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Case Manager, LTSS (RN) Tidewater Region
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Starting at $23.76 - $51.49 an hour depends on education, experience
Full-time
- JOB DESCRIPTIONJob SummaryMolina 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.
- Develops and implements a case management plan, including a waiver service 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.
- Facilitates interdisciplinary care team meetings for approval or denial of services and informal ICT collaboration.
- Provides consultation, recommendations and education as appropriate to non-RN case managersWorks cases with members who have complex medical conditions and medication regimensConducts medication reconciliation when needed.
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