RN Care Manager - Community Well

For this position we are seeking a (RN)

Registered Nurse who must live and have a current active

unrestricted RN license in the state of OH

Case

Manager RN will work in remote and field setting supporting

Medicare and Medicaid l health population. This role will be

supporting our Community Well population, completing face to face

assessments, care plans, and providing education and support to our

members.  Excellent computer skills and attention to detail

are very 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.

Home office with internet connectivity of high speed

required.

Schedule : Monday thru Friday 8 : 00AM to

5 : 00PM

Field Travel - Franklin, Pickaway, Union,

Delaware, Madison Counties (Mileage is reimbursed)

JOB DESCRIPTION Job Summary

Provides

support for care management / care coordination activities and

collaborates with multidisciplinary team coordinating integrated

delivery of member care across the continuum. Strives to ensure

member progress toward desired outcomes and contributes to

overarching strategy to provide quality and cost-effective member

care.

Essential Job

Duties

• Completes comprehensive

assessments of members per regulated timelines and determines who

may qualify for care management based on clinical judgment, changes

in member health or psychosocial wellness and triggers identified

in assessments.

coordination plan in collaboration with member, caregiver,

physician and / or other appropriate health care professionals and

member support network to address member needs and

goals.

as required.

to evaluate effectiveness, document interventions and goal

achievement, and suggest changes accordingly.

ongoing member caseload for regular outreach and

management.

members including behavioral health, long-term services and

supports (LTSS), and home and community resources to enhance

continuity of care.

team (ICT) meetings and informal ICT collaboration.

Uses motivational interviewing and Molina clinical guideposts to

educate, support and motivate change during member

contacts.

coordination and assistance to member to address

concerns.

recommendations to peers as needed.

may be assigned complex member cases and medication

regimens.

reconciliation as needed.

may be required (based upon state / contractual

requirements).

Required Qualifications

least 2 years experience in health care, preferably in care

management, or experience in a medical and / or behavioral health

setting, or equivalent combination of relevant education and

experience.

active and unrestricted in state of practice.

unrestricted driver's license, reliable transportation, and

adequate auto insurance for job related travel requirements, unless

otherwise required by law.

electronic medical record (EMR) and Health Insurance Portability

and Accountability Act (HIPAA).

of community resources.

and demonstrate detail-oriented work.

within a variety of settings and adjust style as needed - working

with diverse populations, various personalities and personal

situations.

supervision and self-motivation.

forms of communication, and ability to remain calm in high-pressure

situations.

professional relationships.

and prioritization skills, and ability to focus on multiple

projects simultaneously and adapt to change.

problem-solving, and critical-thinking skills.

verbal and written communication skills.

Office suite / applicable software program proficiency, and ability

to navigate online portals and

databases.

Preferred

Qualifications

Manager (CCM).

To all current Molina employees : If

you are interested in applying for this position, please apply

through the Internal Job Board.

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

geographic location, work experience, education and / or skill

level.