LVN Case Manager: Maternal Health Nurse

We are seeking LICENSED VOCATIONAL NURSES (LVN / LPN) NURSE CASE MANAGER.(2 positions available). Excellent computer skills and attention to detail are very important to multi task between systems, talk with members on the phone, and enter accurate contact notes.

Virtual office skills are necessary to be collaborative between team members using MS Teams, videoconference, voice conferencing and email / chat communications.

This is a fast paced position and productivity is important.

Bilingual Spanish preferred but not required.

Prior experience with Maternal Health preferred but not required.

Must be a LVN / LPN.

Work Schedule M - F 8am to 5PM Central or Mountain Time zone preferred.

This is a remote based position, and you can work from home.

JOB DESCRIPTION

Job Summary

Molina Healthcare Services (HCS) works with members, providers and multidisciplinary team members to assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long term care, for members with high need potential.

HCS staff work to ensure that patients progress toward desired outcomes with quality care that is medically appropriate and cost-effective based on the severity of illness and the site of service.

KNOWLEDGE / SKILLS / ABILITIES

• Completes clinical 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 from 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 telephonic, 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 to enhance the continuity of care for Molina members.
• May implement specific Molina wellness programs i.e. asthma and depression disease management.
• 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.
• Collaborates with RN case managers / supervisors as needed or required
• Case managers in Behavioral Health and Social Science fields may provide consultation, resources and recommendations to peers as needed
• Local travel of up to 40% may be required, depending on the complexity level of the assigned members, particular state-specific regulations, or whether the Case Manager position is located within Molinas Central Programs unit.

JOB QUALIFICATIONS

REQUIRED EDUCATION :

Any of the following :

Completion of an accredited Licensed Vocational Nurse (LVN) or Licensed Practical Nurse (LPN) Program

1-3 years in case management, disease management, managed care or medical or behavioral health settings.

REQUIRED LICENSE, CERTIFICATION, ASSOCIATION :

If license required for the job, license must be active, unrestricted and in good standing.

Must have valid drivers license with good driving record and be able to drive within applicable state or locality with reliable transportation.

PREFERRED EXPERIENCE :

3-5 years in case management, disease management, managed care or medical or behavioral health settings.

PREFERRED LICENSE, CERTIFICATION, ASSOCIATION :

COMPACT NURSING licensure preferred.

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 : $21.6 - $46.81 / HOURLY

Actual compensation may vary from posting based on geographic location, work experience, education and / or skill level.

Required

Preferred

Job Industries

• Other
12 hours ago