Careers in Human Development

Job SummaryProvides 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/VPay Range: $24 - $46.81 / HOURLY*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.About UsMolina 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 DESCRIPTIONFamily Care with My Choice WisconsinJob SummaryProvides 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. • 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) • Experience working with populations that receive waiver services. #PJHSTo 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/VPay Range: $24 - $46.81 / HOURLY*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.About UsMolina 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 SummaryThe Specialist, Patient Care Delivery is a multi-disciplinary healthcare professional who delivers high-quality, compassionate care to health plan members in their homes. This role combines clinical expertise, cultural sensitivity, and excellent communication to ensure each member receives personalized and efficient care in a comfortable setting.Job DutiesIn-Home Clinical CareTravels to members’ homes to conduct scheduled health visits according to license-specific scope of practice. Drives up to 120 miles a day on a regular basis to a variety of locations within the assigned region. Drives beyond 120 miles as part of extended mileage may be required on special project days. Special projects may include an overnight hotel stayCollects and documents vital signs, medical history, and current medications in the secure electronic health record (EHR).Supports providers during in-home physical assessments and procedures (e.g., diabetic eye exams, bone density screens, vision/hearing screens).Administers injections, draws blood, and performs point-of-care testing (e.g., urine dipstick, glucose, pregnancy tests).Maintains inventory of mobile supplies and ensures safe handling, sterilization, and disposal of equipment and medical waste.Provides care and performs tasks aligned with credentialed role.Member-Centered EngagementEducates and guides members on care plans, medications, and healthy lifestyle practices.Communicates respectfully and effectively with diverse member populations, demonstrating cultural competence and emotional intelligence.Ensures member privacy and upholds HIPAA compliance within home-based environments.Builds trust to encourage member participation and long-term wellness engagement.Mobile Administrative SupportOrganizes and confirms in-home visit schedules and travel routes.Completes lab requisitions, coordinates specimen pickup, and manages referrals or follow-up needs.Accurately documents all care interactions and assists with coding or billing workflows as needed.Serves as a field liaison to the broader care team, identifying changes in member status and escalating appropriately.Job QualificationsREQUIRED QUALIFICATIONS:Active license or certification as one of the following: Medical Assistant (MA), Certified Nursing Assistant (CNA), Licensed Vocational/Practical Nurse (LVN/LPN), or Phlebotomist.Experience-based clinical proficiency aligned with credentialed role.Completion of training program applicable to credential.Current CPR certification.Valid and unrestricted driver's license, reliable transportation, and adequate auto insurance for job related travel requirements.If not currently certified for phlebotomy, must obtain certification within 6 months of hire.Outstanding communication and interpersonal skills.Ability to work independently and adapt to varying home conditions.Knowledge of clinical safety, infection control, and emergency response.Comfort using technology for documentation, scheduling, and coordination.Commitment to continuous professional development and member-first care.PREFERRED QUALIFICATIONS:Bilingual (English/Spanish or other language relevant to member population).Experience with Medicaid/Medicare populations.Familiarity with mobile EHR systems (e.g., Epic, QNXT).Prior experience in home health or mobile care delivery.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.Pay Range: $25.1 - $48.94 / HOURLY*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.About UsMolina 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 DESCRIPTION Job SummaryProvides 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.• May provide consultation, resources and recommendations to peers as needed.• 25-40% estimated local travel may be required (based upon state/contractual requirements). Required Qualifications• At least 2 years experience in health care, including at least 1 year of experience in care management, managed care, and/or experience in a medical or behavioral health setting, and at least 1 year of experience working with persons with disabilities, chronic conditions, substance abuse disorders, and long-term services and supports (LTSS), or equivalent combination of relevant education and experience.• Licensed Clinical Social Worker (LCSW), Licensed Master Social Worker (LMSW), Advanced Practice Social Worker (APSW), Certified Health Education Specialist (CHES), Licensed Professional Counselor (LPC), Licensed Professional Clinical Counselor (LPCC), Licensed Marriage and Family Therapist (LMFT, Doctor of Psychology (PhD or PsyD) or equivalency based on state contract, regulation, or state board licensing mandate. License must be active and unrestricted in state of practice.• 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 operate proactively and demonstrate detail-oriented work.• Ability to work within a variety of settings and adjust style as needed - working with diverse populations, various personalities and personal situations.• 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, must have at least one year of experience working directly with individuals with substance use disorders. Preferred Qualifications• Certified Case Manager (CCM).• Experience working with populations that receive waiver services.