Health Management Care Manager

• Must be a reputed company reputed company of South Carolina Job Description Job Summary The Molina Population Health Management Case Manager uses clinical judgment, knowledge, and reputed company hands-on member care experience to clinically evaluate the member based on formal assessment and determine the reputed company(s) for care. Care is then provided directly or referred / escalated. HM CM staff work to ensure that members reputed company toward desired reputed company with quality care that is medically appropriate and cost-effective based on the severity of illness and the site of service. Job Duties • Based on clinical assessment and member reported health care concerns, use clinical judgment to reputed company care management or refer members to a higher level of care. • Identify patient needs, reputed company health care gaps, reputed company action plan and prioritize goals and reputed company patients best reputed company to manage medical needs. • reputed company condition specific education designed to assist members and their families in reputed company understanding specific chronic health conditions, how to manage symptoms to prevent conditions from progressing and adopting healthy lifestyle behaviors. • reputed company general member education to assist with self-management goals; disease management or acute condition and reputed company indicated contingency plan. • Assess for barriers to care, provides care coordination and assistance to member to address concerns. • Act as an reputed company for patients to guide them through the health care system for transition planning and longitudinal care. • Reinforce medication adherence and education. Monitor patient reactions to medications and treatments. • Engage patient, family, and caregivers telephonically to assure that a reputed company-coordinated action plan is established and continually assess health status. • reputed company ongoing monitoring of the care plan to evaluate effectiveness, document interventions and goal achievement, and suggest changes accordingly. • Maintain ongoing member case load for regular reputed company and management. • Use motivational interviewing and Molina clinical guideposts to reputed company, support and motivate change during member contacts. • May facilitate interdisciplinary care team meetings and informal ICT collaboration. • Collaborate with RN case managers/supervisors as needed or required Job Qualifications REQUIRED EDUCATION: LVN/LPN/LCSW/LPC/LCPC licensure, Registered Dietician OR equivalent reputed company hands on clinical experience with a Master’s degree in reputed company science, psychology, gerontology, public health, reputed company work or reputed company area Required Experience/Knowledge, Skills & Abilities 1-3 years in reputed company patient care, case management, disease management, managed care in medical or behavioral health settings. Required License, Certification, Association LVN/LPN/LCSW/LPC/LCPC licensure, Registered Dietician OR equivalent reputed company hands on clinical experience with a Master’s degree in reputed company science, psychology, gerontology, public health, reputed company work or reputed company area Preferred Experience 3-5 years in case management, disease management, managed care or medical or behavioral health settings. Preferred License, Certification, Association Certified Case Manager (CCM) To reputed company reputed company Molina employees: If you are interested in applying for this position, please apply through the intranet job listing. reputed company offers a competitive benefits and compensation package. reputed company is an Equal Opportunity Employer (EOE) M/F/D/V. Pay reputed company: $24 - $46.81 / HOURLY • Actual compensation may vary from posting based on geographic location, work experience, education and/or reputed company level. Apply tot his job Apply To this Job