Southwest Network Jobs in Usa

Join a team that delivers excellence.

Lehigh Valley Health Network (LVHN) is home to nearly 23,000 colleagues who make up our talented, vibrant and diverse workforce.

Join our team and experience firsthand what it's like to be part of a health care organization that's nationally recognized, forward-thinking and offers plenty of opportunity to do great work.

Imagine a career at one of the nation's most advanced health networks.

Be part of an exceptional health care experience. Join the inspired, passionate team at Lehigh Valley Health Network, a nationally recognized, forward-thinking organization offering plenty of opportunity to do great work.

LVHN has been ranked among the "Best Hospitals" by U.S. News & World Report for 23 consecutive years. We're a Magnet(tm) Hospital, having been honored five times with the American Nurses Credentialing Center's prestigious distinction for nursing excellence and quality patient outcomes in our Lehigh Valley region. Finally, Lehigh Valley Hospital - Cedar Crest, Lehigh Valley Hospital - Muhlenberg, Lehigh Valley Hospital- Hazleton, and Lehigh Valley Hospital - Pocono each received an 'A' grade on the Hospital Safety Grade from The Leapfrog Group in 2020, the highest grade in patient safety. These recognitions highlight LVHN's commitment to teamwork, compassion, and technology with an unrelenting focus on delivering the best health care possible every day.

Whether you're considering your next career move or your first, you should consider Lehigh Valley Health Network.

LV HOME CARE AND HOSPICE

REGISTERED NURSE - HOME CARE VISIT NURSE FULL TIME DAYS

Territory: Slatington - Walnutport - Palmerton

$25,000 SIGN ON BONUS, APPLY TODAY!

Summary
Delivers patient care based on the medical plan of treatment established by the physician and protocols using a patient family centered approach. Performs skilled treatments and interventions as ordered by the physician. Provides patient and caregiver education aimed at achieving patient goals and outcomes under the direction of the RN Case Manager and in collaboration with the Home Health Care Navigator.

Job Duties

• Delivers patient care based on the medical plan of treatment established by the physician and protocols using a patient family centered approach. Performs comprehensive subjective and objective ongoing assessments of patient's status that includes physical, psychosocial and environmental parameters. Relays significant changes in patient status to the physician, RN Case Manager, and other members of the interdisciplinary care team as appropriate in a time period consistent with patient needs.
• Reviews, evaluates, and as appropriate, revises the established plan of care to reflect progress toward achieving patient outcomes/goals in collaboration with the RN Case Manager and Home Health Care Navigator.
• Provides educational opportunities for patients, families, and clinical staff focusing on end-of-life issues, palliative care, advance directives, chronic disease management, pain management, symptom control, home care, hospice, and discharge planning. Promotes patient/caregiver autonomy. Evaluates effectiveness of teaching and modifies education based on patient needs and goals.

Minimum Qualifications

• Specialized Diploma Nursing or
• Associate’s Degree Nursing
• 1 year recent experience providing direct care in a healthcare setting
• Knowledge of patient education techniques and principles
• Ability to take initiative and function independently without direct supervision and as a member of the care team
• Ability to travel to patient care assignments
• Knowledge of Home Health Conditions of Participation
• American Heart Association Basic Life Support - State of Pennsylvania within 30 Days
• RN - Licensed Registered Nurse_PA - State of Pennsylvania Upon Hire
• DL - Driver's License_PA - State of Pennsylvania Upon Hire

Preferred Qualifications

• Bachelor’s Degree Nursing
• 1 year Home Health experience
• Knowledge of and skill in completing OASIS data set collection with a high level of accuracy
• AMB-BC- Ambulatory Care Nursing ANCC - State of Pennsylvania within 3 Years

Physical Demands
Lift and carry 40-50 lbs. Examples: Push/pull patients on bed, stretcher (requires 29 lbs. push force), lateral transfers up to 50 lbs. of the patient's weight. Frequent to continuous standing/walking. Patient transporters can walk 8-10 miles per shift. *Patient care providers may be required to perform activities specific to their role including kneeling, bending, squatting and performing CPR.

Job Description Disclaimer: This position description provides the major duties/responsibilities, requirements and working conditions for the position. It is intended to be an accurate reflection of the current position, however management reserves the right to revise or change as necessary to meet organizational needs. Other responsibilities may be assigned when circumstances require.

