Long Beach, California, United States · On-site
JOB DESCRIPTION Opportunity for TX RN to join Molina as a Care Manager working with our Medicaid members in the southern part of the Dallas, TX service delivery area. Communities serviced will be Lancaster, Seagoville, R…
Skills: Care management, Care coordination, Registered nurse, Medicaid, LTSS
San Mateo, California, United States · Hybrid
About Prophecy Prophecy is building the next generation AI-powered data prep and analysis platform. Our platform enables business analysts and data teams to transform raw data into reliable, production-ready datasets and…
Skills: Operations management, Human resources, Executive administration, Calendar management, Onboarding
Irvine, California, United States · Remote OK
$186k–$265k/yr
Hi Tarsan! Thanks for your interest in this position. Please review the details and if role and if it's something that could match your career goals, connect with your current manager and HRBP to discuss if your experien…
Skills: Strategic leadership, Sales management, Coaching, Mentoring, Talent development
Irvine, California, United States · Remote OK
$186k–$265k/yr
What is the opportunity? We are hiring a Regional Sales Director to lead a diverse and elite biopharma selling team. With a laser focus on the customer, this role will set the standard of ownership and accountability for…
Skills: Sales leadership, Strategic planning, Coaching, Talent development, Performance management
San Diego, California, United States · On-site
$16/hr–$35/hr
Internal Job Opportunity: Certification Supervisor Region: San Diego S. Orange County Region Studio(s): Laguna Niguel, Mission Viejo, Rancho Bernardo, Carlsbad We are currently accepting internal applications for the pos…
Skills: Training, Supervision, Certification, Team leadership, Mentoring
Los Angeles, California, United States · On-site
JOB DESCRIPTION POSITION: ENGINEERING DIRECTOR REPORTS TO: President/Site-Leader LOCATION: Chatsworth, CA SHIFT: Monday thru Thursday (7:00 AM – 5:30 PM) The Engineering Director will lead all engineering and technical a…
Skills: RF Engineering, Aerospace Antenna Solutions, Antenna Design, Leadership, Project Management
San Diego, California, United States · On-site
$17/hr–$35/hr
Internal Job Opportunity: Facility Manager Region: San Diego S. Orange County Studio(s): Lagina Niguel We are currently accepting internal applications for the position of Facility Manager. This role is a great opportuni…
Skills: Facility management, Operations management, Team coordination
Westlake Village, California, United States · On-site
$110k–$130k/yr
KEY RESPONSIBILITIES The Manager, Product Development will drive the creation, execution, and delivery of product development initiatives within a defined brand. Reporting to the Director, Product Development, this role …
Skills: Product development, Project management, Product lifecycle management, Cross-functional collaboration, Cost management
Carlsbad, California, United States · Remote OK
About us One team. Global challenges. Infinite opportunities. At Viasat, we’re on a mission to deliver connections with the capacity to change the world. For more than 35 years, Viasat has helped shape how consumer…
Skills: Technical Program Management, Software Development, Systems Engineering, Agile, Scrum
Orange, California, United States · On-site
The Sherwin-Williams Management & Sales Training Program is an accelerated, entry-level position designed to prepare you for a Store Management role in 18-24 months. With Sherwin-Williams’ promote-from-within philosophy,…
Skills: Sales, Leadership, Customer service, Marketing, Finance
San Mateo, California, United States · Hybrid
$102k–$153k/yr
Why Sony Interactive Entertainment? Sony Interactive Entertainment isn’t just the Best Place to Play — it’s also the Best Place to Work. Sony Interactive Entertainment (SIE) is the company behind the PlayStation brand. A…
Skills: Project management, Digital merchandising, Stakeholder management, Strategic planning, Data analysis
Los Angeles County, California, United States · On-site
$25/hr–$28/hr
Thank You for your interest in Anza Management, we are looking for a full-time Assistant Community Manager. Job Summary: Assists the Community Manager in meeting the goals of Anza Management Company by promoting a qualit…
Skills: Property management, Leasing, Marketing, Resident relations, Customer service
Ventura, California, United States · On-site
$19/hr–$24/hr
Benefits include 11+ days per year of paid time off, health insurance options, and a 401k for full time Team Members, plus a Team Member discount. Work schedules are flexible per the needs of the business. And we are clo…
Skills: Purchasing, Merchandising, Inventory management, Food safety, Customer service
Long Beach, California, United States · On-site
$17/hr–$19/hr
Reports To: General Manager Requirements: Carry or lifting items weighing up to 50 pounds Pulling and pushing up to 150 pounds Frequent standing up and moving Frequently bending, stooping, and kneeling Willing to work on…
Skills: Electrical, Plumbing, Painting, Drywall, Carpentry
San Francisco, California, United States · On-site
$140k–$160k/yr
Who we are Atoms is building the machines that power the next era of progress. Over the last decade, software has transformed the digital world. But the physical world, where food is made, minerals are mined, goods are m…
Skills: Global benefits management, Vendor management, Broker management, Open enrollment, Benefits administration
San Mateo, California, United States · Hybrid
$131k–$197k/yr
Why Sony Interactive Entertainment? Sony Interactive Entertainment isn’t just the Best Place to Play — it’s also the Best Place to Work. Sony Interactive Entertainment (SIE) is the company behind the PlayStation brand. A…
Skills: Experience strategy, Customer journey mapping, Personalization strategy, Data analysis, Project management
San Francisco, California, United States · On-site
$140k–$160k/yr
Who we are Atoms is building the machines that power the next era of progress. Over the last decade, software has transformed the digital world. But the physical world, where food is made, minerals are mined, goods are m…
Skills: Global benefits management, Vendor management, Broker management, Benefits administration, Open enrollment
