LPN / LVN Care Manager ( OB High Risk )

Molina 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.

Completes clinical assessments of members per regulated timelines and determines who may qualify for case management based on clinical judgment, changes in members 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 members 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.

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 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.

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

Completion of an accredited Licensed Vocational Nurse (LVN) or Licensed Practical Nurse (LPN) Program

1-3 years in case management, disease management, managed care or medical or behavioral health settings.

Roles serving Family Care and Family Care Partnership are required to have a Bachelors Degree and a minimum of one year of professional experience.

3-5 years in OB HIGH RISK / maternal health case management, disease management, managed care or medical or behavioral health settings.

Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M / F / D / V.

Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M / F / D / V.

17 / HOURLY

• Actual compensation may vary from posting based on geographic location, work experience, education and / or skill level.