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

Molina Healthcare•Long Beach, CA

11d

About The Position

Molina Healthcare is seeking a Field Care Manager to support care management and care coordination activities specific to long-term services and supports (LTSS) for Medicaid members in the Katy and Stafford areas of the Houston, Texas service delivery area. The role coordinates integrated care across the continuum for members with high-need potential and works to support progress toward desired outcomes while contributing to quality and cost-effective care. The position includes in-home, face-to-face member assessments and requires bilingual ability. Work hours are Monday through Friday, 8 AM to 5 PM CST. Local travel is estimated at 25–40% based on state or contractual requirements; mileage is reimbursed. The Field Care Manager collaborates with members, caregivers, physicians, other health care professionals, member support networks, multidisciplinary teams, and licensed care managers or leadership. The position supports waiver enrollment and disenrollment, care planning, service authorization, coordination of behavioral health and LTSS, and follow-up on member needs and outcomes. Applicants need strong Microsoft Office skills, particularly with Outlook, Excel, and Teams, and confidence navigating multiple programs, forms, online portals, and databases. Preference may be given to RNs with similar experience at a managed care organization.

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, a medical or behavioral health setting, or an equivalent combination of relevant education and experience.
Clinical licensure or certification when required by state contract, regulation, business operating model, or state board licensing mandates; any 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 work style when serving diverse populations and navigating different personalities and personal situations.
Proactive, detail-oriented approach.
Ability to work independently with minimal supervision and demonstrate self-motivation.
Responsiveness in all forms of communication and ability to remain calm in high-pressure situations.
Ability to develop and maintain professional relationships.
Time-management and prioritization skills, ability to manage multiple projects simultaneously, and adaptability 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.
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 receiving waiver services.
Preference may be given to RNs with this type of experience at a managed care organization.

Responsibilities

Complete comprehensive member assessments within regulated timelines, including in-person home visits when required.
Facilitate comprehensive waiver enrollment and disenrollment processes.
Develop and implement care plans, including waiver service plans, in collaboration with members, caregivers, physicians, other health care professionals, and member support networks.
Monitor care plans, 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 support 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 approvals or denials and informal ICT collaboration.
Use motivational interviewing and Molina clinical guideposts to educate, support, and motivate members during contacts.
Assess barriers to care and coordinate assistance with psychosocial, financial, and medical concerns.
Identify critical incidents and develop prevention plans to protect member health and welfare.
Collaborate with licensed care managers and leadership as needed or required.
Conduct local travel, estimated at 25–40% based on state or contractual requirements.