Telephonic RN Care Manager
About the position
We are seeking a (RN) Registered Nurse who must live and have a current active unrestricted RN license in the state of UT. This position will support our Medicaid Population that is live within the state of UT. This position will have a case load and manage members enrolled in this program. We are looking for Registered Nurses who have experience working with manage care population and/or case management role. Excellent computer skills and diligence are especially important to multitask between systems, talk with members on the phone, and enter accurate contact notes. This is a fast-paced position and productivity is important. This is a Remote position, home office with internet connectivity of high speed required. (must be able to go into the office for team meetings and/or training events) Schedule: Monday thru Friday 8:00AM to 4:30 PM MST.
Responsibilities
• Completes comprehensive assessments of members per regulated timelines and determines who may qualify for case management based on clinical judgment, changes in member's health or psychosocial wellness, and triggers identified in the assessment.
• Develops and implements a case management 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.
• Conducts face-to-face or home visits as required.
• Performs ongoing monitoring of the care plan to evaluate effectiveness, document interventions and goal achievement, and suggest changes accordingly.
• Maintains ongoing member case load for regular outreach and management.
• 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.
• 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.
• Provides consultation, recommendations and education as appropriate to non-RN case managers.
• Conducts medication reconciliation when needed.
Requirements
• Graduate from an Accredited School of Nursing.
• Active, unrestricted State Registered Nursing (RN) license in good standing.
• Must have valid driver's license with good driving record and be able to drive within applicable state or locality with reliable transportation.
• 1-3 years in case management, disease management, managed care or medical or behavioral health settings.
Nice-to-haves
• Bachelor's Degree in Nursing.
• 3-5 years in case management, disease management, managed care or medical or behavioral health settings.
• Active, unrestricted Certified Case Manager (CCM).
Benefits
• Competitive benefits and compensation package.
Apply Now
Apply Now
We are seeking a (RN) Registered Nurse who must live and have a current active unrestricted RN license in the state of UT. This position will support our Medicaid Population that is live within the state of UT. This position will have a case load and manage members enrolled in this program. We are looking for Registered Nurses who have experience working with manage care population and/or case management role. Excellent computer skills and diligence are especially important to multitask between systems, talk with members on the phone, and enter accurate contact notes. This is a fast-paced position and productivity is important. This is a Remote position, home office with internet connectivity of high speed required. (must be able to go into the office for team meetings and/or training events) Schedule: Monday thru Friday 8:00AM to 4:30 PM MST.
Responsibilities
• Completes comprehensive assessments of members per regulated timelines and determines who may qualify for case management based on clinical judgment, changes in member's health or psychosocial wellness, and triggers identified in the assessment.
• Develops and implements a case management 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.
• Conducts face-to-face or home visits as required.
• Performs ongoing monitoring of the care plan to evaluate effectiveness, document interventions and goal achievement, and suggest changes accordingly.
• Maintains ongoing member case load for regular outreach and management.
• 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.
• 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.
• Provides consultation, recommendations and education as appropriate to non-RN case managers.
• Conducts medication reconciliation when needed.
Requirements
• Graduate from an Accredited School of Nursing.
• Active, unrestricted State Registered Nursing (RN) license in good standing.
• Must have valid driver's license with good driving record and be able to drive within applicable state or locality with reliable transportation.
• 1-3 years in case management, disease management, managed care or medical or behavioral health settings.
Nice-to-haves
• Bachelor's Degree in Nursing.
• 3-5 years in case management, disease management, managed care or medical or behavioral health settings.
• Active, unrestricted Certified Case Manager (CCM).
Benefits
• Competitive benefits and compensation package.
Apply Now
Apply Now