Employer: Regions Hospital Expires: 05/25/2024 We are seeking a qualified Clinical Appeals Nurse to join our revenue cycle in a new position within Regions Hospital. The Clinical Appeals Nurse will play a crucial role in ensuring that our patients receive the appropriate level of care by managing and appealing denied insurance claims. The ideal candidate will have a strong background in nursing, a thorough understanding of insurance policies and regulations, and excellent communication skills.The Clinical Appeals Nurse completes retrospective clinical appeals for full or partially denied claims for managed care, government, non-government, and commercial payors, writing comprehensive factual arguments to present to third party payors, medical review boards, or other responsible parties applying clinical criteria to establish medical necessity. Beyond addressing claims after they are denied, the Clinical Appeals Nurse will also work to prevent denials, utilizing clinical expertise to conduct trainings, provide relevant feedback, and complete root cause analysis for claims denials.This role is highly visible within the organization, and will forge partnerships within the broader HealthPartners organization, working closely with utilization management, coding, revenue cycle, care management, social work, and other areas within Regions and HealthPartners. The incumbent will have the opportunity to help shape the work and scope of this role, aligning revenue cycle best practices on an enterprise level.This position is eligible to work remotely following onsite training in Saint Paul, MN, with occasional onsite meetings depending on business needs. Employees must reside in Minnesota, Wisconsin, Iowa, North Dakota, or South Dakota, and have a reliable internet connection and a quiet place to work free from interruptions.Work Schedule:Monday-Friday, 7:00 a.m.-3:30 p.m., hybrid remote.Required Qualifications:Associate degree in nursing from an accredited college or university.Current licensure as an RN in the State of Minnesota.One year of experience as an RN in a clinical setting performing utilization review, case management or discharge planning, care improvement, and/or quality improvement.Strong understanding of insurance policies and regulations.Reside in Minnesota, Wisconsin, Iowa, North Dakota, or South Dakota, and have a reliable internet connection and a quiet place to work free from interruptions.Preferred Qualifications:Bachelor's or Master's degree in nursing.Three years of experience as an RN in a clinical setting performing utilization review, case management or discharge planning, care improvement, and/or quality improvement.Working knowledge of Epic and/or Allscripts software.Additional Information:This is a non-union 1.0 FTE (80 hours per pay period) day shift position. The full salary range for this position is $77,542.40-$120,182.40 annually, based on experience and internal equity. This position is exempt under the Fair Labor Standards Act, and eligible for benefits. Our benefits include medical and dental insurance (which begin on day one of employment), 401k with match, disability insurance, tuition reimbursement, educational reimbursement toward continuing education, and we are a qualified non-profit employer under the federal Public Service Loan Forgiveness program. We offer an onsite employee fitness center and an onsite employee clinic to make it more convenient for our staff to get the care they need. We also have a Center for Employee Resilience that provides support and evidence-based practices to bring relief and build resiliency. Regions is also proud to be a Yellow Ribbon Company.

Employer: Molina Healthcare, Inc. Expires: 05/28/2024 JOB DESCRIPTIONCase Manager RN will work in remote and field setting supporting our Medicaid Population with. Case Manager RN will be required to physically go to member’s homes to complete Face to Face assessment. You will participate in interdisciplinary care team meetings for our members and ensure they have care plans based on their concerns/health needs. Members have required assessments every six months and can also require “trigger assessments” if they have hospitalizations. Excellent computer skills and attention to detail are very important to multitask between systems, talk with members on the phone, and enter accurate contact notes. This is a fast-paced position and productivity is important.TRAVEL (40% or more) in the field to do member visits in the surrounding areas will be required. We are looking for a candidate who will work remotely primarily in the Eagle Pass, TX . Mileage will be reimbursed.Home office with internet connectivity of high speed required.Schedule: Monday thru Friday 8:00AM to 5:00PM. - No weekends or Holidays Job SummaryMolina 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/ABILITIESCompletes 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.Provides consultation, recommendations and education as appropriate to non-RN case managersWorks cases with members who have complex medical conditions and medication regimensConducts medication reconciliation when needed.50-75% travel required. JOB QUALIFICATIONSRequired EducationGraduate from an Accredited School of Nursing Required ExperienceAt 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.Required License, Certification, AssociationActive, unrestricted State Registered Nursing license (RN) in good standingIf field work is required, Must have valid driver's license with good driving record and be able to drive within applicable state or locality with reliable transportation. State Specific RequirementsVirginia: Must have at least one year of experience working directly with individuals with Substance Use Disorders Preferred EducationBachelor's Degree in Nursing Preferred Experience3-5 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, AssociationActive and unrestricted Certified Case Manager (CCM)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: $23.76 - $51.49 / HOURLY*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. About UsMolina 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.

