Case Manager | Utah

Overview

Remote
Depends on Experience
Contract - W2

Job Details

Case Manager | 1+ year | Hybrid | Utah | Contract

Walker Healthforce is seeking a Case Manager with 1+ years’ experience to support a healthcare client based out of Utah. This is a contract opportunity.

RATE RANGE: Competitive

CORE REQUIREMENTS:
  • At least 1 year of experience working with people with disabilities/chronic conditions and Long-Term Services & Supports
  • 1-3 years in case management, disease management, managed care or medical or behavioral health settings
  • Completion of an accredited Licensed Vocational Nurse (LVN) or Licensed Practical Nurse (LPN) Program OR bachelor’s or master’s degree in social science, psychology, gerontology, public health or social work OR any combination of education and experience that would provide an equivalent background

ADDITIONAL REQUIREMENTS:
  • 50-75% local travel
  • Valid driver's license with good driving record and be able to drive within applicable state or locality with reliable transportation

WE CONSIDER IT A BONUS IF YOU ALSO HAVE:
  • 3-5 years in case management, disease management, managed care or medical or behavioral health settings.
  • 1 year working with population who receive waiver services.
  • Active and unrestricted Certified Case Manager (CCM)
  • Active, unrestricted State Nursing license (LVN/LPN) OR Clinical Social Worker license in good standing

JOB RESPONSIBILITIES:
Completes face-to-face comprehensive assessments of members per regulated timelines.
Facilitates comprehensive waiver enrollment and disenrollment processes.
Develops and implements a case management plan, including a waiver service plan, in collaboration with the member, caregiver, physician and/or other appropriate healthcare professionals and member's support network to address the member needs and goals.
Performs ongoing monitoring of the care plan to evaluate effectiveness, document interventions and goal achievement, and suggest changes accordingly.
Promotes integration of services for members including behavioral health care and long-term services and supports, home and community to enhance the continuity of care for Molina members.
Assesses for medical necessity and authorize all appropriate waiver services.
Evaluates covered benefits and advise appropriately regarding funding sources.
Conducts face-to-face or home visits as required.
Facilitates interdisciplinary care team meetings for approval or denial of services and informal ICT collaboration.
Uses motivational interviewing and Molina clinical guideposts to educate, support and motivate change during member contacts.
Assesses for barriers to care, provides care coordination and assistance to member to address psycho/social, financial, and medical obstacles concerns.
Identifies critical incidents and develops prevention plans to assure member's health and welfare.
 

WHAT WE OFFER:
  • Competitive compensation package
  • Weekly pay via Direct Deposit
  • Medical, Dental & Vision available
  • 401k options

WHY WORK WITH WALKER?
  • Access to our top ranked team of recruiting and placement specialists
  • Continuous, one-on-one support from a dedicated engagement manager
  • Professional resume development and interview preparation

Contact our Recruiting Team today to experience the Walker Healthforce difference!

ABOUT US:
Walker Healthforce is known as the dominant force of performance, precision, expertise, and integrity in the healthcare consulting community! As a certified WMBE, we provide end-to-end healthcare IT and clinical solutions to hospitals, health systems, and payer organizations, including Fortune 100 firms nationwide. We are healthcare experts, we’re custom not commodity and we’ve been exceeding expectations for nearly 20 years. Join forces with us to experience unparalleled results today!

We are an Equal Opportunity Employer committed to a culturally diverse workforce. All qualified applicants will receive consideration for employment without regard to race, religion, color, age, sex, national origin, sexual orientation, gender identity, disability status or protected veteran status.


#IND1
Employers have access to artificial intelligence language tools (“AI”) that help generate and enhance job descriptions and AI may have been used to create this description. The position description has been reviewed for accuracy and Dice believes it to correctly reflect the job opportunity.

About Walker Healthforce