Clinical Case Manager

Molina Healthcare; Michigan; Remote; USD 60,000 - 75,000; Full time

Job summary

Molina Healthcare is seeking a Clinical Case Manager for a full-time remote role. The successful candidate will assess, plan, and coordinate healthcare services for members, ensuring timely care. This position requires strong clinical skills, excellent communication, and the ability to work independently. A Bachelor’s degree in Nursing or Social Work is required, along with experience in healthcare or social work.

Qualifications

• Experience in healthcare, social work, or related fields.
• Familiarity with Medicaid and Medicare programs is a plus.

Responsibilities

• Assessing, planning, and coordinating healthcare services for members.
• Conducting needs assessments and developing care plans.
• Educating patients and their families about healthcare options.

Skills

Clinical skills

Coordination

Communication

Interpersonal skills

Education

Bachelor’s degree in Nursing

Bachelor’s degree in Social Work

Job description

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Director of Healthcare Services for MI Health Link at Molina Healthcare

Company Description

Molina Healthcare is a FORTUNE 500 company focused on government-sponsored healthcare programs for families and individuals who qualify. Serving across various states including Arizona, California, Florida, and New York, Molina Healthcare contracts with state governments to provide quality healthcare services. The company also offers Medicare products and participates in duals demonstration projects to manage the care for those eligible for both Medicaid and Medicare.

Role Description

This is a full-time remote role for a Clinical Case Manager. The Clinical Case Manager will be responsible for assessing, planning, and coordinating healthcare services for members, ensuring they receive necessary care in a timely and efficient manner. Day-to-day tasks include conducting needs assessments, developing care plans, coordinating with healthcare providers, and monitoring patient progress. The role also involves educating patients and their families about healthcare options and resources available to them.

Qualifications

• Clinical skills in assessing patient needs and developing care plans
• Strong coordination and case management abilities
• Excellent communication and interpersonal skills for working with patients and healthcare providers
• Experience in healthcare, social work, or related fields
• Familiarity with Medicaid and Medicare programs is a plus
• Ability to work independently and remotely
• Bachelor’s degree in Nursing, Social Work, or related field; relevant certifications are advantageous

Seniority level

• Entry level

Employment type

• Full-time

Industries

• Hospitals and Health Care

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