Employer: Molina Healthcare, Inc. Expires: 05/28/2024 JOB DESCRIPTIONFor this position we are seeking a (RN) Registered Nurse who lives in VIRGINIA and must be licensed for the state of VIRGINIA.Case Manager will work in remote and field setting supporting our Medicaid Population with. Case Manager will be required to physically go to member’s homes to complete Face to Face assessment. You will participate in interdisciplinary care team meetings for our members and ensure they have care plans based on their concerns/health needs. Members have required assessments every six months and can also require “trigger assessments” if they have hospitalizations. Excellent computer skills and attention to detail are very important to multitask between systems, talk with members on the phone, and enter accurate contact notes. This is a fast-paced position and productivity is important.TRAVEL (50% or more) in the field to do member visits in the surrounding areas will be required. We are looking for a candidate who will work remotely primarily in the Woodstock to Nothern Virginia Area (NOVA). Mileage will be reimbursed.Home office with internet connectivity of high speed required.Schedule: Monday thru Friday 8:00AM to 5:00PM. - No weekends are Holidays. (On Call One week a year)  Job SummaryMolina 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/ABILITIESCompletes 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.Provides consultation, recommendations and education as appropriate to non-RN case managersWorks cases with members who have complex medical conditions and medication regimensConducts medication reconciliation when needed.50-75% travel required. JOB QUALIFICATIONSRequired EducationGraduate from an Accredited School of Nursing Required ExperienceAt 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.Required License, Certification, AssociationActive, unrestricted State Registered Nursing license (RN) in good standingIf field work is required, Must have valid driver's license with good driving record and be able to drive within applicable state or locality with reliable transportation. State Specific RequirementsVirginia: Must have at least one year of experience working directly with individuals with Substance Use Disorders Preferred EducationBachelor's Degree in Nursing Preferred Experience3-5 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, AssociationActive and unrestricted Certified Case Manager (CCM)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: $23.76 - $51.49 / HOURLY*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. About UsMolina 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.

Employer: Molina Healthcare, Inc. Expires: 05/28/2024 Job SummaryMolina 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/ABILITIESCompletes 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.Provides consultation, recommendations and education as appropriate to non-RN case managersWorks cases with members who have complex medical conditions and medication regimensConducts medication reconciliation when needed.50-75% travel required. JOB QUALIFICATIONSRequired EducationGraduate from an Accredited School of Nursing Required ExperienceAt 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.Required License, Certification, AssociationActive, unrestricted State Registered Nursing license (RN) in good standingIf field work is required, Must have valid driver's license with good driving record and be able to drive within applicable state or locality with reliable transportation. State Specific RequirementsVirginia: Must have at least one year of experience working directly with individuals with Substance Use Disorders Preferred EducationBachelor's Degree in Nursing Preferred Experience3-5 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, AssociationActive and unrestricted Certified Case Manager (CCM)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.#PJHSPay Range: $23.76 - $51.49 / HOURLY*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. About UsMolina 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.

Employer: Molina Healthcare, Inc. Expires: 05/28/2024 JOB DESCRIPTIONOpportunity for a an IL licensed RN to join our Illinois Health Plan. The position is Monday – Friday, 8 AM – 5 PM CDT and provides services to our members in the heart of the South Side of Chicago. Candidates need to reside in the area as meeting with members in their homes may be required from time to time. Mileage is reimbursed as part of our benefit package. Experience with Waiver Case Management of Medicaid members who are aging and/or disabled is a plus. Job SummaryMolina 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/ABILITIESCompletes 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.Provides consultation, recommendations and education as appropriate to non-RN case managersWorks cases with members who have complex medical conditions and medication regimensConducts medication reconciliation when needed.50-75% travel required. JOB QUALIFICATIONSRequired EducationGraduate from an Accredited School of Nursing Required ExperienceAt 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.Required License, Certification, AssociationActive, unrestricted State Registered Nursing license (RN) in good standingIf field work is required, Must have valid driver's license with good driving record and be able to drive within applicable state or locality with reliable transportation. State Specific RequirementsVirginia: Must have at least one year of experience working directly with individuals with Substance Use Disorders Preferred EducationBachelor's Degree in Nursing Preferred Experience3-5 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, AssociationActive and unrestricted Certified Case Manager (CCM)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: $23.76 - $51.49 / HOURLY*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. About UsMolina 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.

Employer: Molina Healthcare, Inc. Expires: 05/28/2024 Job SummaryMolina 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/ABILITIESCompletes 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 QUALIFICATIONSREQUIRED EDUCATION: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 standingValid driver’s license with good driving record and be able to drive within applicable state or locality with reliable transportationTo 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.#PJHSPay Range: $21.6 - $46.81 / HOURLY*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. About UsMolina 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.

