Field Care Manager: Coordination & Outcomes

Molina Healthcare; Elizabeth (IL); On-site; USD 36,000 - 68,000; Full time

Job summary

Molina Healthcare is seeking a Care Coordinator to support care management and coordinate services across the continuum, collaborating with a multidisciplinary team to promote quality and cost-effective member care.

Responsibilities include conducting assessments within regulated timelines, developing care plans with members and providers, conducting visits, monitoring progress, and promoting integration of behavioral health and LTSS. Travel 25-40% may be required to meet state contract demands.

Qualifications

• 2+ years experience in health care or care management settings.

Responsibilities

• Provides support for care management/care coordination activities and collaborates with multidisciplinary team coordinating integrated delivery of member care across the continuum.
• Completes assessments of members per regulated timelines and determines eligibility for care coordination based on triggers identified in assessments.
• Develops and implements care plans with member, caregiver, physician and/or other health care professionals to address member needs and goals.
• Conducts telephonic, face-to-face or home visits as required.
• Performs ongoing monitoring of care plan, documents interventions and goal achievement, and suggests changes.
• Maintains ongoing member caseload for regular outreach and management.
• Promotes integration of services for members including behavioral health, LTSS, and home/community resources.
• Facilitates ICT meetings and collaboration; educates and motivates change during member contacts.
• Assesses barriers to care and provides coordination to address concerns.
• Collaborates with licensed care managers/leadership as needed.
• Travel 25-40% may be required based on state/contractual requirements.

Job description

Molina Healthcare is seeking a Care Coordinator to support care management and coordinate services across the continuum, collaborating with a multidisciplinary team to promote quality and cost-effective member care.

Responsibilities include conducting assessments within regulated timelines, developing care plans with members and providers, conducting visits, monitoring progress, and promoting integration of behavioral health and LTSS. Travel 25-40% may be required to meet state contract demands.