#PJHSTo 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/VPay Range: $27.73 - $54.06 / HOURLY*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.About UsMolina 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 SummaryProvides 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/VPay Range: $24 - $46.81 / HOURLY*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.About UsMolina 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 DESCRIPTION Job SummaryProvides support for member health assessment activities. Collaborates with multidisciplinary team coordinating integrated delivery of member care across the continuum, including behavioral health and long-term care 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• Utilizes collaborative process of assessment, planning, implementation and evaluation to engage, educate, and promote member decisions related to achieving and maintaining optimal health status.• Engages nursing input/collaboration for member care planning.• Supports members with moderate to complex clinical needs.• Conducts standardized health risk appraisals (HRA) and applicable assessments, including verification of medical history and current health and wellness needs.• Meets daily production standards in terms of member outreach.• Utilizes web-based software system to document all assessments, activities and education provided.• Develops problem list and individualized care plan using program protocols based on the members needs and preferences.• Conducts telephonic education to promote self-management strategies for all applicable conditions.• 5-15% local travel may be required (based upon state/contractual requirements). Required Qualifications• At least 2 years experience in health care, including at least 1 year experience in a care management, medical or behavioral health setting, or equivalent combination of relevant education and experience.• Licensed Vocational Nurse (LVN), Licensed Practical Nurse (LPN), Licensed Clinical Social Worker (LCSW), Licensed Marriage and Family Therapist (LMFT), Licensed Professional Clinical Counselor (LPCC), or Licensed Master Social Worker (LMSW). If licensed, license must be active and unrestricted in state of practice. Clinical licensure and/or certification required ONLY if required by state contract, regulation, business operating model, or state board licensing mandates.• 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.• Proactive and detail-oriented.• Ability to work within a variety of settings and adjust style as needed - working with diverse populations, various personalities and personal situations.• Ability to work independently, with minimal supervision and demonstrate self-motivation.• Responsive in all forms of communication - remains calm in high-pressure situations.• Ability to develop and maintain professional relationships with individuals.• Excellent time-management and prioritization skills, ability to focus on multiple projects simultaneously and adapt to change.• Excellent problem-solving, and critical-thinking skills.• Strong verbal and written communication skills, including professional phone etiquette.• Microsoft Office suite/applicable software program(s) proficiency, and ability to learn new programs. Preferred Qualifications• Licensed Clinical Social Worker (LCSW), Advanced Practice Social Worker (APSW), Certified Case Manager (CCM), Certified Health Education Specialist (CHES), Licensed Professional Counselor (LPC), Licensed Professional Clinical Counselor (LPCC), Respiratory Therapist (RT) or Licensed Marriage and Family Therapist (LMFT). If licensed, license must be active and unrestricted in state of practice.#PJNurse3#LI-AC1To 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/VPay Range: $21.82 - $42.55 / HOURLY*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.About UsMolina 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 SummaryProvides 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. • 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) • 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/VPay Range: $24 - $46.81 / HOURLY*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.About UsMolina 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 DESCRIPTION Job SummaryProvides support for member program initiatives that address social conditions that impact health outcomes; provides education, assistance, resources and best practices to members in relation to navigating the health care system. Works collaboratively with other departments to identify population social determinants of health (SDOH) needs and works to find solutions via partnerships with community organizations and/or other agencies. Contributes to overarching strategy to provide quality and cost-effective member care.  Essential Job Duties• Works directly with members to reduce barriers and social determinants of health (SDOH) issues to improve health care access and member quality of life. • Educates members on SDOH and assists with navigating various systems. • Promotes awareness of how SDOH affect member health outcomes. • Conducts SDOH assessments to determine member needs and prioritizes based on member preference. • Participates in interdisciplinary care team (ICT) meetings. • Identifies local and national resources to facilitate staff, business owner, and department understanding of health disparities, inequities, and social risk factors impacting members. • Assists with coordination of SDOH related activities at the health plan. • Works with SDOH innovation team to pilot programs to address SDOH barriers for Molina members. • Collaborates with various departments within the health plan to implement pilot SDOH initiatives and programs. • Collaborates with SDOH innovation team to ensure all SDOH initiatives, processes, and outputs are aligned and standardized as appropriate. • Promotes integration of services including behavioral health care, long-term services and supports (LTSS), as well as other appropriate services. • Coordinates partnerships with other departments to ensure seamless care for members. • Local travel may be required (based upon state/contractual requirements).  