Employer: Molina Healthcare, Inc. Expires: 05/28/2024 Job SummaryMolina 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/ABILITIESCompletes 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 QUALIFICATIONSREQUIRED 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 standingValid driver’s license with good driving record and be able to drive within applicable state or locality with reliable transportationTo 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 UsMolina 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.

Employer: Molina Healthcare, Inc. Expires: 05/28/2024 JOB DESCRIPTIONOpportunity for Bachelors or Masters trained Case Manager in the Peoria, IL area to work as a Field Case Manager for our Medicare members in this area.  Position will require making face-to-face visits with members in their homes. Schedule is Monday – Friday, 8AM – 5PM CST and mileage is reimbursed as part of our benefit package. Preference will be given to those applicants with case management experience, especially with another managed care organization, or nurses with experience working with the elderly and/or physically disabled.   Job SummaryMolina 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/ABILITIESCompletes 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 QUALIFICATIONSREQUIRED 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 standingValid driver’s license with good driving record and be able to drive within applicable state or locality with reliable transportationTo 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 UsMolina 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.

Employer: Molina Healthcare, Inc. Expires: 05/28/2024 JOB DESCRIPTIONOpportunity for a OH licensed LSW or LISW in the Cincinnati services area to join our team as a Field Case Manager.  Responsibilities for this position include conducting face-to-face interviews with our members in their homes. Schedule is Monday – Friday, 8 AM - 5 PM EDT. Mileage is reimbursed through our benefits package.    Job SummaryMolina 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/ABILITIESCompletes 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 QUALIFICATIONSREQUIRED 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 standingValid driver’s license with good driving record and be able to drive within applicable state or locality with reliable transportationTo 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 UsMolina 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.

Employer: Easterseals Southern California - Autism Services Expires: 05/27/2024 Behavior Interventionist Job Locations US-CA-Ontario | US-CA-Rancho Cucamonga | US-CA-UplandJob ID 2024-8394 OverviewEasterseals Southern California has fantastic opportunities for individuals looking to begin or continue a career in the fields of psychology, behavioral health, or autism services.  Our Behavior Interventionists provide in home, ABA based therapy sessions to families and children on the autism spectrum.  Are you interested in gaining a greater understanding of autism and behavioral therapy?  Do you love working with children? We provide ongoing training and clearly defined career paths.  Apply today! Starting Pay $23-$24 per hour What’s great about working in this role?Our Behavior Interventionists are paid the same rate for therapy sessions, drive time, and completing administrative work.We offer ‘Guaranteed hours pay’. This provides that you will be paid for hours that you are scheduled and available to work, regardless of cancellations, up to 30 hours per pay period for part time staff.Opportunity to learn and apply the scientific discipline of Applied Behavior Analysis (ABA). This is a skill that can be applied in many different career pathsCareer growth and advancement: Research, Training, Assessment, are some of the other divisions that will allow you to grow with usOngoing paid training, supervision and support to help you succeed and thrive. Candidates without experience are welcome to apply and receive our valuable trainingEducation reimbursement program401k, paid holidays, paid time off (PTO)  ResponsibilitiesWhat we are looking for:People with a passion for working with childrenPrevious experience working with children or people with special needs and an interest in behavioral healthAvailable to work in the afternoons/early evenings, and possible weekend morning hoursMust have own reliable transportation, and valid driver’s license, auto registration and auto insuranceProof of immunization records and TB.  Ability to pass a background check and drug screeningMust be available for initial 2 week training schedule (M-F, about 35 hours)The position requires lifting, carrying, and loading/unloading toys and materials for home visits. Also frequent walking, bending, reaching, squatting, kneeling, and twisting in order to observe, assess, and interact with participants. Work hours: Our main working hours are Monday thru Friday 3PM-8PM & Saturday 9AM-1PM. Candidates must be available to work at least 15 hours per week within this timeframe.  Areas of coverage (cases will be assigned based on where you live): Ontario, Rancho Cucamonga, Upland, Fontana, Chino Hills, Montclair, Chino or surrounding cities QualificationsEXPERIENCE:A minimum of 6 months of exposure to/experience with children diagnosed with autism spectrum disorders (ASD) or other related developmental disabilities. Some examples include working with typically developing children in a group setting (children with demonstrated deficits or challenging behavior preferred), having a family member with ASD, a neighbor with a developmental disability, or even volunteer work in a classroom with a child with ASD, etc. EDUCATION:Degree not required, but must have at least completed some college coursework or be currently enrolled at an accredited college or university. We have a preference to programs related to early childhood education, psychology, nursing or related field. This is a tremendous opportunity for people who have an interest in any of the following:Autism, Behavior Analyst jobs, Social Skills, Developmental health, Psychology, Sociology, Social Services, Children, Behavior Therapist work, Behavioral Health, Behavior Specialist jobs, ABA Therapist, Childcare, Teacher Assistant, Teacher's aide, Preschool Teacher, Paraprofessional, Youth Programs, Direct Support Professionals, Behavioral and Social Sciences, Behavioral Health Technicians, Babysitting, Mental Health Specialist, Camp Counselor, Coach, Working with Children, and Caregiver. Easterseals is leading the way to full equity, inclusion and access through life-changing disability and community services. For more than 100 years, we have worked tirelessly with our partners to enhance quality of life and expand local access to healthcare, education and employment opportunities.  Easterseals Southern California provides essential services and on-the-ground supports to more than 15,000 people each year—from early childhood programs for the critical first five years, to autism services, daily and independent living services for adults, employment programs, veterans’ services and more. Our public education, policy and advocacy initiatives positively shape perceptions and address the urgent and evolving needs of the one in four Americans with disabilities today. Together, we’re empowering people with disabilities, families and communities to be full and equal participants in society. Join us as we seek to be the most inclusive place for people with disabilities to live, learn, work & play easterseals.com/southerncal 

