Care Manager LVN/LPN (In Field Travel) - Osceola County Only

Molina Healthcare•Kissimmee, FL

6d•$24 - $47

About The Position

Provides support for care management and care coordination activities and collaborates with a multidisciplinary team to coordinate integrated delivery of member care across the continuum. Strives to ensure members progress toward desired outcomes and contributes to the strategy of providing quality and cost-effective member care. The role includes completing member assessments within regulated timelines, identifying members who may qualify for care management or care coordination, developing and monitoring care plans, maintaining a member caseload, and coordinating services and resources. The position may require telephonic, face-to-face, or home visits and an estimated 25–40% local travel, based on state and contractual requirements.

Requirements

At least 2 years of health care experience, preferably in care management, or experience in a medical and/or behavioral health setting, or an equivalent combination of relevant education and experience.
Clinical licensure and/or certification only when 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, unless otherwise required by law.
Demonstrated knowledge of community resources.
Ability to work proactively and demonstrate attention to detail.
Ability to work in a variety of settings and adapt working style when engaging with diverse populations, personalities, and personal situations.
Ability to work independently with minimal supervision and demonstrate self-motivation.
Ability to respond to communications and remain calm in high-pressure situations.
Ability to develop and maintain professional relationships.
Excellent time-management and prioritization skills; ability to manage multiple projects and adapt to change.
Excellent problem-solving and critical-thinking skills.
Strong verbal and written communication skills.
Proficiency with Microsoft Office suite and applicable software programs.
A bachelor's degree in a health care-related field may be required in some states, depending on state or contractual requirements.

Responsibilities

Complete member assessments within regulated timelines and determine potential eligibility for care coordination or care management based on assessment triggers.
Develop and implement care plans with members, caregivers, physicians, other health care professionals, and member support networks.
Conduct telephonic, face-to-face, or home visits as required.
Monitor care plans, evaluate their effectiveness, document interventions and goal achievement, and recommend changes.
Maintain an ongoing member caseload and conduct regular outreach and management.
Promote integration of behavioral health, long-term services and supports (LTSS), and home and community resources to enhance continuity of care.
Facilitate interdisciplinary care team (ICT) meetings and informal ICT collaboration.
Use motivational interviewing and Molina clinical guideposts to educate, support, and motivate members during contacts.
Assess barriers to care and provide care coordination and assistance to address member concerns.
Collaborate with licensed care managers and leadership as needed or required.
Travel locally, estimated at 25–40%, based on state and contractual requirements.