Required Qualifications•At least 2 years experience in public health, social services or similar field, or equivalent combination of relevant education and experience.• 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.• Ability to coalesce diverse entities around a common goal.• Advanced understanding of social determinants of health (SDOH), health disparities, inequities and social risk factors.• Knowledgeable about and respectful of cultural issues on an individual member level.• Strong organizational skills, ability to prioritize and multitask.• Critical thinking skills, including the ability to interpret SDOH data that informs the implementation of targeted interventions to identified populations.• Ability to build strong relationships with key internal and external stakeholders through active participation in community-based initiatives.• Ability to maintain confidentiality and Comply with Health Insurance Portability and Accountability Act (HIPAA).• Excellent verbal and written communication skills.• Microsoft Office suite/applicable software program(s) proficiency. Preferred Qualifications• Licensed in social work, counseling or other related field.  #PJCorp2#LI-AC1To 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/VPay Range: $24 - $46.81 / HOURLY*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.About UsMolina 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 DESCRIPTION Job SummaryProvides support for community-based member advocacy activities. Serves as a local member advocate and resource, using knowledge of the community and resources available to engage and assist vulnerable members in managing health care needs. Contributes to overarching strategy to provide quality and cost-effective member care. Essential Job Duties • Engages with members as an advocate and resource to support management of health care needs. • Collaborates with and supports the health care services team by providing non-clinical paraprofessional duties in the field to include meeting with members in their homes, nursing homes, shelters, provider offices, etc. • Empowers members by helping them navigate and maximize their health plan benefits. Assistance may include: scheduling appointments with providers, arranging transportation for health care visits, getting prescriptions filled and following-up with members on missed appointments. • Assists members in accessing social services such as community-based resources for housing, food, employment, etc. • Provides outreach to locate and/or provide support for disconnected members with special needs. • Conducts research with available data to locate members that Molina has been unable to contact (e.g., reviewing internal databases, contacting member providers or caregivers or travel to last known address or community resource locations such as homeless shelters, etc.) • Participates in ongoing or project-based activities that may require extensive member outreach (telephonic and/or face-to-face). • Guides members to maintain Medicaid eligibility and with other financial resources as appropriate. • 50-80% local travel may be required (based upon state/contractual requirements). Required Qualifications• At least 1 year of health care experience, preferably working with underserved or special needs populations with varied health, economic and educational circumstances, or equivalent combination of relevant education and experience. • Community Health Worker (CHW) certification may be required for certain states (dependent upon contractual requirements). • Valid and unrestricted driver's license, reliable transportation, and adequate auto insurance for job related travel requirements, unless otherwise required by law. • Ability to multi-task applications while speaking with members. • Excellent customer service skills. • Organizational and time-management skills. • Ability and willingness to learn other lines of business, programs and relevant software systems/applications. • Excellent verbal and written communication skills. • Microsoft Office suite/applicable software program(s) proficiency. Preferred Qualifications • Community Health Worker (CHW) certification (for states other than Ohio, Florida and California, where it is required). • Certified Medical Assistant (CMA). • Bilingual based on community need. • Familiarity with health care systems. • Knowledge of community-specific culture. • Experience with/or knowledge of health care systems, community resources, social services, and/or health education. #PJHS3#LI-AC1To 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/VPay Range: $16.4 - $24.5 / HOURLY*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.About UsMolina 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 DESCRIPTION Job SummaryProvides support for member clinical review processes specific to applied behavioral analysis (ABA) services. Responsible for verifying that behavioral health services are medically necessary and align with established clinical guidelines, insurance policies, and regulations - ensuring members reach desired outcomes through integrated delivery of care across the continuum. Contributes to overarching strategy to provide quality and cost-effective member care. Essential Job Duties• Assesses applied behavioral analysis (ABA) services for members - ensuring optimum outcomes, cost-effectiveness and compliance with all state and federal regulations and guidelines.• Analyzes clinical service requests from members/providers against evidence based clinical guidelines.• Identifies appropriate benefits, eligibility and expected length of stay for requested treatments and/or procedures.• Works collaboratively with the utilization and care management departments to provide ABA and behavioral health therapy (BHT) services to Molina members with autism spectrum disorder (ASD) and other related disorders.