Pediatric Care Manager (LPN/LVN) - Care Coordination

Molina Healthcare, Inc.; Tampa (FL); On-site; USD 33,000 - 64,000; Full time

Job summary

Molina Healthcare, Inc. in Florida seeks a care management professional to support care coordination across the continuum.

You will collaborate with a multidisciplinary team to ensure member progress toward outcomes while contributing to quality and cost-effective care. Duties include assessments, developing care plans, conducting visits, monitoring progress, maintaining caseload, coordinating services across behavioral health, LTSS, and home/community resources, and facilitating ICT meetings.

Qualifications

• At least 2 years experience in health care, preferably in care management.
• Clinical licensure and/or certification required ONLY if required by state contract, regulation, business operating model, or state board licensing mandates.
• Valid and unrestricted driver's license, reliable transportation, and adequate auto insurance for job related travel requirements, unless otherwise required by law.
• Demonstrated knowledge of community resources.
• Ability to operate proactively and demonstrate detail-oriented work.
• Ability to work within a variety of settings and adjust style as needed - working with diverse populations, various personalities and personal situations.
• Ability to work independently, with minimal supervision and self-motivation.
• Ability to demonstrate responsiveness in all forms of communication, and remain calm in high-pressure situations.
• Ability to develop and maintain professional relationships.
• Excellent time-management and prioritization skills, and ability to focus on multiple projects simultaneously and adapt to change.
• Excellent problem-solving and critical-thinking skills.
• Strong verbal and written communication skills.
• Microsoft Office suite/applicable software program(s) proficiency.
• In some states, a bachelor's degree in a health care related field may be required (dependent upon state/contractual requirements).

Responsibilities

• Completes assessments of members per regulated timelines and determines who may qualify for care coordination/care management based on triggers identified in assessments.
• Develops and implements care plan in collaboration with member, caregiver, physician and/or other appropriate health care professionals and member support network to address member needs and goals.
• Conducts telephonic, face-to-face or home visits as required.
• Performs ongoing monitoring of care plan to evaluate effectiveness, document interventions and goal achievement, and suggest changes accordingly.
• Maintains ongoing member caseload for regular outreach and management.
• Promotes integration of services for members including behavioral health, long-term services and supports (LTSS), and home and community resources to enhance continuity of care.
• Facilitates interdisciplinary care team (ICT) 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 licensed care managers/leadership as needed or required.
• 25- 40% estimated local travel may be required (based upon state/contractual requirements).

Job description

Molina Healthcare, Inc. in Florida seeks a care management professional to support care coordination across the continuum.

You will collaborate with a multidisciplinary team to ensure member progress toward outcomes while contributing to quality and cost-effective care. Duties include assessments, developing care plans, conducting visits, monitoring progress, maintaining caseload, coordinating services across behavioral health, LTSS, and home/community resources, and facilitating ICT meetings.