Long Beach, California, United States · On-site
$21/hr–$42/hr
JOB DESCRIPTION Job Summary Provides support for member health assessment activities. Collaborates with multidisciplinary team coordinating integrated delivery of member care across the continuum, including behavioral he…
Skills: Health Risk Appraisals, Care Planning, Member Outreach, Clinical Assessment, Case Management
Long Beach, California, United States · Remote OK
$19/hr–$38/hr
JOB DESCRIPTION Job Summary Provides support for health plan provider relations activities. Supports network development, network adequacy and provider training and education. Serves as primary point of contact between t…
Skills: Provider Relations, Network Management, Customer Service, Healthcare Delivery System, Microsoft Office
Long Beach, California, United States · Remote OK
$66k–$143k/yr
JOB DESCRIPTION Job Summary Provides subject matter expertise and leadership to healthcare services function - providing support for project/program/process design, execution, evaluation and support, and ensuring complia…
Skills: Program Management, Healthcare Services, Process Improvement, Organizational Change Management, Business Requirements Documentation
Long Beach, California, United States · Remote OK
$88k–$190k/yr
***Remote and must live in the United States*** Job Description Job Summary Provides subject matter expertise for identifying, developing, and operationalizing scalable cost of care and network performance initiatives ac…
Skills: Managed Care, Provider Network Contracting, Network Management, Critical Thinking, Problem Solving
Long Beach, California, United States · Remote OK
$72k–$157k/yr
Job Description Job Summary Leads and manages team responsible for process improvement initiatives that result in operational efficiencies and/or increase customer satisfaction. Assists in development of enterprise proce…
Skills: Process Improvement, Operational Excellence, Lean Six Sigma, Salesforce CRM, Genesys
Long Beach, California, United States · Hybrid
This is a remote role requiring travel. Job Summary Provides support for care management/care coordination long-term services and supports (LTSS)-specific activities. Collaborates with multidisciplinary team coordinating…
Skills: Care Management, Care Coordination, LTSS, Member Assessment, Care Planning
Long Beach, California, United States · Hybrid
This is a remote field-based role requiring travel. Job Summary Provides support for care management/care coordination long-term services and supports (LTSS)-specific activities. Collaborates with multidisciplinary team …
Skills: Care Management, Care Coordination, LTSS, Member Assessment, Care Planning
Long Beach, California, United States · Hybrid
This is a remote field-based role requiring travel. Job Summary Provides support for community-based member advocacy activities. Serves as a local member advocate and resource, using knowledge of the community and resour…
Skills: Member Advocacy, Case Management, Community Outreach, Customer Service, Time Management
Long Beach, California, United States · Hybrid
This is a remote field-based role requiring travel. Job Summary Provides support for care management/care coordination long-term services and supports (LTSS)-specific activities. Collaborates with multidisciplinary team …
Skills: Care Management, Care Coordination, Member Assessment, Care Planning, Waiver Enrollment
Long Beach, California, United States · Remote OK
JOB DESCRIPTION Job Summary Provides subject matter expert level consultant expertise for actuarial function activities including extracting, analyzing, and synthesizing data from various sources to identify risks. Estim…
Skills: Actuarial Analysis, IBNR Estimation, Rate Adequacy Studies, Financial Reporting, Predictive Analytics
Long Beach, California, United States · Hybrid
This is a remote field-based role requiring travel. Job Summary Provides support for care management/care coordination long-term services and supports (LTSS)-specific activities. Collaborates with multidisciplinary team …
Skills: Care Management, Care Coordination, LTSS, Member Assessment, Care Planning
Long Beach, California, United States · Hybrid
This is a remote role requiring travel. Job Summary Provides support for community-based member advocacy activities. Serves as a local member advocate and resource, using knowledge of the community and resources availabl…
Skills: Member Advocacy, Case Management, Community Outreach, Customer Service, Time Management
Long Beach, California, United States · Hybrid
This is a remote field-based role requiring travel. Job Summary Provides support for care management/care coordination long-term services and supports (LTSS)-specific activities. Collaborates with multidisciplinary team …
Skills: Care Management, Care Coordination, Member Assessment, Care Planning, Motivational Interviewing
Long Beach, California, United States · Hybrid
$24/hr–$46/hr
This is a remote field-based role requiring travel. Job Summary Provides support for care management/care coordination long-term services and supports (LTSS)-specific activities. Collaborates with multidisciplinary team …
Skills: Care Management, Care Coordination, LTSS, Member Assessment, Care Planning
Long Beach, California, United States · Remote OK
$20/hr–$30/hr
JOB DESCRIPTION Job SummaryProvides support for medical records collection activities. Supports quality improvement activities through outreach to providers for collection of medical records for Healthcare Effectiveness …
Skills: Medical Records Collection, Customer Service, Data Analysis, Microsoft Excel, Professional Phone Etiquette
Long Beach, California, United States · Hybrid
$26/hr–$51/hr
This is a remote field-based role. Job Summary Provides support for care management/care coordination long-term services and supports (LTSS)-specific activities. Collaborates with multidisciplinary team coordinating inte…