Lehigh Valley Health Network is an equal opportunity employer. In accordance with, and where applicable, in addition to federal, state and local employment regulations, Lehigh Valley Health Network will provide employment opportunities to all persons without regard to race, color, religion, sex, age, national origin, sexual orientation, gender identity, disability or other such protected classes as may be defined by law. All personnel actions and programs will adhere to this policy. Personnel actions and programs include, but are not limited to recruitment, selection, hiring, transfers, promotions, terminations, compensation, benefits, educational programs and/or social activities.

Valley Health Network does not accept unsolicited agency resumes. Agencies should not forward resumes to our job aliases, our employees or any other organization location. Lehigh Valley Health Network is not responsible for any agency fees related to unsolicited resumes.

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Allegheny Health Network’s Primary Care Institute is seeking family physicians and general internists for primary care openings in the Pittsburgh, Pennsylvania!

Highlights:

• A value-based care model that prioritizes comprehensive care and high-quality outcomes
• Embedded and virtual extended care teams: behavioral health consultant, clinical pharmacist, social worker and registered dietitian, health coaches and APP collaboration

Pittsburgh Area Openings:

• Eastern Neighborhoods – including but not limited to: Braddock, North Versailles, Monroeville
• Westmoreland County
• Downtown Pittsburgh
• Allegheny Valley / Natrona Heights
• Grove City
• Bethel Park
• Southpointe
• Beaver
• Correctional Medicine: Allegheny County Jail

Qualifications:

• Must be board eligible/certified.
• Licensed in the state of Pennsylvania prior to employment.
• DEA and BLS Certification required prior to employment.
• Sponsorship available for select practices

AHN Proudly Offers

• Competitive Salary and Comprehensive Medical Benefits
• Sign-On Bonus
• CME Allowance
• EY Financial Planning Services – Student Loan, PSLF Assistance
• Retirement Plans; Vested Immediately in 401K, 457B
• Malpractice Coverage with Tail Coverage

Why AHN? It’s a blended healthcare organization providing patients with exceptional healthcare for over a century. We are forging innovative solutions and key partnerships to help transform the health experience of our patients in remarkable ways. AHN's innovative approach ensures that patients receive top-notch care close to home, supported by 14 hospitals, over 250 healthcare facilities and 3,000+ physicians.

Why Pittsburgh? Working in Pittsburgh, PA, offers a vibrant and dynamic environment with a rich cultural scene and a strong sense of community. Enjoy Pittsburgh’s nationally recognized hub for medical and tech innovation, culinary options, sporting events and many indoor/outdoor activities. Benefit from a low cost of living and highly regarded educational institutions. The city's diverse neighborhoods and thriving job market make it an ideal place for healthcare professionals to grow.

Email your CV and direct inquiries to:

Lauren Dunegan| Physician Recruiter or 412-738-5400

The Allegheny Health Network (AHN) Surgery Institute is recruiting an otolaryngologist to join our team serving Jefferson Hospital in Pittsburgh, Pennsylvania. See a wide variety of ENT care including but not limited to sinonasal disease, allergies, pediatrics, complex ear problems, swallowing and voice disorders and head/neck cancers. Perform your procedures robotically in our full service operating rooms or within one of our ambulatory surgery centers. We welcome established physicians as well as support newer physicians who are looking to develop their skills alongside knowledgeable mentors.

Job Duties

• Clinical excellence in spectrum of otolaryngology.
• Provide generalized otolaryngology care.
• Work with numerous sub-specialties trained colleagues available as resources.
• Involvement with AHN’s ENT residency program and weekly didactic conferences.
• Call: Shared call with other AHN Jefferson providers.
• Future opportunity to work in AHNs planned new construction facility in South Hills.

Job Qualifications

• Experience is preferred but not required.
• Completion of an accredited residency/fellowship as appropriate.
• Board Eligible or Board Certified in specialty/subspecialty.
• Pennsylvania License (or the ability to obtain one).
• Pediatric training not required.