Employer: Molina Healthcare, Inc. Expires: 05/28/2024 JOB DESCRIPTIONFor this position we are seeking a LPN or LCSW who lives in VIRGINIA and must be licensed for the state of VIRGINIA.Case Manager will work in remote and field setting supporting our Medicaid Population with. Case Manager will be required to physically go to member’s homes to complete Face to Face assessment. You will participate in interdisciplinary care team meetings for our members and ensure they have care plans based on their concerns/health needs. Members have required assessments every six months and can also require “trigger assessments” if they have hospitalizations. Excellent computer skills and attention to detail are very important to multitask between systems, talk with members on the phone, and enter accurate contact notes. This is a fast-paced position and productivity is important.TRAVEL (50% or more) in the field to do member visits in the surrounding areas will be required. We are looking for a candidate who will work remotely primarily in the Roanoke Area (NOVA). Mileage will be reimbursed.Home office with internet connectivity of high speed required.Schedule: Monday thru Friday 8:00AM to 5:00PM. - No weekends are Holidays. (On Call One week a year) Job SummaryMolina 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/ABILITIESCompletes 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 QUALIFICATIONSREQUIRED 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 standingValid driver’s license with good driving record and be able to drive within applicable state or locality with reliable transportationTo 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 UsMolina 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.

Employer: Molina Healthcare, Inc. Expires: 05/28/2024 JOB DESCRIPTIONFor this position we are seeking a LPN or LCSW who lives in VIRGINIA and must be licensed for the state of VIRGINIA.Case Manager will work in remote and field setting supporting our Medicaid Population with. Case Manager will be required to physically go to member’s homes to complete Face to Face assessment. You will participate in interdisciplinary care team meetings for our members and ensure they have care plans based on their concerns/health needs. Members have required assessments every six months and can also require “trigger assessments” if they have hospitalizations. Excellent computer skills and attention to detail are very important to multitask between systems, talk with members on the phone, and enter accurate contact notes. This is a fast-paced position and productivity is important.TRAVEL (50% or more) in the field to do member visits in the surrounding areas will be required. We are looking for a candidate who will work remotely primarily in the  Nothern Virginia Area (NOVA). Mileage will be reimbursed.Home office with internet connectivity of high speed required.Schedule: Monday thru Friday 8:00AM to 5:00PM. - No weekends are Holidays. (On Call One week a year) Job SummaryMolina 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/ABILITIESCompletes 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 QUALIFICATIONSREQUIRED 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 standingValid driver’s license with good driving record and be able to drive within applicable state or locality with reliable transportationTo 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 UsMolina 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.

Employer: Molina Healthcare, Inc. Expires: 05/28/2024 JOB DESCRIPTIONOpportunity for a California licensed, bilingual RN to join our Marketplace Team performing telephonic Case Management. Opportunity is open to either qualified California residents OR those residing in other states with the necessary qualifiers and willing to work PST hours.  Schedule is M – F, 8AM -5PM PST, and flexibility with schedule is necessary, as well as willingness to work a couple of evenings a week, will be needed to have more opportunity to reach our members. Job SummaryMolina 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/ABILITIESCompletes comprehensive assessments of members per regulated timelines and determines who may qualify for case management based on clinical judgment, changes in member's health or psychosocial wellness, and triggers identified in the assessment.Develops and implements a case management 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.Conducts face-to-face or home visits as required.Performs ongoing monitoring of the care plan to evaluate effectiveness, document interventions and goal achievement, and suggest changes accordingly.Maintains ongoing member case load for regular outreach and management.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.Facilitates interdisciplinary care team meetings 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 concerns.25- 40% local travel required.RNs provide consultation, recommendations and education as appropriate to non-RN case managers.RNs are assigned cases with members who have complex medical conditions and medication regimensRNs conduct medication reconciliation when needed. JOB QUALIFICATIONSRequired EducationGraduate from an Accredited School of Nursing. Bachelor's Degree in Nursing preferred. Required Experience1-3 years in case management, disease management, managed care or medical or behavioral health settings. Required License, Certification, AssociationActive, unrestricted State Registered Nursing (RN) license 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 EducationBachelor's Degree in Nursing Preferred Experience3-5 years in case management, disease management, managed care or medical or behavioral health settings.Preferred License, Certification, AssociationActive, unrestricted Certified Case Manager (CCM)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: $23.76 - $51.49 / HOURLY*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. About UsMolina 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.

