RN Case Manager Field Care in MA

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.

This position

will support our Molina One Care Services business in

Massachusetts. We are looking for a candidate with a MA RN

licensure. Candidates with case management and home health are

highly preferred. Bilingual candidates are encouraged to apply

to support our diverse communities!

Hours :

Monday - Friday 8 : 00 AM to 5 : 00 PM EST

Remote

position with 25-50% field travel in Bristol, Essex, Hampden,

Hampshire, Middlesex, Norfolk, Plymouth, Suffolk, OR Worcester

member case load based on where you

reside.

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.

visits as required.

of care plan to evaluate effectiveness, document interventions and

goal achievement, and suggest changes

accordingly.

for regular outreach and management.

integration of services for members including behavioral health,

long-term services and supports (LTSS), and home and community

resources to enhance continuity of care.

Facilitates interdisciplinary care team (ICT) meetings and informal

ICT collaboration.

and Molina clinical guideposts to educate, support and motivate

change during member contacts.

barriers to care, provides care coordination and assistance to

member to address concerns.

consultation, resources and recommendations to peers as

needed.

member cases and medication regimens.

manager RNs may conduct medication reconciliation as

needed.

required (based upon state / contractual

requirements).

Required

Qualifications

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.

be active and unrestricted in state of practice.

Valid and unrestricted driver's license, reliable transportation,

and adequate auto insurance for job related travel requirements,

unless otherwise required by law.

of the electronic medical record (EMR) and Health Insurance

Portability and Accountability Act (HIPAA).

Demonstrated knowledge of community resources.

Ability to operate proactively and demonstrate detail-oriented

work.

settings and adjust style as needed - working with diverse

populations, various personalities and personal

situations.

minimal supervision and self-motivation.

Responsiveness in all forms of communication, and ability to remain

calm in high-pressure situations.

develop and maintain professional relationships.

Excellent time-management and prioritization skills, and ability to

focus on multiple projects simultaneously and adapt to

change.

critical-thinking skills.

written communication skills.

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

#PJHS

Pay Range : $30.37 - $59.21 /

HOURLY

on geographic location, work experience, education and / or skill

level.