Skills: Care Management, Care Coordination, Member Assessment, Care Planning, Waiver Enrollment
Long Beach, California, United States · Hybrid
$24/hr–$46/hr
This is a remote field-based role. Job Summary Provides support for care management/care coordination long-term services and supports (LTSS)-specific activities. Collaborates with multidisciplinary team coordinating inte…
Skills: Care Management, Care Coordination, LTSS, Member Assessment, Care Planning
Long Beach, California, United States · Hybrid
$26/hr–$51/hr
This is a remote field-based role requiring travel in Holmes County. Job Summary Provides support for care management/care coordination long-term services and supports (LTSS)-specific activities. Collaborates with multid…
Skills: Care Management, Care Coordination, Member Assessment, Care Planning, Waiver Enrollment
Long Beach, California, United States · Hybrid
$24/hr–$46/hr
This is a remote field-based role requiring travel in Holmes County. Job Summary Provides support for care management/care coordination long-term services and supports (LTSS)-specific activities. Collaborates with multid…
Skills: Care Management, Care Coordination, Member Assessment, Care Planning, Motivational Interviewing
Long Beach, California, United States · Hybrid
$24/hr–$46/hr
This is a remote field-based role requiring travel in Crawford County. Job Summary Provides support for care management/care coordination long-term services and supports (LTSS)-specific activities. Collaborates with mult…
Skills: Care Management, Care Coordination, LTSS, Member Assessment, Care Planning
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Provides support for member health assessments and collaborates with multidisciplinary teams to coordinate integrated care for high-need members. Conducts health risk appraisals and develops individualized care plans to promote optimal health outcomes.
Requires at least 2 years of healthcare experience and a valid clinical license such as LVN, LPN, LCSW, or LMFT. Must possess a valid driver's license and demonstrate strong communication and organizational skills.
JOB DESCRIPTION Job Summary
Provides support for member health assessment activities. Collaborates with multidisciplinary team coordinating integrated delivery of member care across the continuum, including behavioral health and long-term care for members with high-need potential. Strives to ensure member progress toward desired outcomes and contributes to overarching strategy to provide quality and cost-effective member care.
Essential Job Duties
• Utilizes collaborative process of assessment, planning, implementation and evaluation to engage, educate, and promote member decisions related to achieving and maintaining optimal health status.
• Engages nursing input/collaboration for member care planning.
• Supports members with moderate to complex clinical needs.
• Conducts standardized health risk appraisals (HRA) and applicable assessments, including verification of medical history and current health and wellness needs.
• Meets daily production standards in terms of member outreach.
• Utilizes web-based software system to document all assessments, activities and education provided.
• Develops problem list and individualized care plan using program protocols based on the members needs and preferences.
• Conducts telephonic education to promote self-management strategies for all applicable conditions.
• 5-15% local travel may be required (based upon state/contractual requirements).
Required Qualifications
#PJHS
Preferred Qualifications
• Licensed Clinical Social Worker (LCSW), Advanced Practice Social Worker (APSW), Certified Case Manager (CCM), Certified Health Education Specialist (CHES), Licensed Professional Counselor (LPC), Licensed Professional Clinical Counselor (LPCC), Respiratory Therapist (RT) or Licensed Marriage and Family Therapist (LMFT). If licensed, license must be active and unrestricted in state of practice.
To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V
Molina Healthcare is a FORTUNE 500 company that is focused exclusively on government-sponsored health care programs for families and individuals who qualify for government sponsored health care. Molina Healthcare contracts with state governments and serves as a health plan providing a wide range of quality health care services to families and individuals. Molina Healthcare offers health plans in Arizona, California, Florida, Idaho, Illinois, Kentucky, Massachusetts, Michigan, Mississippi, Nevada, New Mexico, New York, Ohio, South Carolina, Texas, Utah, Virginia, Washington and Wisconsin. Molina also offers a Medicare product and has been selected in several states to participate in duals demonstration projects to manage the care for those eligible for both Medicaid and Medicare.
Offices: 200 Oceangate, Long Beach, California 90802, US
Molina Healthcare is a FORTUNE 500 company that is focused exclusively on government-sponsored health care programs for families and individuals who qualify for government sponsored health care. Molina Healthcare contracts with state governments and serves as a health plan providing a wide range of quality health care services to families and individuals. Molina Healthcare offers health plans in Arizona, California, Florida, Idaho, Illinois, Kentucky, Massachusetts, Michigan, Mississippi, Nevada, New Mexico, New York, Ohio, South Carolina, Texas, Utah, Virginia, Washington and Wisconsin. Molina also offers a Medicare product and has been selected in several states to participate in duals demonstration projects to manage the care for those eligible for both Medicaid and Medicare.
Offices: 200 Oceangate, Long Beach, California 90802, US