AHN Proudly Offers

• Competitive Salary and Comprehensive Medical Benefits
• Sign-On Bonus
• CME Allowance
• EY Financial Planning Services – Student Loan, PSLF Assistance
• Retirement Plans; Vested Immediately in 401K, 457B
• Malpractice Coverage with Tail Coverage
• A diverse & inclusive workforce with respective loan repayment for qualified candidates

Why AHN? It’s a blended healthcare organization providing patients with exceptional healthcare for over a century. We are forging innovative solutions and key partnerships to help transform the health experience of our patients in remarkable ways. AHN's innovative approach ensures that patients receive top-notch care close to home, supported by 14 hospitals, over 250 healthcare facilities and 3,000+ physicians.

Why Pittsburgh? Working in Pittsburgh, PA, offers a vibrant and dynamic environment with a rich cultural scene and a strong sense of community. Enjoy Pittsburgh’s nationally recognized hub for medical and tech innovation, culinary options, sporting events and many indoor/outdoor activities. Benefit from a low cost of living and highly regarded educational institutions. The city's diverse neighborhoods and thriving job market make it an ideal place for healthcare professionals to grow.

Email your CV and direct inquiries to:

Lauren Dunegan| Physician Recruiter | Allegheny Health Network

412-738-5400 or

Urologist - Battle Creek, Michigan

Bronson Medical Group

Bronson Healthcare Group is seeking a BE/BC Urologist to join two other Urologists in an established medical group serving Battle Creek, MI and the surrounding area. The successful candidate will replace a full time hospital employed position who is retiring, with an established network of referrals, hospitalist support for in-patient care and call of 1:4. The practice is also supported by two APP’s. Bronson offers a competitive salary, comprehensive benefits, signing bonus, productivity bonus, relocation allowance, malpractice coverage, annual CME stipend and generous PTO.

Bronson Battle Creek is a 218-bed, all-private room community hospital serving over 200K people in south central Michigan. Rated one of the safest hospitals in Michigan, BBC is a multi-campus healthcare provider, offering full outpatient and inpatient acute care including robotic surgery, behavioral health, and rehabilitation services. Specialty services include one of the finest Cancer Care Centers in Michigan, an Orthopedic Renewal Center, the county’s largest accredited sleep center, and a wound-healing center with hyperbaric oxygen therapy.

Bronson, a Tertiary And Teaching Hospital Serving Patients And Families Throughout Southwest Michigan And Northern Indiana, Offers a Full Range Of Services From Primary Care To Advanced Critical Care And Is a Verified Level I Trauma Center. With a Workforce Of More Than 9,000, We’re One Of The Area’s Largest Employers And Our Physicians And Staff Are Nationally Recognized For Many Exceptional Achievements In Quality, Safety And Service

Magnet Hospital for Nursing - 2

Outstanding Patient Experience Award From Healthgrades - 2009-2019

Governor’s Award of Excellence - 2019

The Leapfrog Group – ‘A’ Hospital Safety Grade™ - 2022

Forbes Best-in-State Employer - 2023

PINC AI Top 15 Health Systems - 2023

Newsweek Greatest Workplace for Women – 2023

Best and Brightest Companies to Work For® - 2023

PINC AI (in partnership with Fortune): 15 Top Health Systems (2023)

Healthgrades 2024 Surgical Care Excellence Award™

About The Area

Located halfway between Chicago and Detroit, the area offers many year-round family attractions, events and festivals for children of all ages. Abundant natural resources, including easy access to Lake Michigan, make it the perfect choice for biking, boating and skiing. With a variety of entertainment, quality dining, unique shops and galleries, you will find something to please the entire family.

Interested Candidates please email your CV to Megan Grimes at

Bronson Healthcare’s Commitment to Diversity, Equity, Inclusion & Belonging:

At Bronson, we believe all people should have full and equal access to opportunities to live healthy lives. We are committed to putting diversity, equity and inclusion (DEI) into practice across our health system. We are building a culture of belonging in an environment free of prejudice, negative bias and stereotypes for those we employ and for the communities we serve. We are striving to employ a diverse workforce to enhance the quality of care we provide and the interactions we have with our patients, families, colleagues and communities. We have a strategic focus on DEI to help us live our values by showing respect, building trust and uncovering and addressing avoidable and unjust conditions that negatively impact individual health and wellbeing. We dedicate ourselves to seeing and advocating for the underserved, removing barriers to care and reducing disparities to conscientiously fulfill our mission: Together, we advance the health of our communities.

SENIOR PROJECT MANAGER – SOUTHWEST MISSOURI

Make The Leap to an Exciting New Career!

