AltaStaff is a staffing agency currently looking for a Case Manager to work with our Managed Care Client!
**Candidates Must be Bilingual in Spanish**
Pay Rate: $38.00 -$39.00 hourly ($40-45 hourly for Licensed candidates)
Shift: Monday - Friday, 8am - 5pm MST
*This role is hybrid, candidates must be willing to travel to conduct field visits*
Summary: Case Managers work 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
Responsibilities:
Completes comprehensive 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 identified in the assessment.
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.
Performs ongoing monitoring of the care plan to evaluate effectiveness, document interventions and goal achievement, and suggest changes accordingly.
Maintains ongoing member case load for regular outreach and management.
Promotes integration of services for members including behavioral health care and long term services and supports/home and community to enhance the continuity of care for Molina members.
Facilitates interdisciplinary care team meetings 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, provides care coordination and assistance to member to address concerns.
RNs provide consultation, recommendations and education as appropriate to non-RN case managers.
RNs are assigned cases with members who have complex medical conditions and medication regimens
RNs conduct medication reconciliation when needed.
POSITION QUALIFICATIONS
Bachelor's Degree OR Master's Degree preferably in a social science, psychology, gerontology, public health or social work field
Licensed Clinical Social Worker (LCSW), Advanced Practice Social Worker (APSW), Certified Case Manager (CCM), Certified in Health Education and Promotion (CHEP), Licensed Professional Counselor (LPC/LPCC), Respiratory Therapist, or Licensed Marriage and Family Therapist (LMFT) preferred
2+ years in case management experience in disease management, managed care or medical or behavioral health settings
Must have a valid driver's license with a good driving record and be able to drive within applicable state or locality with reliable transportation.
Knowledge of the health and wellness marketplace and employer trends.
Verbal and written communication skills including discussing medical needs with members and interfacing with internal staff/management and external vendors and community resources.
PC proficiency to include Word, Excel, and PowerPoint, database experience and Web based applications.
Work Environment Requirements:
Must be able to to lift at least 30lbs
Must be able to stand or sit for prolonged periods (75% of the time)
Private Secured Internet Connection
Must confirm work environment is safe and secure for work in handling private and sensitive information.
Constantly operates a computer and other office equipment
Constantly works indoors in a secluded safe space
Must have High-speed internet access 25 MBPS minimum; 50 MBPS minimum preferred
If you've applied and would like to view your application status, please visit: https://altastaff.zenople.com/login/ALTA
AltaStaff is an Equal Employment Opportunity Employer. We provide equal employment opportunities to all qualified applicants for employment without regard to age, race, color, creed, religion, sex, marital status, national origin, ancestry, citizenship, disability, veteran status, sexual orientation, or any other protected status, in accordance with applicable federal, state, and local laws.
INDHP