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Website Molina Healthcare
Job Description:
Molina Healthcare Services (HCS) works with members, providers and multidisciplinary team members to assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long term care, for members with high need potential. HCS staff work to ensure that patients progress toward desired outcomes with quality care that is medically appropriate and cost-effective based on the severity of illness and the site of service.
Job Responsibilities:
- Uses motivational interviewing and Molina clinical guideposts to educate, support and motivate change during member contacts.
- May implement specific Molina wellness programs i.e. asthma and depression disease management.
- Case managers in Behavioral Health and Social Science fields may provide consultation, resources and recommendations to peers as needed
- Completes clinical assessments of members per regulated timelines and determines who may qualify for case management based on clinical judgment, changes in member’s health or psychosocial wellness, and triggers from the assessment.
- Facilitates interdisciplinary care team meetings and informal ICT collaboration.
- Conducts telephonic, face-to-face or home visits as required.
- Performs ongoing monitoring of the 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 to enhance the continuity of care for Molina members.
- Develops and implements a case management plan in collaboration with the member, caregiver, physician and/or other appropriate healthcare professionals and member’s support network to address the member needs and goals.
- Assesses for barriers to care, provides care coordination and assistance to member to address concerns.
- Collaborates with RN case managers/supervisors as needed or required
- Maintains ongoing member case load for regular outreach and management.
Job Requirements:
- 1-3 years in case management, disease management, managed care or medical or behavioral health settings.
Job Details:
Company: Molina Healthcare
Vacancy Type: Full Time
Job Functions: Other
Job Location: Jackson, MS, US
Application Deadline: N/A
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