• Approves prior authorization requests for BHT treatment by reviewing BHT assessments and treatment plans for medical necessity and BHT best practice guidelines. This includes but is not limited to: psychological evaluation requests, comprehensive diagnostic evaluations (CDEs), functional behavioral assessments (FBAs), and progress reports.• Participates in interdepartmental integration and collaboration to enhance care of Molina members receiving BHT treatment.• Provides peer-to-peer consultation to BHT in-network providers to support treatment planning and maximize member progress• Performs ongoing monitoring of BHT treatment plans to evaluate effectiveness and treatment efficacy.• Collaborates with provider contracting and providers services to support recruitment and provider relations in order to ensure network adequacy, quality of care and timeliness of services.• Works collaboratively with ABA providers to ensure best service practices for members.• Develops and coordinates internal and external BHT trainings.• Creates and develops forms, recommendations and guidelines for BHT service delivery.• Works collaboratively with the care management department to ensure members receive appropriate and timely access to BHT services• Collaborates and coordinates with behavioral health medical directors to ensure proper management of the BHT benefit.• 30% estimated local travel may be required (based upon state/contractual requirements). Required Qualifications• At least 2 years health care experience, including experience working as a behavioral analyst, or equivalent combination of relevant education and experience.• Board Certified Behavior Analyst (BCBA) or Licensed Behavior Analyst (LBA). 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.• Demonstrated knowledge of community resources.• Ability to operate proactively and demonstrate detail-oriented work.• Ability to work within a variety of settings and adjust style as needed - working with diverse populations, various personalities and personal situations.• Ability to work independently, with minimal supervision and demonstrate self-motivation.• Responsive in all forms of communication, and ability to 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(s) proficiency.Preferred Qualifications• Utilization management experience.• Health plan/managed care organization experience. #PJHS3#LI-AC1To 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/VPay Range: $26.41 - $51.49 / HOURLY*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.About UsMolina 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 DESCRIPTION Job SummaryProvides support for care management/care coordination activities and collaborates with multidisciplinary team coordinating integrated delivery of member care across the continuum. 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 behavioral health assessments of members per regulated timelines and determines who may qualify for care coordination/case management based on clinical judgment, changes in member health or psychosocial wellness and triggers identified in assessments. • Develops and implements care plan in collaboration with member, caregiver, physician and/or other appropriate healthcare professionals and member support network to address member needs and goals. • Conducts telephonic, face-to-face or home visits as required. • Performs ongoing monitoring of care plan to evaluate effectiveness, document interventions and goal achievement, and suggest changes accordingly. • Maintains ongoing member caseload for regular outreach and management. • Promotes integration of services for members including behavioral health, long-term services and supports (LTSS), and home and community resources to enhance continuity of care. • 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. • May provide consultation, resources and recommendations to peers as needed. • 25-40% estimated local travel may be required (based upon state/contractual requirements). Required Qualifications• At least 2 years health care experience, preferably in behavioral health, or equivalent combination of relevant education and experience. • Licensed behavioral health clinician to include: Licensed Clinical Social Worker (LCSW), Licensed Master Social Worker (LMSW), Advanced Practice Social Worker (APSW), Certified Health Education Specialist (CHES), Licensed Professional Counselor (LPC), Licensed Professional Clinical Counselor (LPCC), Licensed Marriage and Family Therapist (LMFT, Doctor of Psychology (PhD or PsyD) or equivalency based on state contract, regulation, or state board licensing mandate. If licensed, license must be active and unrestricted in state of practice. • Valid and unrestricted driver's license, reliable transportation, and adequate auto insurance for job related travel requirements, unless otherwise required by law. • Experience with working with persons with severe and persistent mental health concerns and serious emotional disturbances, to include substance use disorder and foster care. • Knowledge and experience related to whole person care principles, chronic health conditions, and discharge planning coordination. • Data entry skills and previous experience utilizing a clinical platform. • Excellent verbal and written communication skills. • Microsoft Office suite/applicable software program(s) proficiency.  Preferred Qualifications• Certified Case Manager (CCM). • Experience in behavioral health care management. • Field-based care management or home health experience.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/VPay Range: $26.41 - $51.49 / HOURLY*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.About UsMolina 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 SummaryProvides peer support services for members with behavioral health needs/chemical dependency issues. In collaboration with multidisciplinary care team working across the continuum, strives to ensure member progress toward desired outcomes, and contributes to overarching strategy to provide quality and cost-effective member care.  