Employer: Molina Healthcare, Inc. Expires: 05/28/2024 RN CASE MANAGER: OB HIGH RISK PREGNANCIESWe are hiring this position for CLARK COUNTY NEVADA.   Excellent computer skills and attention to detail are very important to multi task between systems, talk with members on the phone, and enter accurate contact notes. This is a fast paced position and productivity is important . We need staff  to TRAVEL in the field.  Member home and provider visits in the surrounding areas will be required. Mileage will be reimbursed. Home- based office requirements will be discussed during our interview process. Work Schedule: Monday thru Friday 8:00AM to 5:00PM / 1 hour lunch break.  JOB DESCRIPTIONJob SummaryMolina 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/ABILITIESCompletes comprehensive assessments of members per regulated timelines and determines who may qualify for case management based on clinical judgment, changes in member's health or psychosocial wellness, and triggers identified in the assessment.Develops and implements a case management 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.Conducts face-to-face or home visits as required.Performs ongoing monitoring of the care plan to evaluate effectiveness, document interventions and goal achievement, and suggest changes accordingly.Maintains ongoing member case load for regular outreach and management.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.Facilitates interdisciplinary care team meetings 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 concerns.25- 40% local travel required.RNs provide consultation, recommendations and education as appropriate to non-RN case managers.RNs are assigned cases with members who have complex medical conditions and medication regimensRNs conduct medication reconciliation when needed. JOB QUALIFICATIONSRequired EducationGraduate from an Accredited School of Nursing. Bachelor's Degree in Nursing preferred. Required Experience1-3 years in case management, disease management, managed care or medical or behavioral health settings. Required License, Certification, AssociationActive, unrestricted State Registered Nursing (RN) license 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 EducationBachelor's Degree in Nursing Preferred Experience3-5 years in case management, disease management, managed care or medical or behavioral health settings.Preferred License, Certification, AssociationActive, unrestricted Certified Case Manager (CCM)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: $23.76 - $51.49 / HOURLY*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. About UsMolina 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.

Employer: Molina Healthcare, Inc. Expires: 05/28/2024 JOB DESCRIPTIONFor this position we are seeking a (RN) Registered Nurse who lives in Nebraska and/or Iowa and must be licensed for the state the reside Case Manager will work in remote setting supporting our Medicaid Population with.  Providing telephonic support to our members, completing assessments and creating care plans., You will participate in interdisciplinary care team meetings for our members and ensure they have care plans based on their concerns/health needs. Excellent computer skills and attention to detail are very important to multitask between systems, talk with members on the phone, and enter accurate contact notes. This is a fast-paced position and productivity is important.Home office with internet connectivity of high speed required. (The position may require making infrequent face-to-face visits with our members, but the majority of the work will be done telephonically)Schedule: Monday thru Friday 8:00AM to 5:00PM. CST - No weekends are Holidays. Job SummaryMolina 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/ABILITIESCompletes comprehensive assessments of members per regulated timelines and determines who may qualify for case management based on clinical judgment, changes in member's health or psychosocial wellness, and triggers identified in the assessment.Develops and implements a case management 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.Conducts face-to-face or home visits as required.Performs ongoing monitoring of the care plan to evaluate effectiveness, document interventions and goal achievement, and suggest changes accordingly.Maintains ongoing member case load for regular outreach and management.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.Facilitates interdisciplinary care team meetings 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 concerns.25- 40% local travel required.RNs provide consultation, recommendations and education as appropriate to non-RN case managers.RNs are assigned cases with members who have complex medical conditions and medication regimensRNs conduct medication reconciliation when needed. JOB QUALIFICATIONSRequired EducationGraduate from an Accredited School of Nursing. Bachelor's Degree in Nursing preferred. Required Experience1-3 years in case management, disease management, managed care or medical or behavioral health settings. Required License, Certification, AssociationActive, unrestricted State Registered Nursing (RN) license 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 EducationBachelor's Degree in Nursing Preferred Experience3-5 years in case management, disease management, managed care or medical or behavioral health settings.Preferred License, Certification, AssociationActive, unrestricted Certified Case Manager (CCM)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: $23.76 - $51.49 / HOURLY*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. About UsMolina 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.