We are seeking an elite Senior Project Manager to lead commercial construction projects across Southwest Missouri. This role is built for a proven leader who is responsible for the successful delivery of complex and high-value construction projects while driving business performance, operational excellence, and team development.

This role operates as a business leader within the organization — accountable for project profitability, risk mitigation, client satisfaction, and the development of project management talent. This individual oversees multiple phases of work, managing diverse scopes, coordinating with clients, consultants, and trade partners, and ensuring each project is delivered safely, on schedule, within budget, and to the highest quality standards. They also lead multiple project teams, mentor Project Managers and Engineers, and serve as a primary executive contact for owners and design partners.

This Rare Opportunity Features the Following Benefits:

• Amazing Health Insurance Benefits at Extremely Reasonable Rates
• On-Site Gym Access
• 401k Retirement Plans with an Employer Match Contribution
• Paid Time Off
• Dental & Vision Plans
• HSA & Dependent FSA Benefits
• Accident, Short Term Disability & Life Insurance Options
• An Innovative Wellness Program that Pays You to be Healthy

• Own full P&L performance for assigned projects.

• Lead strategic planning, budgeting, forecasting, and risk analysis.

• Direct complex contract negotiations and change management strategies.

• Oversee claims avoidance and dispute resolution strategy.

• Ensure compliance with all contractual, safety, and regulatory obligations.

• Maintain and grow key owner and design partner relationships.

• Participate in preconstruction strategy and pursuit efforts.

• Assist in prime contract negotiation and delivery strategy.

• Identify value engineering opportunities and cost efficiencies.

• Lead development of Project Management Plans.

• Ensure Procore and document control systems are fully leveraged.

• Drive schedule integrity in partnership with the Superintendent.

• Lead monthly cost forecasting and margin analysis.

• Oversee procurement strategy and long-lead material planning.

• Directly mentor Project Managers and Project Engineers.

• Build high-performing teams aligned with company values.

• Conduct performance evaluations and provide developmental coaching.

• Champion a culture of accountability, professionalism, and integrity.

• Oversee implementation of Quality Control Plans.

• Monitor project risk exposure and implement mitigation strategies.

• Ensure OSHA compliance and safe jobsite leadership.

• Lead post-project reviews and lessons learned processes.

Leadership Competencies

• Strategic thinker with strong business acumen.

• Decisive and solutions-oriented.

• Financially disciplined.

• High emotional intelligence.

• Trusted leader capable of representing the company at the highest level.

How You Contribute

• Protect and grow company profitability.

• Build enduring owner relationships.

• Develop the next generation of project leadership.

• Elevate operational standards.

• Represent company culture with integrity and professionalism.

Qualifications

• Bachelor’s degree in Construction Management, Engineering, or related field (or equivalent experience).
• Demonstrated leadership experience delivering $10M – $20M Commercial and Large-Scale Multi-Family projects from preconstruction through closeout.
• Proven ability to manage project profitability, schedule integrity, risk mitigation, and owner satisfaction.
• Strong understanding of AIA contracts, change management, and cost control practices.
• Experience leading Project Managers, Project Engineers, and cross-functional teams.
• Proficiency in Procore, Bluebeam, and Microsoft Office Suite.
• Strong financial forecasting and executive-level communication skills.

Working Environment

This role will primarily be in an office environment based in our Springfield, Missouri headquarters, or at the job site. Assigned projects may require the Project Manager to be on-site for extended durations, and occasional travel is to be expected.

Physical Requirements:

Standing and Walking: ~20%

Sitting and Desk Work: ~80%

Direct Reports

Project Manager(s)

Assistant Project Manager(s)

Project Engineer(s)

Ready to Lead Projects That Matter?

If you are a Senior Project Manager with strong commercial construction experience and are looking for a leadership role where you have real ownership over scope, schedule, cost, and outcomes, we encourage you to apply.

This is a rare opportunity to drive meaningful commercial projects across Southwest Missouri while working alongside a disciplined, experienced leadership team committed to building the right way, with accountability, integrity, and long-term impact.

JOB DESCRIPTION Job Summary

Provides support for care management/care coordination long-term services and supports specific activities and collaborates with multidisciplinary team coordinating integrated delivery of member care across the continuum for members with high-need potential. Strives to ensure member progress toward desired outcomes and contributes to overarching strategy to provide 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 and/or other appropriate health care professionals and member support network to address the member needs and goals.

