Join Molina Healthcare's Dedicated Team as a Field Case Manager, LTSS (RN) in Southeast Houston, Texas
Molina Healthcare is seeking a compassionate and skilled Registered Nurse (RN) to join our team as a Field Case Manager, LTSS, in Southeast Houston, Texas. As a Field Case Manager, you will play a vital role in supporting our Medicaid Star Plus population by providing comprehensive care management services, conducting face-to-face assessments, and developing personalized care plans.
About Molina Healthcare and the Role
Molina Healthcare Services (HCS) is committed to delivering high-quality, patient-centered care to individuals with complex medical needs. As a Field Case Manager, LTSS (RN), you will be an integral part of our interdisciplinary care team, working closely with members, providers, and healthcare professionals to ensure seamless transitions and optimal health outcomes.
This role requires a highly skilled and organized RN with excellent communication and technical skills. You will be responsible for conducting face-to-face assessments, developing and implementing care plans, and coordinating services to address the unique needs of our members. If you are a motivated and compassionate RN looking for a challenging and rewarding role, we encourage you to apply.
Key Responsibilities
- Conduct face-to-face comprehensive assessments of members per regulated timelines, identifying their unique needs and goals.
- Develop and implement personalized care plans, including waiver service plans, in collaboration with members, caregivers, physicians, and other healthcare professionals.
- Perform ongoing monitoring of care plans to evaluate effectiveness, document interventions, and suggest changes as needed.
- Promote integration of services, including behavioral health care and long-term services and supports, to enhance continuity of care for Molina members.
- Assess for medical necessity and authorize waiver services, ensuring that members receive the care they need.
- Facilitate interdisciplinary care team meetings to discuss member needs, approve or deny services, and collaborate on care plans.
- Utilize motivational interviewing and Molina clinical guideposts to educate, support, and motivate members to achieve their health goals.
- Identify critical incidents and develop prevention plans to ensure member health and welfare.
- Provide consultation, recommendations, and education to non-RN case managers, supporting their professional growth and development.
- Work with members who have complex medical conditions and medication regimens, conducting medication reconciliation as needed.
Essential Qualifications
To be considered for this role, you must meet the following essential qualifications:
- Graduate from an accredited School of Nursing.
- Active, unrestricted State Registered Nursing license (RN) in Texas.
- At least 1 year of experience working with persons with disabilities/chronic conditions and Long Term Services & Supports.
- 1-3 years of experience in case management, disease management, managed care, or medical or behavioral health settings.
- Valid driver's license with a good driving record (if field work is required).
Preferred Qualifications
While not required, the following qualifications are highly preferred:
- Bachelor's Degree in Nursing.
- 3-5 years of experience in case management, disease management, managed care, or medical or behavioral health settings.
- 1 year of experience working with populations who receive waiver services.
- Active and unrestricted Certified Case Manager (CCM) certification.
Skills and Competencies
To succeed in this role, you will need to possess the following skills and competencies:
- Excellent communication and interpersonal skills.
- Strong technical skills, including proficiency in electronic databases and Microsoft Office.
- Ability to multitask and prioritize tasks effectively.
- Strong analytical and problem-solving skills.
- Compassionate and patient-centered approach to care.
Career Growth Opportunities and Learning Benefits
At Molina Healthcare, we are committed to supporting the professional growth and development of our employees. As a Field Case Manager, LTSS (RN), you will have opportunities to:
- Develop your skills and expertise through ongoing training and education.
- Collaborate with interdisciplinary teams to drive member-centered care.
- Participate in quality improvement initiatives to enhance member outcomes.
- Advance your career through internal promotions and opportunities.
Work Environment and Company Culture
Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V, committed to fostering a diverse and inclusive work environment. As a Field Case Manager, LTSS (RN), you will:
- Work in a remote and field setting, with flexibility to travel to member homes (mileage reimbursement provided).
- Enjoy a standard Monday-to-Friday schedule, with no weekends or holidays.
- Have access to a competitive benefits and compensation package.
- Be part of a dynamic team dedicated to delivering high-quality care to our members.
Compensation and Benefits
Molina Healthcare offers a competitive compensation package, with a pay range of $26.41 - $51.49 per hour, depending on experience and qualifications. Our benefits package includes:
- Comprehensive health insurance.
- Retirement savings plan.
- Paid time off and holidays.
- Opportunities for professional growth and development.
Conclusion
If you are a compassionate and skilled RN looking for a challenging and rewarding role, we encourage you to apply for this Field Case Manager, LTSS (RN) position in Southeast Houston, Texas. Join our dedicated team at Molina Healthcare and make a meaningful difference in the lives of our members.
To apply, please submit your application through our website. We look forward to hearing from you!
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