Essential Job Duties• Serves as peer support for members with behavioral health issues, psychiatric disorders, chemical dependency issues and/or physical illnesses. • Serves as member advocate - provides information, resources, and peer support for members in outpatient and inpatient settings. • Assists members in setting and pursuing recovery goals and works with care managers and/or treatment team to determine the steps needed to achieve goals. • Local travel may be required (based upon state/contractual requirements).  Required Qualifications• At least 1 year health care experience, preferably in a peer support capacity, or equivalent combination of relevant education and experience. •Valid and unrestricted driver's license, reliable transportation, and adequate auto insurance for job related travel requirements. • Demonstrated knowledge of community resources.• Clinical licensure and/or certification required ONLY if required by state contract, regulation, business operating model, or state board licensing mandates.• Knowledge of recovery processes and the ability to facilitate recovery using established standardized behavioral health processes. • Ability and skill to teach and engage in basic problem-solving strategies to support individual members in their self-directed recovery. • Strong attention to detail. • Ability to multi-task between phone and various computer systems. • Ability to communicate with members on the phone or in-person and translate accurate information into contact notes. • Excellent verbal and written communication skills. • Microsoft Office suite/applicable software program(s) proficiency.  Preferred Qualifications• Certified Peer Support Specialist (CPSS),(FPSS), (RPSS),(APSS)• Electronic medical records (EMR) system experience. • Managed care experience. • Peer support experience. • Experience in psychiatric unit or behavioral health facility. • Knowledge of Health Insurance Portability and Accountability Act (HIPAA).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/VPay Range: $14.16 - $29.06 / HOURLY*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.ABOUT USMolina 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 DESCRIPTION Job SummaryProvides 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.• May provide consultation, resources and recommendations to peers as needed.• 25-40% estimated local travel may be required (based upon state/contractual requirements). Required Qualifications• At least 2 years experience in health care, including at least 1 year of experience in care management, managed care, and/or experience in a medical or behavioral health setting, and at least 1 year of experience working with persons with disabilities, chronic conditions, substance abuse disorders, and long-term services and supports (LTSS), or equivalent combination of relevant education and experience.• Licensed Clinical Social Worker (LCSW), Licensed Master Social Worker (LMSW), Advanced Practice Social Worker (APSW), Certified Health Education Specialist (CHES), Licensed Professional Counselor (LPC), Licensed Professional Clinical Counselor (LPCC), Licensed Marriage and Family Therapist (LMFT, Doctor of Psychology (PhD or PsyD) or equivalency based on state contract, regulation, or state board licensing mandate. License must be active and unrestricted in state of practice.• 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 operate proactively and demonstrate detail-oriented work.• Ability to work within a variety of settings and adjust style as needed - working with diverse populations, various personalities and personal situations.• 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, must have at least one year of experience working directly with individuals with substance use disorders. Preferred Qualifications• Certified Case Manager (CCM).• Experience working with populations that receive waiver services.#PJHSTo 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/VPay Range: $27.73 - $54.06 / HOURLY*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.About UsMolina 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 SummaryProvides 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/VPay Range: $24 - $46.81 / HOURLY*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.About UsMolina 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 DESCRIPTION Candidates must reside in Florida and hold an active, unrestricted nursing license in the state. This is a hybrid position requiring approximately 20% travel to hospital settings to support member needs. Applicants must have a minimum of two years of case management experience, specifically working with pediatric and adolescent populations.Job SummaryProvides support for care transition activities. Facilitates transitional care processes and coordination for member discharge from hospital admission to all other settings. Strives to ensure that best possible services are available to members at time of hospital discharge, and focuses on goal to reduce member readmissions. Contributes to overarching strategy to provide quality and cost-effective member care. Essential Job Duties• Follows member throughout a 30 day program that starts at hospital admission and continues oversight through transitions from acute setting to all other settings, including nursing facility placement/private home, with the goal of reduced readmissions.• Ensures safe and appropriate transitions by collaborating with the hospital discharge planner, as well as collaborating with hospitalists, outpatient providers, facility staff, and family/support network.• Ensures member transitions to setting with adequate caregiving and functional support, as well as medical and medication oversight support.• Works with participating ancillary providers, public agencies or other service providers to make sure necessary services and equipment are in place for safe transition.