Telephonic Care Manager, LTSS (RN) - OB / Women's Health - TX ONLY

Job Description

JOB DESCRIPTION

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Opportunity for a TX licensed RN with experience working in women’s health; specifically, OB, L&D, or postpartum, to join our Texas Health Plan as a Case Manager. Your caseload will consist of members who are pregnant, many of them high risk.  Telephonically you will complete assessments needed for determining the types of services we need to provide and managing their care until they are discharged from your service. The ideal candidate will have experience as a Case Manager within a managed care organization (MCO) like Molina, but we also consider RNs with a strong background in women’s health. Hours are Monday – Friday, 8 AM – 5 PM CST working from home.

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Solid experience with Microsoft Office Suite is necessary, especially with Outlook, Excel, and Teams as well as being confident in moving between different programs to complete the necessary forms and documentation. Excellent computer skills and attention to detail are very important to multitask between systems and talk with members on the phone while entering accurate contact notes. This is a fast-paced position and productivity is important.

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Job Summary

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Provides support for care management / care coordination long-term services and supports specific activities and collaborates with multidisciplinary team coordinating integrated delivery of member care across the continuum for members with high-need potential. Strives to ensure member progress toward desired outcomes and contributes to overarching strategy to provide quality and cost-effective member care.

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Essential Job Duties

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• Completes comprehensive member assessments within regulated timelines, including in-person home visits as required.

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Required Qualifications

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Preferred Qualifications

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\n To all current Molina employees : If you are interested in applying for this position, please apply through the Internal Job Board.

\n 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 - $51.49 / HOURLY