Molina Healthcare

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Molina Healthcare
New York, New York
Job ID 2020031


Job Summary

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.

This position will support our Senior Whole Health business. Senior Whole Health by Molina is a Managed Long-Term Care (MLTC), and Medicaid Advantage (MAP) plan. These plans streamline the delivery of long-term services to chronically ill or disabled people who are eligible for Medicaid and Medicare. We are looking for Registered Nurse Case Managers with Long-term Services and Supports (LTSS) experience, strong organizational and time management skills.  The Case Manager must be able to manage remote work in a fast paced environment. Experience with homecare (CDPAS/PCA/PCS), Medicaid, food stamp, housing benefits within a medical model is highly preferred. This team works with a diverse population which included the geriatric, BH, and pediatric population.

This is a remote position providing support within the five boroughs and extended area (New Jersey, CT)

Work hours are Monday through Friday 8:30am – 5:00pm EST.


  • Completes face-to-face comprehensive assessments of members per regulated timelines.
  • Facilitates comprehensive waiver enrollment and disenrollment processes.
  • 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.
  • 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, home and community to enhance the continuity of care for Molina members.
  • Assesses for medical necessity and authorize all appropriate waiver services.
  • Evaluates covered benefits and advise appropriately regarding funding source.
  • Conducts face-to-face or home visits as required.
  • Facilitates interdisciplinary care team 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, provides care coordination and assistance to member to address psycho/social, financial, and medical obstacles concerns.
  • Identifies critical incidents and develops prevention plans to assure member’s health and welfare.
  • Provides consultation, recommendations and education as appropriate to non-RN case managers
  • Works cases with members who have complex medical conditions and medication regimens
  • Conducts medication reconciliation when needed.
  • 50-75% travel required.


Required Education

Graduate from an Accredited School of Nursing

Required Experience

  • At least 1 year of experience working with persons with disabilities/chronic conditions and Long Term Services & Supports.
  • 1-3 years in case management, disease management, managed care or medical or behavioral health settings.
  • Required License, Certification, Association
  • Active, unrestricted State Registered Nursing license (RN) in good standing
  • If field work is required, Must have valid driver’s license with good driving record and be able to drive within applicable state or locality with reliable transportation.
  • New York RN licensure

State Specific Requirements

Virginia: Must have at least one year of experience working directly with individuals with Substance Use Disorders

Preferred Education

Bachelor’s Degree in Nursing

Preferred Experience

  • 3-5 years in case management, disease management, managed care or medical or behavioral health settings.
  • 1 year experience working with population who receive waiver services.
  • Bilingual: Spanish
  • Experience with homecare (CDPAS/PCA/PCS), Medicaid, food stamp, housing benefits 

Preferred License, Certification, Association

Active and unrestricted Certified Case Manager (CCM)

Pay Range:  $26.41 – $51.49 an hour*
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing.

Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.

About Us

Molina Healthcare is a nationwide fortune 500 organization with a mission to provide quality healthcare to people receiving government assistance. If you are seeking a meaningful opportunity in a team-oriented environment, come be a part of a highly engaged workforce dedicated to our mission. Bring your passion and talents and together we can make a difference in the lives of others. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.

Job Type: Full TimePosting Date: 10/16/2023