• Performs ongoing monitoring of 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 (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 concerns.

• 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/contractual requirements).

 

Required Qualifications

• At least 2 years health care experience, including at least 1 year of experience working with persons with disabilities/chronic conditions long-term services and supports (LTSS), and 1 year of experience in care management, or experience in a medical and/or behavioral health setting, or equivalent combination of relevant education and experience. 

•Licensed Practical Nurse (LPN) or Licensed Vocational Nurse (LVN). Clinical licensure and/or certification required ONLY if required by state contract, regulation, business operating model, or state board licensing mandates. If licensed, license must be active and unrestricted in state of practice.

• In some states, a bachelor's degree in a health care related field may be required (dependent upon state/contractual requirements).

• Valid and unrestricted driver's license, reliable transportation, and adequate auto insurance for job related travel requirements, unless otherwise required by law.

• Demonstrated knowledge of community resources.

• Ability to work within a variety of settings and adjust style as needed - working with diverse populations, various personalities and personal situations.

• Ability to operate proactively and demonstrate detail-oriented work.

• Ability to work independently, with minimal supervision and self-motivation.

• Ability to demonstrate responsiveness in all forms of communication, and remain calm 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 and adapt to change.

• Excellent problem-solving, and critical-thinking skills.

• Strong verbal and written communication skills.

• Microsoft Office suite/applicable software program proficiency, and ability to navigate online portals and databases.

• In some states, a bachelor's degree in a health care related field may be required (dependent upon state/contractual requirements).

Preferred Qualifications

• Certified Case Manager (CCM), Licensed Vocational Nurse (LVN) or Licensed Practical Nurse (LPN). License must be active and unrestricted in state of practice.

• Experience working with populations that receive waiver services.

 

To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board.

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

#PJHS

#HTF

Pay Range: $24 - $46.81 / HOURLY
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

JOB DESCRIPTION Job Summary

Provides support for care management/care coordination long-term services and supports specific activities and collaborates with multidisciplinary team coordinating integrated delivery of member care across the continuum for members with high-need potential. Strives to ensure member progress toward desired outcomes and contributes to overarching strategy to provide 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 and/or other appropriate health care professionals and member support network to address the member needs and goals.

• Performs ongoing monitoring of 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 (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 concerns.

• 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/contractual requirements).

 

Required Qualifications

• At least 2 years health care experience, including at least 1 year of experience working with persons with disabilities/chronic conditions long-term services and supports (LTSS), and 1 year of experience in care management, or experience in a medical and/or behavioral health setting, or equivalent combination of relevant education and experience. 

•Licensed Practical Nurse (LPN) or Licensed Vocational Nurse (LVN). Clinical licensure and/or certification required ONLY if required by state contract, regulation, business operating model, or state board licensing mandates. If licensed, license must be active and unrestricted in state of practice.

• In some states, a bachelor's degree in a health care related field may be required (dependent upon state/contractual requirements).

• Valid and unrestricted driver's license, reliable transportation, and adequate auto insurance for job related travel requirements, unless otherwise required by law.

• Demonstrated knowledge of community resources.

• Ability to work within a variety of settings and adjust style as needed - working with diverse populations, various personalities and personal situations.

• Ability to operate proactively and demonstrate detail-oriented work.

• Ability to work independently, with minimal supervision and self-motivation.

• Ability to demonstrate responsiveness in all forms of communication, and remain calm 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 and adapt to change.

• Excellent problem-solving, and critical-thinking skills.

• Strong verbal and written communication skills.

• Microsoft Office suite/applicable software program proficiency, and ability to navigate online portals and databases.

• In some states, a bachelor's degree in a health care related field may be required (dependent upon state/contractual requirements).

Preferred Qualifications

• Certified Case Manager (CCM), Licensed Vocational Nurse (LVN) or Licensed Practical Nurse (LPN). License must be active and unrestricted in state of practice.

• Experience working with populations that receive waiver services.

 

To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board.

