Molina Support Member Jobs
Industry: Private
Employment Type: Full Time
Work Hours: 8
Salary: £35 – £45Hour
Location: United Kingdom
Company: Molina Healthcare
Description:
Molina Support Member Jobs
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.
Molina Support Member Jobs
KNOWLEDGE/SKILLS/ABILITIES
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.
50-75% local travel required.
Molina Support Member Jobs
JOB QUALIFICATIONS
REQUIRED EDUCATION:
Completion of an accredited Licensed Vocational Nurse (LVN) or Licensed Practical Nurse (LPN) Program OR Bachelor’s or master’s degree in a social science, psychology, gerontology, public health or social work OR any combination of education and experience that would provide an equivalent background
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.
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.
Molina Support Member Jobs
About the Molina Healthcare Company :
Molina Healthcare is a leading provider of managed healthcare services, primarily in the United States. However, as of my last update in January 2022, Molina Healthcare does not operate in the United Kingdom. It’s possible that there may have been developments or expansions beyond that time frame, but I don’t have information on any such changes.
Founded in 1980 by Dr. C. David Molina, Molina Healthcare has grown to become a Fortune 500 company, serving individuals and families eligible for government-sponsored healthcare programs such as Medicaid and Medicare. The company is known for its commitment to providing quality care to underserved populations, including low-income individuals and those with complex medical needs.
Molina Healthcare offers a range of health insurance products and services designed to improve access to healthcare and promote better health outcomes. These services typically include medical care, behavioral health services, long-term care, and other support services.
In the United States, Molina Healthcare operates in multiple states, serving millions of members through its network of healthcare providers and facilities. The company’s mission is to provide affordable, high-quality healthcare to those in need, with a focus on preventive care and wellness initiatives.
While Molina Healthcare has not historically operated in the United Kingdom, it’s worth noting that the healthcare landscape is constantly evolving, and companies may explore international expansion opportunities in the future. However, as of my last update, Molina Healthcare’s operations remain primarily focused in the United States.
Molina Support Member Jobs
Molina Support Member Jobs – SarkariVaccancy
