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. To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V Pay Range: $16.4 - $31.97 / HOURLY Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
05/26/2026
Full time
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. To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V Pay Range: $16.4 - $31.97 / HOURLY Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
Job Description Job Summary Makes outbound calls to members, completes assigned hand-dial lists, and provides proactive member support, information, and assistance. Adheres to member interaction departmental standards, call quality, and documentation requirements. Job Duties Schedules high-quality member appointments daily to meet departmental goals. Completes assigned hand-dial lists and member research requirements with accuracy and efficiency. Provides basic support and guidance to members with empathy and professionalism. Participates in ongoing training sessions to enhance service quality and knowledge. Job Qualifications REQUIRED QUALIFICATIONS: At least 1 year experience in a healthcare service environment, or equivalent combination of relevant education and experience. High attention to detail and ability to follow member interaction scripting. Flexible and adaptive to changing priorities and workflows. Compassionate and service oriented. Bilingual (English and at least one additional language, as required). Strong verbal and written communication skills. PREFERRED QUALIFICATIONS: Healthcare administrative support experience in roles such as Medical Office Assistant, Patient Services Representative, Medical Receptionist, Front Desk Coordinator, or Scheduler. 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: $20.25 - $30.39 / HOURLY Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
05/26/2026
Full time
Job Description Job Summary Makes outbound calls to members, completes assigned hand-dial lists, and provides proactive member support, information, and assistance. Adheres to member interaction departmental standards, call quality, and documentation requirements. Job Duties Schedules high-quality member appointments daily to meet departmental goals. Completes assigned hand-dial lists and member research requirements with accuracy and efficiency. Provides basic support and guidance to members with empathy and professionalism. Participates in ongoing training sessions to enhance service quality and knowledge. Job Qualifications REQUIRED QUALIFICATIONS: At least 1 year experience in a healthcare service environment, or equivalent combination of relevant education and experience. High attention to detail and ability to follow member interaction scripting. Flexible and adaptive to changing priorities and workflows. Compassionate and service oriented. Bilingual (English and at least one additional language, as required). Strong verbal and written communication skills. PREFERRED QUALIFICATIONS: Healthcare administrative support experience in roles such as Medical Office Assistant, Patient Services Representative, Medical Receptionist, Front Desk Coordinator, or Scheduler. 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: $20.25 - $30.39 / HOURLY Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
JOB DESCRIPTION Job Summary Provides support for long-term care screening processes and coordination for older adults and adults with physical or intellectual disabilities for The Management Group (TMG) IRIS Consultant Agency (ICA) participants. Contributes to overarching strategy to provide quality and cost-effective care. Essential Job Duties • Completes the adult long-term care functional screen (LTC-FS) as required and outlined in the Wisconsin adult LTC-FS guidelines. • Meets with program participants face-to-face to complete screening process. • Completes collateral contacts to verify screen findings with internal stakeholders MAPC agencies and day programs, and verifies diagnosis information with physicians and/or Social Security Administration. • Complies with documentation and program regulations, guidelines and meets screening quota. • Maintains screening skills by participating in weekly team meetings, monthly all screener meetings, quizzes and testing. • Collaborates on development, process improvement and ongoing quality management of services and related materials/products. • Compiles data reports and summaries as needed. • Local travel may be required (based upon state/contractual requirements). Required Qualifications •1 year of experience serving target groups of the IRIS program (adults with physical/intellectual disabilities or older adults), or equivalent combination of relevant education and experience. • Must be currently certified to conduct/administer the adult long-term care functional screens or pass the Wisconsin adult long-term care functional screen certification modules (80% or higher on each module) within first week of hire and maintain certification as a screener. • Bachelor of arts or science degree or more advanced degree in a health or human services related field (e.g. social work, psychology) or graduate from an accredited school of nursing. • If a graduate from an accredited school of nursing, must have an active and unrestricted Wisconsin Registered Nurse (RN) license in good standing. • Valid and unrestricted driver's license, reliable transportation, and adequate auto insurance for job related travel requirements. • Attention to detail and ability to ensure accuracy of data. • Strong organizational and time-management skills. • Strong customer service skills and the ability to work cooperatively as part of a team and independently. • Ability to remain flexible in the work environment and willing and able to adapt to changing organizational needs. • Excellent verbal and written communication skills. • Demonstrated computer and software skills required including Microsoft Office suite/applicable software program(s) proficiency. • Travel Requirements 5%. Preferred Qualifications • Current or former certification to conduct/administer adult Long-Term Care Functional Screening (LTCFS) in the state of Wisconsin. To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V Pay Range: $19.84 - $38.69 / HOURLY Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
05/26/2026
Full time
JOB DESCRIPTION Job Summary Provides support for long-term care screening processes and coordination for older adults and adults with physical or intellectual disabilities for The Management Group (TMG) IRIS Consultant Agency (ICA) participants. Contributes to overarching strategy to provide quality and cost-effective care. Essential Job Duties • Completes the adult long-term care functional screen (LTC-FS) as required and outlined in the Wisconsin adult LTC-FS guidelines. • Meets with program participants face-to-face to complete screening process. • Completes collateral contacts to verify screen findings with internal stakeholders MAPC agencies and day programs, and verifies diagnosis information with physicians and/or Social Security Administration. • Complies with documentation and program regulations, guidelines and meets screening quota. • Maintains screening skills by participating in weekly team meetings, monthly all screener meetings, quizzes and testing. • Collaborates on development, process improvement and ongoing quality management of services and related materials/products. • Compiles data reports and summaries as needed. • Local travel may be required (based upon state/contractual requirements). Required Qualifications •1 year of experience serving target groups of the IRIS program (adults with physical/intellectual disabilities or older adults), or equivalent combination of relevant education and experience. • Must be currently certified to conduct/administer the adult long-term care functional screens or pass the Wisconsin adult long-term care functional screen certification modules (80% or higher on each module) within first week of hire and maintain certification as a screener. • Bachelor of arts or science degree or more advanced degree in a health or human services related field (e.g. social work, psychology) or graduate from an accredited school of nursing. • If a graduate from an accredited school of nursing, must have an active and unrestricted Wisconsin Registered Nurse (RN) license in good standing. • Valid and unrestricted driver's license, reliable transportation, and adequate auto insurance for job related travel requirements. • Attention to detail and ability to ensure accuracy of data. • Strong organizational and time-management skills. • Strong customer service skills and the ability to work cooperatively as part of a team and independently. • Ability to remain flexible in the work environment and willing and able to adapt to changing organizational needs. • Excellent verbal and written communication skills. • Demonstrated computer and software skills required including Microsoft Office suite/applicable software program(s) proficiency. • Travel Requirements 5%. Preferred Qualifications • Current or former certification to conduct/administer adult Long-Term Care Functional Screening (LTCFS) in the state of Wisconsin. To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V Pay Range: $19.84 - $38.69 / HOURLY Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
JOB DESCRIPTION Job Summary Provides support for care 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. Must be able to travel in the greater Vancouver Washington area. 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. • 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). 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 To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V Pay Range: $26.41 - $59.21 / HOURLY Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
05/26/2026
Full time
JOB DESCRIPTION Job Summary Provides 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. Must be able to travel in the greater Vancouver Washington area. 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. • 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). 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 To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V Pay Range: $26.41 - $59.21 / HOURLY Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.