Bear Valley, California, United States · On-site
$28/hr–$32/hr
Job Summary The Assistant Ski Patrol Director supports the daily operation of the Ski Patrol department, including avalanche mitigation, emergency medical response, mountain safety, risk management, staff training, and s…
Skills: Avalanche mitigation, Emergency medical response, Risk management, Staff training, Ski patrol leadership
Los Angeles, California, United States · Hybrid
$29/hr–$42/hr
Since 1979, WSP Property & Buildings (P&B) has been part of shaping the building landscape along the West Coast. From industrial development to warehouses, office, retail, higher education, community colleges, K-12, and …
Skills: Project coordination, Administrative support, Project scheduling, Contract tracking, Construction administration
Sacramento, California, United States · On-site
$125k–$145k/yr
**THIS IS NOT A REMOTE POSITION** M3 Service is seeking a Sales Manager to lead and grow a high-performing, relationship-driven, sales organization focused on helping building and facility owners shift from reactive main…
Skills: Sales leadership, Consultative selling, Relationship management, Strategic planning, Business development
Long Beach, California, United States • On-site
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The Field Care Manager conducts in-home assessments and develops comprehensive care plans for Medicaid members. They collaborate with multidisciplinary teams to coordinate integrated care and ensure member progress toward desired health outcomes.
Candidates must be a Registered Nurse with at least 2 years of healthcare experience, including 1 year in care management or managed care. A valid driver's license, reliable transportation, and proficiency in Microsoft Office are required.
Opportunity for TX RN to join Molina as a Care Manager working with our Medicaid members in the southern part of the Dallas, TX service delivery area. Communities serviced will be Lancaster, Seagoville, Red Oak, and DeSoto. Responsibilities include completing in-home, face-to-face assessments with our waiver Medicaid members there. Preference will be given to RNs with this type of experience having worked for an MCO organization like Molina. Hours are Monday – Friday, 8 AM – 5 PM CST and mileage is reimbursed as part of our benefit package. Need to be bilingual.
Solid experience with Microsoft Office Suite is necessary, especially with Outlook, Excel, and Teams as well as being confident in moving between different programs to complete the necessary forms and documentation.
Job Summary
Provides support for care management/care coordination long-term services and supports specific activities and collaborates with multidisciplinary team coordinating integrated delivery of member care across the continuum 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
• Completes comprehensive member assessments within regulated timelines, including in-person home visits as required.
• Facilitates comprehensive waiver enrollment and disenrollment processes.
• Develops and implements care plans, including a waiver service plan in collaboration with members, caregivers, physicians and/or other appropriate health care professionals and member support network to address the member needs and goals.
• Performs ongoing monitoring of care plan to evaluate effectiveness, document interventions and goal achievement, and suggest changes accordingly.
• Promotes integration of services for members including behavioral health care and long-term services and supports (LTSS) and home and community resources to enhance continuity of care.
• Assesses for medical necessity and authorizes all appropriate waiver services.
• Evaluates covered benefits and advises appropriately regarding funding sources.
• Facilitates interdisciplinary care team (ICT) meetings for approval or denial of services and informal ICT collaboration.
• Uses motivational interviewing and Molina clinical guideposts to educate, support and motivate change during member contacts.
• Assesses for barriers to care and provides care coordination and assistance to members to address psycho/social, financial, and medical obstacles concerns.
• Identifies critical incidents and develops prevention plans to assure member health and welfare.
• May provide consultation, resources and recommendations to peers as needed.
• Care manager RNs may be assigned complex member cases and medication regimens.
• Care manager RNs may conduct medication reconciliation as needed.
• 25-40% estimated local travel may be required (based upon state/contractual requirements).
Required Qualifications
• At least 2 years experience in health care, including at least 1 year experience in care management, managed care, and/or experience in a medical or behavioral health setting, and at least 1 year of experience working with persons with disabilities, chronic conditions, substance abuse disorders, and long-term services and supports (LTSS), or equivalent combination of relevant education and experience.
• Registered Nurse (RN). License must be active and unrestricted in state of practice.
• Valid and unrestricted driver's license, reliable transportation, and adequate auto insurance for job related travel requirements, unless otherwise required by law.
• Ability to operate proactively and demonstrate detail-oriented work.
• Demonstrated knowledge of community resources.
• Ability to work within a variety of settings and adjust style as needed - working with diverse populations and various personalities and personal situations.
• 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.
• Excellent time-management and prioritization skills, and ability to focus on multiple projects simultaneously and adapt to change.
• Excellent problem-solving and critical-thinking skills.
• Strong verbal and written communication skills.
• Microsoft Office suite/applicable software program(s) proficiency.
• In some states, must have at least one year of experience working directly with individuals with substance use disorders.
Preferred Qualifications
• Certified Case Manager (CCM).
• Experience working with populations that receive waiver services.
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
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