Employer: Molina Healthcare, Inc. Expires: 05/28/2024 Job SummaryMolina 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 Washington State program. We are seeking a Registered Nurse with Case management experience. The candidate must have Obstetrics (Labor & Delivery; Postpartum) experience/background. Knowledge of the unique needs of the high risk pregnant member; Level 2 or higher nursery. Further details to be discussed during our interview process.Work schedule Monday - Friday 8:00 AM to 5:00 PM PST.  Remote position with possible light travel in Bothell. KNOWLEDGE/SKILLS/ABILITIESCompletes comprehensive assessments of members per regulated timelines and determines who may qualify for case management based on clinical judgment, changes in member's health or psychosocial wellness, and triggers identified in the assessment.Develops and implements a case management 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.Conducts face-to-face or home visits as required.Performs ongoing monitoring of the care plan to evaluate effectiveness, document interventions and goal achievement, and suggest changes accordingly.Maintains ongoing member case load for regular outreach and management.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.Facilitates interdisciplinary care team meetings 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 concerns.25- 40% local travel required.RNs provide consultation, recommendations and education as appropriate to non-RN case managers.RNs are assigned cases with members who have complex medical conditions and medication regimensRNs conduct medication reconciliation when needed. JOB QUALIFICATIONSRequired EducationGraduate from an Accredited School of Nursing. Bachelor's Degree in Nursing preferred. Required Experience1-3 years in case management, disease management, managed care or medical or behavioral health settings.Must have Obstetrics (Labor & Delivery; Postpartum) experience/background. Knowledge of the unique needs of the high risk pregnant member. Required License, Certification, AssociationActive, unrestricted State Registered Nursing (RN) license 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. Washington State RN licensure Preferred EducationBachelor's Degree in Nursing Preferred Experience3-5 years in case management, disease management, managed care or medical or behavioral health settings.Preferred License, Certification, AssociationActive, unrestricted Certified Case Manager (CCM) Level 2 or higher nursery is preferredTo 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: $23.76 - $51.49 / HOURLY*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. About UsMolina 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.

Employer: Molina Healthcare, Inc. Expires: 05/28/2024 JOB DESCRIPTIONFor this position we are seeking a (RN) Registered Nurse who must live and have a current active unrestricted RN license in the state of MICase Manager RN will work in remote and field setting supporting Medicaid Behavioral health population. Excellent computer skills and attention to detail are very important to multitask between systems, talk with members on the phone, and enter accurate contact notes. This is a fast-paced position and productivity is important. Local travel into our office may be required.Home office with internet connectivity of high speed required. This is remote position, but candidate must be willing to come to the Troy MI office for team meeting and/or trainings. Schedule: Monday thru Friday 8:30AM to 5:00PM  Job SummaryMolina 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/ABILITIESCompletes comprehensive assessments of members per regulated timelines and determines who may qualify for case management based on clinical judgment, changes in member's health or psychosocial wellness, and triggers identified in the assessment.Develops and implements a case management 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.Conducts face-to-face or home visits as required.Performs ongoing monitoring of the care plan to evaluate effectiveness, document interventions and goal achievement, and suggest changes accordingly.Maintains ongoing member case load for regular outreach and management.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.Facilitates interdisciplinary care team meetings 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 concerns.25- 40% local travel required.RNs provide consultation, recommendations and education as appropriate to non-RN case managers.RNs are assigned cases with members who have complex medical conditions and medication regimensRNs conduct medication reconciliation when needed. JOB QUALIFICATIONSRequired EducationGraduate from an Accredited School of Nursing. Bachelor's Degree in Nursing preferred. Required Experience1-3 years in case management, disease management, managed care or medical or behavioral health settings. Required License, Certification, AssociationActive, unrestricted State Registered Nursing (RN) license 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 EducationBachelor's Degree in Nursing Preferred Experience3-5 years in case management, disease management, managed care or medical or behavioral health settings.Preferred License, Certification, AssociationActive, unrestricted Certified Case Manager (CCM)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: $23.76 - $51.49 / HOURLY*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. About UsMolina 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.