• Conducts face-to-face visits of all members while in the hospital and, home visits high-risk members post-discharge as needed.• Coordinates care and reassesses member needs using the Coleman Care Transition model post-discharge.• Educates and supports member focusing on seven primary areas (Transition of Care Pillars): medication management, use of personal health record, follow-up care, signs and symptoms of worsening condition, nutrition, functional needs and or home and community-based services, and advance directives.• 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.• Facilitates interdisciplinary care team meetings (ICT) and collaboration.• Provides consultation, recommendations and education as appropriate to non-behavioral health care managers.• 40-50% local travel may be required (based upon state/contractual requirements). Required Qualifications• At least 2 years experience in health care, with at least 1 year of experience in hospital discharge planning, care management or behavioral health setting, or equivalent combination of relevant education and experience.• Registered Nurse (RN). License must be active and unrestricted in state of practice.• Valid and unrestricted driver's license, reliable transportation, and adequate auto insurance for job related travel requirements, unless otherwise required by law.• Knowledge of or experience using the Care Transitions Intervention (CTI) or similar model.• Background in discharge planning and/or home health.• Demonstrated knowledge of community resources.• Proactive and detail-oriented.• Ability to work within a variety of settings and adjust style as needed - working with diverse populations, various personalities and personal situations.• Ability to work independently, with minimal supervision and demonstrate self-motivation.• Responsive in all forms of communication, and ability to 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.• Excellent verbal and written communication skills.• Microsoft Office suite/other applicable software program(s) proficiency. Preferred Qualifications• Transitions of care sub-specialty certification and/or Certified Case Manager (CCM).• Hospital discharge planning or home health experience.#PJHPO3#LI-AC1To 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/VPay Range: $26.41 - $51.49 / HOURLY*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.About UsMolina 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 DESCRIPTION Job SummaryProvides 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/VPay Range: $24 - $46.81 / HOURLY*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.About UsMolina 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. 

***Candidates For This Position Must Reside in/near Pierce or Thurston Counties******Bilingual, Any Language Accepted, Spanish preferred***Are you passionate about serving and helping your community? Do you enjoy building relationships?Molina Healthcare is hiring a Growth & Community Engagement Senior Specialist in either Pierce or Thurston County. This role will also have occasional travel to King County upon business needs. This critical role goes far beyond simply attending events or programs. At Molina, our work is rooted in making a meaningful impact on people’s lives- whether that’s educating individuals about their health insurance coverage or partnering with community agencies to ensure the community has access to the resources needed. We are seeking someone with prior experience in a field-based, community or public-facing role. This experience may come from a variety of backgrounds, including but not limited to: Health Educator, Community Liaison, Promoter, Outreach Worker, Public Health Aide, Community Connector, Sales or Marketing professional, Insurance Agent, or Insurance Consultant.This is a highly community and externally facing role, requiring frequent engagement with community-based organizations, faith-based organizations, healthcare providers such as clinics, hospitals, and community health centers, as well as nonprofits focused on areas like housing, food access, and behavioral health.The position is field-based 50–70%+ of the time, meeting with partners, attending and hosting community events, and serving as a visible ambassador and trusted representative of Molina Healthcare. The overall goal of the role is to support the retention and growth of Molina membership while strengthening our presence and partnerships within the community.Occasional evenings or weekend events may be required. In return, the role offers flexibility, allowing you to adjust your schedule to maintain a healthy and sustainable work-life balance. This position offers great flexibility and allows you to manage your territory and schedule to meet business needs. Molina’s leadership team leads by empowering you to do what you love best by helping others!Interviews are being conducted immediately! Apply today!KNOWLEDGE/SKILLS/ABILITIESUnder limited supervision, responsible for carrying out enrollment events and achieving assigned membership growth targets through a combination of direct and indirect marketing activities, with the primary responsibility of improving the plan's overall “choice” rate.   Works collaboratively with other key departments to increase Medicaid assignment percentage for Molina.Provides leadership for new or less experienced Enrollment Growth team members by training, developing, coaching, mentoring and being a positive role model.  May also serve as the Acting Supervisor or Manager for the team upon management request.Responsible for achieving monthly, quarterly, and annual enrollment goals & growth and choice targets, as established by management.Works closely with other team members and management to develop/maintain/deepen relationships with key business leaders, community-based organizations (CBOs) and providers, ensuring all efforts are directed towards building Medicaid membership.  