Case Manager Registered Nurse NICU/PEDS Remote with field travel in Spokane/Eastern WA

Internal Number : 2026437

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.

This position will be supporting our Washington State program. We are seeking a Registered Nurse with Case management experience, NICU and / or experience with complex Pediatrics.

This includes Pediatric intensive care; trach / vent experience, PEDS home nursing and discharge planning experience. Bilingual candidates are encouraged to apply .

Further details to be discussed during our interview process .

Work schedule Monday - Friday 8 : 00 AM to 5 : 00 PM PST.

Remote position with possible light to hospitals within Spokane / Eastern WA

KNOWLEDGE / SKILLS / ABILITIES

• 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.
• 25- 40% local travel required.
• RNs provide consultation, recommendations and education as appropriate to non-RN case managers.
• RNs are assigned cases with members who have complex medical conditions and medication regimens
• RNs conduct medication reconciliation when needed.

JOB QUALIFICATIONS

Required Education

Graduate from an Accredited School of Nursing. Bachelor's Degree in Nursing preferred.

Required Experience

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

NICU / Complex Peds

Pediatric intensive care; trach / vent experience, PEDS home nursing and discharge planning

Required License, Certification, Association

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.

WA state RN license

Preferred Education

Bachelor's Degree in Nursing

Preferred Experience

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

Preferred License, Certification, Association

Active, unrestricted Certified Case Manager (CCM)

Bilingual candidates

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 : $ - $ / HOURLY

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