California, Irvine California, San Francisco California, Sacramento California, Torrance California, Huntington Beach California, Corona California, Temecula California, Apple Valley California, San Jose California, San Diego California, Fresno California, Los Angeles California, San Bernardino California, Riverside California, Long Beach California 02/11/2025
- Care Review Clinician, Inpatient Review (RN) Albany New York, Bellevue Nebraska, Bellevue Washington, Owensboro Kentucky, Kentucky, Nebraska, Sioux City Iowa, Jacksonville Florida, St. Petersburg Florida, Omaha Nebraska, Lexington-Fayette Kentucky, Warren Michigan, Louisville Kentucky, Fort Worth Texas, Georgia, Iowa, New York, Wisconsin, New Mexico, Utah, Florida, Nampa Idaho, Covington Kentucky, San Antonio Texas, Bowling Green Kentucky, Phoenix Arizona, Santa Fe New Mexico, Dayton Ohio, Grand Rapids Michigan, Sterling Heights Michigan, Tampa Florida, Cincinnati Ohio, Columbus Georgia, Provo Utah, Milwaukee Wisconsin, Idaho, West Valley City Utah, Orem Utah, Tacoma Washington, Las Cruces New Mexico, Akron Ohio, Salt Lake City Utah, Roswell New Mexico, Yonkers New York, Dallas Texas, Mesa Arizona, Des Moines Iowa, Macon Georgia, Houston Texas, Washington, Racine Wisconsin, Albuquerque New Mexico, Tucson Arizona, Scottsdale Arizona, Spokane Washington, Austin Texas, Texas, Lincoln Nebraska, Davenport Iowa, Syracuse New York, Cedar Rapids Iowa, Chandler Arizona, Rio Rancho New Mexico, Ohio, Caldwell Idaho, Boise Idaho, Ann Arbor Michigan, Buffalo New York, Miami Florida, Meridian Idaho, Orlando Florida, Vancouver Washington, Savannah Georgia, Green Bay Wisconsin, Madison Wisconsin, Iowa City Iowa, Kearney Nebraska, Augusta Georgia, Rochester New York, Kenosha Wisconsin, Columbus Ohio, Idaho Falls Idaho, Everett Washington, Michigan, Layton Utah, Cleveland Ohio, Atlanta Georgia, Detroit Michigan, Grand Island Nebraska 07/02/2025
- Care Review Clinician, Inpatient Review (RN) Macon Georgia, Austin Texas, Bellevue Nebraska, Owensboro Kentucky, Nampa Idaho, Davenport Iowa, New York, Michigan, Florida, Phoenix Arizona, Orem Utah, Syracuse New York, Las Cruces New Mexico, Chandler Arizona, Columbus Ohio, Cedar Rapids Iowa, Provo Utah, Milwaukee Wisconsin, Everett Washington, West Valley City Utah, Tacoma Washington, Iowa City Iowa, Dayton Ohio, Texas, Wisconsin, San Antonio Texas, Cincinnati Ohio, Rio Rancho New Mexico, Kearney Nebraska, Rochester New York, Yonkers New York, St. Petersburg Florida, Washington, Lexington-Fayette Kentucky, Louisville Kentucky, Columbus Georgia, Miami Florida, Scottsdale Arizona, Albany New York, Bellevue Washington, Lincoln Nebraska, Iowa, Utah, Kentucky, Santa Fe New Mexico, Salt Lake City Utah, Tampa Florida, Tucson Arizona, Sioux City Iowa, Ann Arbor Michigan, Albuquerque New Mexico, Madison Wisconsin, Buffalo New York, Sterling Heights Michigan, Kenosha Wisconsin, Spokane Washington, Savannah Georgia, Covington Kentucky, Green Bay Wisconsin, Akron Ohio, Nebraska, Georgia, Bowling Green Kentucky, Grand Rapids Michigan, Des Moines Iowa, Roswell New Mexico, Atlanta Georgia, Orlando Florida, Vancouver Washington, Omaha Nebraska, Racine Wisconsin, Ohio, New Mexico, Cleveland Ohio, Meridian Idaho, Warren Michigan, Fort Worth Texas, Grand Island Nebraska, Idaho Falls Idaho, Houston Texas, Caldwell Idaho, Boise Idaho, Idaho, Jacksonville Florida, Layton Utah, Dallas Texas, Mesa Arizona, Augusta Georgia, Detroit Michigan 07/02/2025
No recently viewed jobs.
View All JobsNo saved jobs.
View All Jobs