Effectively moves these relationships through the “enrollment” pipeline.Schedules, coordinates & participates in enrollment events, encourages key partners to participate, and assists where feasible.Works cohesively with Provider Services to ensure providers within assigned territory are aware of Molina products and services.  Establishes simple referral processes for providers and CBOs to refer clients who may be eligible for other Molina products.Viewed as a “subject matter expert” (SME) by community and influencers on the health care delivery system and wellness topics.Delivers presentations, attends meetings and distributes educational materials to both members and potential members.Answers incoming calls from perspective and current members.  Provides them with information and materials about Molina Healthcare.  Directs members to the appropriate Molina department(s) as needed and assists with contacting department(s) through in-house phone line assistance.Coordinates, leads, and executes company programs for each of their perspective regions.Responsible for assisting and executing Molina turnkey events and align media components.    REQUIRED EDUCATION: Bachelor’s Degree or equivalent, job-related experience.PREFERRED EDUCATION: Bachelor’s Degree in Marketing or related discipline.REQUIRED EXPERIENCE:5 years of related experience (e.g., marketing, business development, community engagement, healthcare industry).Demonstrated exceptional networking and negotiations skills.  Experience with sales and marketing techniques.Demonstrated strong public speaking and presentations skills.Demonstrated ability to work in a fast-paced, team-oriented environment with little supervision.REQUIRED LICENSE, CERTIFICATION, ASSOCIATION:Must have valid driver’s license with good driving record and be able to drive within applicable state or locality with reliable transportation.PREFERRED EXPERIENCE:Fluency in a second language highly desirable, Spanish preferredAbility to attend public events in outdoor venues in all weather conditions.Ability to sit and stand for long periods.Ability to drive up to 3 hours to attend events.  Must be able to lift 30 pounds.Prior related work experience in a senior or lead capacity.Solid understanding of Health Care Markets, primarily Medicaid.Previous healthcare marketing, enrollment and/or grassroots/community outreach experience a plus.5+ years of outreach experience serving low-income populations and/or experience presenting to influence audiences.3 - 5 years’ project management experience, preferably in a health care or outreach setting.PREFERRED LICENSE, CERTIFICATION, ASSOCIATION:Active Life & Health InsuranceMarket Place CertifiedTo all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing. Molina Healthcare offers competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.Same Posting Description for Internal and External CandidatesKey Words: Managed Care, Healthplanfinder, HCA, HCBS, Adult Medical, health care, insurance, health insurance, Medicaid, Medicare, health coach, Apple Health, Eligibility, benefits, community health advisor, Sales, Marketing, family advocate, health educator, liaison, promoter, outreach worker, peer counselor, patient navigator, health interpreter and public health aide, community lead, community advocate, nonprofit, non-profit, social worker, case worker, housing counselor, human service worker, Navigator, Assistor, Connecter, Promotora, #PJCorpPay Range: $21.82 - $48.94 / HOURLY*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.About UsMolina 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 DESCRIPTION Job SummaryProvides 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/VPay Range: $25.2 - $49.15 / HOURLY*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.About UsMolina 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 DESCRIPTION Job SummaryProvides peer support services for members with behavioral health needs/chemical dependency issues. In collaboration with multidisciplinary care team working across the continuum, strives to ensure member progress toward desired outcomes, and contributes to overarching strategy to provide quality and cost-effective member care. Essential Job Duties • Serves as peer support for members with behavioral health issues, psychiatric disorders, chemical dependency issues and/or physical illnesses. • Serves as member advocate - provides information, resources, and peer support for members in outpatient and inpatient settings. • Assists members in setting and pursuing recovery goals and works with care managers and/or treatment team to determine the steps needed to achieve goals. • Local travel may be required (based upon state/contractual requirements). Required Qualifications• CRPS, Certified Recovery Peer Specialist• At least 1 year health care experience, preferably in a peer support capacity, or equivalent combination of relevant education and experience. •Valid and unrestricted driver's license, reliable transportation, and adequate auto insurance for job related travel requirements. • Demonstrated knowledge of community resources. • Knowledge of recovery processes and the ability to facilitate recovery using established standardized behavioral health processes. • Ability and skill to teach and engage in basic problem-solving strategies to support individual members in their self-directed recovery. • Strong attention to detail. • Ability to multi-task between phone and various computer systems. • Ability to communicate with members on the phone or in-person and translate accurate information into contact notes. • Excellent verbal and written communication skills. • Microsoft Office suite/applicable software program(s) proficiency. Preferred Qualifications • Electronic medical records (EMR) system experience. • Managed care experience. • Peer support experience. • Experience in psychiatric unit or behavioral health facility. • Knowledge of Health Insurance Portability and Accountability Act (HIPAA). #PJHPO2#LI-AC1To 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/VPay Range: $14.9 - $29.06 / HOURLY*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.About UsMolina 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.