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

#PJHS

#HTF

Pay Range: $24 - $46.81 / HOURLY
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

JOB DESCRIPTION Job Summary

Provides support for care management/care coordination long-term services and supports specific activities and collaborates with multidisciplinary team coordinating integrated delivery of member care across the continuum for members with high-need potential. Strives to ensure member progress toward desired outcomes and contributes to overarching strategy to provide 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 and/or other appropriate health care professionals and member support network to address the member needs and goals.

• Performs ongoing monitoring of 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 (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 concerns.

• 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/contractual requirements).

 

Required Qualifications

• At least 2 years health care experience, including at least 1 year of experience working with persons with disabilities/chronic conditions long-term services and supports (LTSS), and 1 year of experience in care management, or experience in a medical and/or behavioral health setting, or equivalent combination of relevant education and experience. 

•Licensed Practical Nurse (LPN) or Licensed Vocational Nurse (LVN). Clinical licensure and/or certification required ONLY if required by state contract, regulation, business operating model, or state board licensing mandates. If licensed, license must be active and unrestricted in state of practice.

• In some states, a bachelor's degree in a health care related field may be required (dependent upon state/contractual requirements).

• Valid and unrestricted driver's license, reliable transportation, and adequate auto insurance for job related travel requirements, unless otherwise required by law.

• Demonstrated knowledge of community resources.

• Ability to work within a variety of settings and adjust style as needed - working with diverse populations, various personalities and personal situations.

• Ability to operate proactively and demonstrate detail-oriented work.

• Ability to work independently, with minimal supervision and self-motivation.

• Ability to demonstrate responsiveness in all forms of communication, and remain calm 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 and adapt to change.

• Excellent problem-solving, and critical-thinking skills.

• Strong verbal and written communication skills.

• Microsoft Office suite/applicable software program proficiency, and ability to navigate online portals and databases.

• In some states, a bachelor's degree in a health care related field may be required (dependent upon state/contractual requirements).

Preferred Qualifications

• Certified Case Manager (CCM), Licensed Vocational Nurse (LVN) or Licensed Practical Nurse (LPN). License must be active and unrestricted in state of practice.

• Experience working with populations that receive waiver services.

 

To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board.

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

#PJHS

#HTF

Pay Range: $24 - $46.81 / HOURLY
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

JOB DESCRIPTION Job Summary

Provides support for care management/care coordination long-term services and supports specific activities and collaborates with multidisciplinary team coordinating integrated delivery of member care across the continuum for members with high-need potential. Strives to ensure member progress toward desired outcomes and contributes to overarching strategy to provide 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 and/or other appropriate health care professionals and member support network to address the member needs and goals.

• Performs ongoing monitoring of 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 (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 concerns.

• 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/contractual requirements).

 

Required Qualifications

• At least 2 years health care experience, including at least 1 year of experience working with persons with disabilities/chronic conditions long-term services and supports (LTSS), and 1 year of experience in care management, or experience in a medical and/or behavioral health setting, or equivalent combination of relevant education and experience. 

•Licensed Practical Nurse (LPN) or Licensed Vocational Nurse (LVN). Clinical licensure and/or certification required ONLY if required by state contract, regulation, business operating model, or state board licensing mandates. If licensed, license must be active and unrestricted in state of practice.

• In some states, a bachelor's degree in a health care related field may be required (dependent upon state/contractual requirements).

• Valid and unrestricted driver's license, reliable transportation, and adequate auto insurance for job related travel requirements, unless otherwise required by law.

• Demonstrated knowledge of community resources.

• Ability to work within a variety of settings and adjust style as needed - working with diverse populations, various personalities and personal situations.

• Ability to operate proactively and demonstrate detail-oriented work.

• Ability to work independently, with minimal supervision and self-motivation.

• Ability to demonstrate responsiveness in all forms of communication, and remain calm 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 and adapt to change.

• Excellent problem-solving, and critical-thinking skills.

• Strong verbal and written communication skills.

• Microsoft Office suite/applicable software program proficiency, and ability to navigate online portals and databases.

• In some states, a bachelor's degree in a health care related field may be required (dependent upon state/contractual requirements).

Preferred Qualifications

• Certified Case Manager (CCM), Licensed Vocational Nurse (LVN) or Licensed Practical Nurse (LPN). License must be active and unrestricted in state of practice.

• Experience working with populations that receive waiver services.

 

To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board.

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

#PJHS

#HTF

Pay Range: $24 - $46.81 / HOURLY
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.