Field Care Manager, LTSS (LVN) - LOCAL TRAVEL REQUIRED

Molina Healthcare•Arlington, TX

9d•$24 - $47•Onsite

About The Position

Provides support for care management and care coordination activities specific to long-term services and supports (LTSS). The Field Care Manager collaborates with a multidisciplinary team to coordinate integrated member care across the continuum, particularly for members with high-need potential. The role works to help members progress toward desired outcomes and contributes to quality, cost-effective care. The position serves Medicaid members in the Arlington, Texas service delivery area and includes in-home, face-to-face assessments with non-waiver Medicaid members. Local travel is estimated at 25–40%, depending on state and contractual requirements. The stated schedule is Monday through Friday, 8:00 a.m. to 5:00 p.m. CST. Mileage is reimbursed as part of the benefits package. Bilingual ability is required.

Requirements

At least 2 years of health care experience, including at least 1 year working with people with disabilities or chronic conditions in LTSS and 1 year 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; any required license must be active and unrestricted in the state of practice.
A bachelor's degree in a health care-related field may be required in some states, depending on state or contractual requirements.
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 in varied settings and adjust style when working with diverse populations, personalities, and personal situations.
Proactive, detail-oriented approach to work.
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.
Time-management and prioritization skills; ability to manage multiple projects and adapt to change.
Problem-solving skills.
Strong verbal and written communication skills.
Proficiency with Microsoft Office or applicable software and ability to navigate online portals and databases.
Bilingual ability.
Solid experience with Microsoft Office Suite, especially Outlook, Excel, and Teams, and confidence moving between programs to complete forms and documentation.
In some states, at least 1 year of experience working directly with individuals with substance use disorders.

Nice To Haves

Certified Case Manager (CCM), Licensed Vocational Nurse (LVN), or Licensed Practical Nurse (LPN); any license must be active and unrestricted in the state of practice.
Experience working with populations that receive waiver services.
Experience completing in-home, face-to-face assessments for non-waiver Medicaid members.
Experience as an LVN with an MCO organization such as Molina.

Responsibilities

Complete comprehensive member assessments within regulated timelines, including required in-person home visits.
Facilitate comprehensive waiver enrollment and disenrollment processes.
Develop and implement care plans, including waiver service plans, with members, caregivers, physicians, other appropriate health care professionals, and member support networks.
Monitor care plans to evaluate effectiveness, document interventions and goal achievement, and recommend changes as appropriate.
Promote integration of behavioral health care, LTSS, and home and community resources to enhance continuity of care.
Assess medical necessity and authorize appropriate waiver services.
Evaluate covered benefits and advise members appropriately about funding sources.
Facilitate interdisciplinary care team (ICT) meetings for service approval or denial and support informal ICT collaboration.
Use motivational interviewing and Molina clinical guideposts to educate, support, and motivate members during contacts.
Assess barriers to care and coordinate care and assistance to address psychosocial, financial, and medical obstacles.
Identify critical incidents and develop prevention plans to protect member health and welfare.
Collaborate with licensed care managers and leadership as needed or required.
Complete local travel as required, estimated at 25–40% based on state and contractual requirements.