Employer: Molina Healthcare, Inc. Expires: 05/28/2024 JOB DESCRIPTIONFor this position we are seeking a RN who lives in VIRGINIA and must be licensed for the state of VIRGINIA. We are looking for candidates who live in the Hampton Roads area of Virginia.Case Manager will work in remote and field setting supporting our Medicaid Population. Excellent computer skills and attention to detail are very important to multitask between systems, talk with members on the phone, and enter accurate contact notes. This is a fast-paced position and productivity is important.TRAVEL in the field to do member visits in the surrounding areas will be required within 2-hour travel radius -Mileage will be reimbursed.Currently this role is 100% remote until April 2024 where field TRAVEL will be required (1 to 3 visits weekly) in the field to do member visits in the surrounding areas will be required. Travel will be within a 2-hour radius.Locations (Various within VA): Richmond AreaHome office with internet connectivity of high speed required.Schedule: Monday thru Friday 8:00AM to 5:00PM. - No weekends are Holidays. (On-Call - One week a year) Job SummaryMolina 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/ABILITIESCompletes comprehensive assessments of members per regulated timelines and determines who may qualify for case management based on clinical judgment, changes in member's health or psychosocial wellness, and triggers identified in the assessment.Develops and implements a case management 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.Conducts face-to-face or home visits as required.Performs ongoing monitoring of the care plan to evaluate effectiveness, document interventions and goal achievement, and suggest changes accordingly.Maintains ongoing member case load for regular outreach and management.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.Facilitates interdisciplinary care team meetings 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 concerns.25- 40% local travel required.RNs provide consultation, recommendations and education as appropriate to non-RN case managers.RNs are assigned cases with members who have complex medical conditions and medication regimensRNs conduct medication reconciliation when needed. JOB QUALIFICATIONSRequired EducationGraduate from an Accredited School of Nursing. Bachelor's Degree in Nursing preferred. Required Experience1-3 years in case management, disease management, managed care or medical or behavioral health settings. Required License, Certification, AssociationActive, unrestricted State Registered Nursing (RN) license 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 EducationBachelor's Degree in Nursing Preferred Experience3-5 years in case management, disease management, managed care or medical or behavioral health settings.Preferred License, Certification, AssociationActive, unrestricted Certified Case Manager (CCM)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: $23.76 - $51.49 / HOURLY*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. About UsMolina 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.

Employer: Molina Healthcare, Inc. Expires: 05/28/2024 CASE MANAGERS for our NEVADA Health Plan. Candidates must live in  CLARK COUNTY  in the state of Nevada,  for consideration. Case Managers will work in remote and field settings  our Medicaid Population. Excellent computer skills and attention to detail are very important to multitask between systems, talk with members on the phone, and enter accurate contact notes. This is a fast-paced position and productivity is important. Excellent skillset working with EMR's and Microsoft Office. Prior experience with PEDIATRIC BEHAVIORAL HEALTH is essential to be successful in this role. NEVADA STATE LICENSURE in Social Work , Psychology or related required. Duties will include provider interactions, community connections, face to face visits as needed. Travel is required to do member visits in the surrounding areas.  Travel will be within a 1- 2 hour radius in the county that you live in. A clean DMV driving record, proof of auto insurance, and reliable transportation is required. Must be able to do your own driving. Please consider this requirement before you apply to this role. Home office with internet connectivity of high speed required. You must provide your own home office including desk and chair. Schedule: Monday thru Friday 8:00AM to 5:00PM Pacific.  Job DescriptionJob SummaryMolina 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. Job Duties• Completes clinical assessments of members per regulated timelines and determines who may qualify for case management based on clinical judgment, changes in member's health or psychosocial wellness, and triggers from the assessment.• Develops and implements a case management 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.• Conducts telephonic, face-to-face or home visits as required.  • Performs ongoing monitoring of the care plan to evaluate effectiveness, document interventions and goal achievement, and suggest changes accordingly.• Maintains ongoing member case load for regular outreach and management. Operates under productivity and outcome standards• Promotes integration of services for members including behavioral health care and long term services and supports to enhance the continuity of care for Molina members.• May implement specific Molina wellness programs i.e. asthma and depression disease management.• Facilitates interdisciplinary care team meetings 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 concerns.• Collaborates with RN case managers/supervisors as needed or required• Case managers in Behavioral Health and Social Science fields may provide consultation, resources and recommendations to peers as needed• Local travel of up to 40% may be required, depending on the complexity level of the assigned members, particular state-specific regulations, or whether the Case Manager position is located within Molina’s Central Programs unit. Job QualificationsREQUIRED EDUCATION:Graduate from an Accredited School of Nursing Vocational Nurse (LVN) or Licensed Practical Nurse (LPN) Program OR Bachelor's or Master's Degree (preferably in a social science, psychology, gerontology, public health or social work or related field. REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS & ABILITIES:2+ years in case management, disease management, managed care or medical or behavioral health settings.Experience with working with persons with severe and persistent mental health concerns and serious emotional disturbances, to include substance use disorder and foster care2+ years with discharge planning coordination from different care settingsExcellent communication skills, both verbal and written.Minimum of 1-3 years data entry skills and minimum 1+ years’ experience utilizing a clinical platform.Knowledge and experience with coordination specific to behavioral health “whole person” care principlesKnowledge and experience managing chronic health conditions.Min 2+ years’ experience with Microsoft applications: PowerPoint, Excel, Word2+ years’ experience using a Clinical documentation software/platform REQUIRED LICENSE, CERTIFICATION, ASSOCIATION:Master’s level behavioral health therapist, to include any of the following:Licensed Clinical Social Worker (LCSW), Advanced Practice Social Worker (APSW), Certified in Health Education and Promotion (CHEP), Licensed Professional Counselor (LPC/LPCC), LMFTLicense 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+ years in behavioral health case management, disease management, managed care settings.Field-based case management or home health experience. PREFERRED LICENSE, CERTIFICATION, ASSOCIATION:Certified Case Manager (CCM), PHYSICAL DEMANDS:Working environment is generally favorable and lighting and temperature are adequate. Work is generally performed in an office environment in which there is only minimal exposure to unpleasant and/or hazardous working conditions. Must have the ability to sit for long periods.  Reasonable accommodations may be made to enable individuals with disabilities to perform the essential function.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 UsMolina 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.

