Telephonic Care Manager, LTSS (LVN) – Must Reside in Texas Apply for the Telephonic Care Manager, LTSS (LVN) role at Molina Healthcare.
Job Summary Provides support for care management/care coordination and long‑term services and supports (LTSS) activities. Collaborates with multidisciplinary teams to coordinate integrated delivery of member care across the continuum for members with high‑need potential, ensuring member progress toward desired outcomes and contributing to the overarching strategy of quality and cost‑effective member care.
Essential Job Duties Completes comprehensive member assessments within regulated timelines, including in‑person home visits as required.
Facilitates comprehensive waiver enrollment and disenrollment processes.
Develops and implements care plans, including a waiver service plan in collaboration with members, caregivers, physicians or other appropriate health‑care professionals to address the member’s needs and goals.
Performs ongoing monitoring of care plans to evaluate effectiveness, document interventions and goal achievement, and suggest changes accordingly.
Promotes integration of services for members including behavioral health care and LTSS and home and community resources to enhance continuity of care.
Assesses for medical necessity and authorizes all appropriate waiver services.
Evaluates covered benefits and advises appropriately regarding funding sources.
Facilitates interdisciplinary care team (ICT) 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 and provides care coordination and assistance to members to address psycho/social, financial, and medical obstacles.
Identifies critical incidents and develops prevention plans to assure member health and welfare.
Collaborates with licensed care managers/leadership as needed or required.
25‑40% estimated local travel may be required (based upon state or contractual requirements).
Required Qualifications At least 2 years of health‑care experience, including at least 1 year with persons with disabilities/chronic conditions in LTSS, and 1 year in care management or a comparable setting.
Licensed Practical Nurse (LPN) or Licensed Vocational Nurse (LVN). License must be active and unrestricted in the state of practice.
Valid and unrestricted driver’s license, reliable transportation, and adequate auto insurance for job‑related travel.
Knowledge of community resources.
Ability to work within a variety of settings and adjust style as needed; work with diverse populations.
Strong detail‑oriented work and ability to operate proactively.
Ability to work independently with minimal supervision and self‑motivation.
Responsive communication skills and calmness in high‑pressure situations.
Ability to develop and maintain professional relationships.
Excellent time‑management and prioritization skills, and ability to focus on multiple projects simultaneously.
Excellent problem‑solving, critical‑thinking, and communication skills.
Proficiency with Microsoft Office and relevant online portals and databases.
In some states, a bachelor’s degree in a health‑care related field may be required.
Preferred Qualifications Certified Case Manager (CCM) or additional certifications.
Experience working with populations that receive waiver services.
Benefits and Compensation Competitive benefits and compensation package. Pay range: $24 – $46.81 per hour (actual compensation may vary by location, experience and education).
Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
Location: Texas, United States.
Seniority level: Entry level.
Employment type: Full‑time.
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