Are you passionate about serving others? Do you have established relationships within the community? Come join our growing Community Engagement team at Molina Healthcare!Community Outreach and Engagement is more than just participating in events— at Molina, we focus on making an impact on people’s lives!This role involves working with a wide variety of community partners to grow Molina’s membership and improve the health and well-being of the Community. Our Specialists work collaboratively with our sales team and across Molina and with each other’s regions. You will be responsible for managing events and community relationships in Brooklyn and surrounding counties.  You will be in the field engaging with CBO’s (Community Based Organizations) 50% or more of the time (Molina reimburses mileage).This position offers great flexibility and allows for you to manage your territory and schedule to meet business needs. Molina’s leadership team leads with empowering you to do what you love best by helping others.Bilingual (Spanish) Highly Desired!**Candidates for this position must live in or near Queens and have a reliable vehicle**Bilingual Highly Desired - Hindi, Bengali, Urdu and/or ArabicKNOWLEDGE/SKILLS/ABILITIESResponsible for achieving established goals improving Molina’s enrollment growth objectives encompassing Medicaid programs.  Works collaboratively with key departments across the enterprise to improve overall choice rates and assignment percentages.Under limited supervision, responsible for carrying out enrollment events and achieving assigned membership growth targets through a combination of direct and indirect marketing activities, with the primary responsibility of improving the plan's overall “choice” rate.   Works collaboratively with other key departments to increase the Medicaid assignment percentage for Molina.Works closely with other team members and management to develop/maintain/deepen relationships with key business leaders, community-based organizations (CBOs) and providers, ensuring all efforts are directed towards building membership for Medicaid and related programs. Effectively moves relationships through the “enrollment” pipeline.Responsible for achieving monthly, quarterly, and annual enrollment goals, and growth and choice targets, as established by management.Schedules, coordinates & participates in enrollment events, encourages key partners to participate, and assists where feasible.Works cohesively with Provider Services to ensure providers within assigned territory are aware of Molina products and services.  Establishes simple referral processes for providers and CBOs to refer clients who may be eligible for other Molina products.Viewed as a “subject matter expert” (SME) by community and influencers on the health care delivery system and wellness topics.Delivers presentations, attends meetings and distributes educational materials to both members and potential members.Assists with all incoming calls and assist perspective members or members with health access related questions.Identify partnerships with key sponsorship opportunities and provide justification to determine Molina's participation. Identify and promote Molina's programs out in the community and creates opportunities for employees to participate.Responsible for managing their own daily schedule in alignment with department goals and initiatives as assigned by regions.Key in the development of SMART goals and provide input on department priorities.JOB QUALIFICATIONSRequired Education: Bachelor’s Degree or equivalent, job-related experience.Preferred Education: Bachelor’s Degree in Marketing or related discipline.Required Experience:Min. 3 years of related experience (e.g., marketing, business development, community engagement, healthcare industry).Demonstrated exceptional networking and negotiations skills.Demonstrated strong public speaking and presentations skills.Demonstrated ability to work in a fast-paced, team-oriented environment with little supervision.Must be able to attend public events in outdoor venues in all weather conditions.Must be able to sit and stand for long periods.Must be able to drive up to 3 hours to attend events.  Must be able to lift 30 pounds.Required License, Certification, Association:Must have valid driver’s license with good driving record and be able to drive within applicable state or locality with reliable transportation.Preferred Experience:Solid understanding of Health Care Markets, primarily Medicaid.Previous healthcare marketing, enrollment and/or grassroots/community outreach experience a plus.5 years of outreach experience serving low-income populations.3 - 5 years project management experience, preferably in a health care or outreach setting.Experience presenting to influencer and low-income audiences.   Experience in sales or marketing techniques.Fluency in a second language highly desirable.Preferred License, Certification, Association:Active Life & Health InsuranceMarket Place Certified#PJHPO#LI-AC1#HTFTo 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.Key Words: health care, insurance, health insurance, Medicaid, Medicare, health coach, community health advisor, family advocate, health educator, liaison, promoter, outreach worker, peer counselor, patient navigator, health interpreter and public health aide, community lead, community advocate, nonprofit, non-profit, social worker, case worker, housing counselor, human service worker, Navigator, Assistor, Connecter, Promotora, Marketing, Sales, Growth, New York, MCO, Managed Care, ACA, FQHC, Behavioral Health, CHW, Community Health Worker, Equity, DPBH, HMO, SDOH, Bilingual, South Asian, Hindi, Bengali, Urdu, ArabicPay Range: $19.84 - $46.42 / HOURLY*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.About UsMolina 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.