Employer: Molina Healthcare, Inc. Expires: 05/28/2024 Job DescriptionWe are looking for a Behavioral Health Case Manager who must live and reside in Virginia. Case Manager will work in remote and field setting our Medicaid Population identified with Behavioral Health diagnosis. Excellent computer skills and attention to detail are very important to multitask between systems, talk with members on the phone, and enter accurate contact notes. This is a fast-paced position and productivity is important. Excellent skillset working with EMR's and Microsoft Office.Field TRAVEL will be required in the field to do member visits in the surrounding. Travel will be within a 2-hour radius. (mileage reimbursement)We prefer candidate who will work remotely primarily must be located in the State Virginia Home office with internet connectivity of high speed required.Schedule: Monday thru Friday 8:00AM to 5:00PM. Job SummaryMolina 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. Job Duties• Completes clinical assessments of members per regulated timelines and determines who may qualify for case management based on clinical judgment, changes in member's health or psychosocial wellness, and triggers from the assessment.• Develops and implements a case management 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.• Conducts telephonic, face-to-face or home visits as required.  • Performs ongoing monitoring of the care plan to evaluate effectiveness, document interventions and goal achievement, and suggest changes accordingly.• Maintains ongoing member case load for regular outreach and management. Operates under productivity and outcome standards• Promotes integration of services for members including behavioral health care and long term services and supports to enhance the continuity of care for Molina members.• May implement specific Molina wellness programs i.e. asthma and depression disease management.• Facilitates interdisciplinary care team meetings 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 concerns.• Collaborates with RN case managers/supervisors as needed or required• Case managers in Behavioral Health and Social Science fields may provide consultation, resources and recommendations to peers as needed• Local travel of up to 40% may be required, depending on the complexity level of the assigned members, particular state-specific regulations, or whether the Case Manager position is located within Molina’s Central Programs unit. Job QualificationsREQUIRED EDUCATION:Graduate from an Accredited School of Nursing Vocational Nurse (LVN) or Licensed Practical Nurse (LPN) Program OR Bachelor's or Master's Degree (preferably in a social science, psychology, gerontology, public health or social work or related field. REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS & ABILITIES:2+ years in case management, disease management, managed care or medical or behavioral health settings.Experience with working with persons with severe and persistent mental health concerns and serious emotional disturbances, to include substance use disorder and foster care2+ years with discharge planning coordination from different care settingsExcellent communication skills, both verbal and written.Minimum of 1-3 years data entry skills and minimum 1+ years’ experience utilizing a clinical platform.Knowledge and experience with coordination specific to behavioral health “whole person” care principlesKnowledge and experience managing chronic health conditions.Min 2+ years’ experience with Microsoft applications: PowerPoint, Excel, Word2+ years’ experience using a Clinical documentation software/platform REQUIRED LICENSE, CERTIFICATION, ASSOCIATION:Master’s level behavioral health therapist, to include any of the following:Licensed Clinical Social Worker (LCSW), Advanced Practice Social Worker (APSW), Certified in Health Education and Promotion (CHEP), Licensed Professional Counselor (LPC/LPCC), LMFTLicense 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+ years in behavioral health case management, disease management, managed care settings.Field-based case management or home health experience. PREFERRED LICENSE, CERTIFICATION, ASSOCIATION:Certified Case Manager (CCM), PHYSICAL DEMANDS:Working environment is generally favorable and lighting and temperature are adequate. Work is generally performed in an office environment in which there is only minimal exposure to unpleasant and/or hazardous working conditions. Must have the ability to sit for long periods.  Reasonable accommodations may be made to enable individuals with disabilities to perform the essential function.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 UsMolina 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.