Internal Number : 2025973
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 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 source.
- 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.
- Provides consultation, recommendations and education as appropriate to non-RN case managers
- Works cases with members who have complex medical conditions and medication regimens
- Conducts medication reconciliation when needed.
travel required.
JOB QUALIFICATIONS
Required Education
Graduate from an Accredited School of Nursing
Required Experience
- At least 1 year of experience working with persons with disabilities / chronic conditions and Long Term Services & Supports.
- years in case management, disease management, managed care or medical or behavioral health settings.
- Required License, Certification, Association
- Active, unrestricted State Registered Nursing license (RN) in good standing
- If field work is required, Must have valid driver's license with good driving record and be able to drive within applicable state or locality with reliable transportation.
State Specific Requirements
Virginia : Must have at least one year of experience working directly with individuals with Substance Use Disorders
Preferred Education
Bachelor's Degree in Nursing
Preferred Experience
- years in case management, disease management, managed care or medical or behavioral health settings.
- 1 year experience working with population who receive waiver services.
Preferred License, Certification, Association
Active and unrestricted Certified Case Manager (CCM)
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.
PJHS2
LI-AC1
Pay Range : $ - $ / HOURLY
- Actual compensation may vary from posting based on geographic location, work experience, education and / or skill level.
Field Case Manager, LTSS (RN)
Provides consultation, recommendations and education as appropriate to non-RN case managers. Active and unrestricted Certified Case Manager (CCM). Develops and implements a case management plan, including a waiver service plan, in collaboration with the member, caregiver, physician and/or other appr...
RN Case Manager (Registered Nurse Case Manager)
National Board for Certification in Continuity of Care: Advanced Certification in Continuity of Care (ACCC)Commission on Rehabilitation Counselor Certification: Certified Rehabilitation Counselor (CRC)American Nurses Credentialing Center Nurse Case Manager (RN-NCM)National Academy of Certified Care ...
Field Case Manager, LTSS RN
Provides consultation, recommendations and education as appropriate to non-RN case managers. Active and unrestricted Certified Case Manager (CCM). Develops and implements a case management plan, including a waiver service plan, in collaboration with the member, caregiver, physician and/or other appr...
Complex Case Manager RN - Oncology (Remote)
In addition to identifying the appropriate clinical interventions and referrals, the incumbent will manage an active case load of members in his/her panel that are enrolled in case management. Excellent interpersonal/ consensus building skills as well as the ability to work with a variety of interna...
Case Manager RN
Certified Case Manager is preferred. Develops, implements and supports Health Strategies, tactics, policies and programs that ensure the delivery of benefits and to establish overall member wellness and successful and timely return to work. Ability to occasionally travel within a designated geograph...
RN Case Manager (Hospice) - Part Time - Clear Lake
We are currently seeking qualified candidates for a part time Registered Nurse (RN) Case Manager position in the Clear Lake area. The RN-Case Manager is an integral part of the interdisciplinary care team and as such is responsible for admitting and coordinating appropriate care for each patient and...
RN Case Manager-PRN
Receives patient assignments from the Patient Care Manager or Case Manager. Registered Nurse Case Manager. The RN provides nursing assessment, planning and care to maximize the comfort and health of patients and families. The RN responds to all phone calls promptly and appropriately, makes patient v...
RN Care Transition Manager / Case Manager PRN
Registered Nurse, RN Case Manager / PRN. Daytime PRN as needed schedule. ...
Home Health RN Case Manager needed in S. Fort Worth and nearby areas
Full Time/PRN Home Health RN Case Manager. RN #casemanager #infusionnurse #registerednurse #IV #woundcare #OASIS #RegisteredNurse. The Dallas office is a stable operation & census; including a well-seasoned office and field staff. The RN position will be required to perform home health SN Initia...
Registered Nurse RN Case Manager
Find Your Passion and Purpose as an RN Case Manager. Offer Based on Years of Experience What You Need to Know Our Investment in You We are committed to offering comprehensive benefits and rewards to full-time employees who work over 30 hours per week and their families, including: Medical, dental, a...