Telephonic Care Manager, LTSS (RN) - OB/Women's Health - TX ONLYMolina Healthcare • Corpus Christi, TX, US
No se aceptan más aplicaciones
Telephonic Care Manager, LTSS (RN) - OB / Women's Health - TX ONLY
Molina Healthcare • Corpus Christi, TX, US
Hace 22 horas
Tipo de contrato
- A tiempo completo
Descripción del trabajoFacilitates comprehensive waiver enrollment and disenrollment processes. Develops and implements care plans, including a waiver service plan in collaboration with members, caregivers, physicians and / or other appropriate health care professionals and member support network to address the member needs and goals. Performs ongoing monitoring of 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 (LTSS) and home and community resources to enhance continuity of care. Assesses for medical necessity and authorizes all appropriate waiver services. Evaluates covered benefits and advises appropriately regarding funding sources. Facilitates interdisciplinary care team (ICT) 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 and provides care coordination and assistance to members to address psycho / social, financial, and medical obstacles concerns. Identifies critical incidents and develops prevention plans to assure member health and welfare. May provide consultation, resources and recommendations to peers as needed. Care manager RNs may be assigned complex member cases and medication regimens. Care manager RNs may conduct medication reconciliation as needed. 25-40% estimated local travel may be required (based upon state / contractual requirements). At least 2 years experience in health care, including at least 1 year experience in care management, managed care, and / or experience in a medical or behavioral health setting, and at least 1 year of experience working with persons with disabilities, chronic conditions, substance abuse disorders, and long-term services and supports (LTSS), or equivalent combination of relevant education and experience. Registered Nurse (RN). License must 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. Ability to operate proactively and demonstrate detail-oriented work. Demonstrated knowledge of community resources. Ability to work within a variety of settings and adjust style as needed - working with diverse populations and various personalities and personal situations. Ability to work independently, with minimal supervision and demonstrate self-motivation. Responsiveness in all forms of communication, and ability to remain calm in high-pressure situations. Ability to develop and maintain professional relationships. Excellent time-management and prioritization skills, and ability to focus on multiple projects simultaneously and adapt to change. Excellent problem-solving and critical-thinking skills. Strong verbal and written communication skills. Microsoft Office suite / applicable software program(s) proficiency. In some states, must have at least one year of experience working directly with individuals with substance use disorders. Certified Case Manager (CCM). Experience working with populations that receive waiver services. Actual compensation may vary from posting based on geographic location, work experience, education and / or skill level.
Job Description
JOB DESCRIPTION
\n
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.
\n
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.
\n
\n
Job Summary
\n
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.
\n
\n
Essential Job Duties
\n
\n
- Completes comprehensive member assessments within regulated timelines, including in-person home visits as required.
\n
\n
\n
\n
\n
\n
\n
\n
\n
\n
\n
\n
\n
\n
\n
\n
Required Qualifications
\n
\n
\n
\n
\n
\n
\n
\n
\n
\n
\n
\n
\n
\n
\n
\n
\n
Preferred Qualifications
\n
\n
\n
\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
Crear una alerta de empleo para esta búsqueda
Care Manager Rn • Corpus Christi, TX, US
Ofertas relacionadas
Now Offering a $10K Sign-on Bonus for this position • •.The competent Nurse, in the same or similar clinical setting, practices independently and demonstrates an awareness of all relevant aspects of ...Mostrar más The competent Nurse, in the same or similar clinical setting, practices independently and demonstrates an awareness of all relevant aspects of a situation.
Provides routine and complex care, with th...Mostrar más The competent Nurse, in the same or similar clinical setting, practices independently and demonstrates an awareness of all relevant aspects of a situation.
Provides routine and complex care, with th...Mostrar más The competent Nurse, in the same or similar clinical setting, practices independently and demonstrates an awareness of all relevant aspects of a situation.
Provides routine and complex care, with th...Mostrar más The medical-surgical unit at Shoreline Hospital provides exceptional care for Ortho, Oncology, and Med / Surg patients.Our RNs care for patients with elective surgeries, fractures from the ER, and me...Mostrar más The competent Nurse, in the same or similar clinical setting, practices independently and demonstrates an awareness of all relevant aspects of a situation.
Provides routine and complex care, with th...Mostrar más CHRISTUS Spohn Hospital Corpus Christi - Shoreline overlooking Corpus Christi Bay is the largest and foremost acute care medical facility in the region, with a full range of diagnostic and surgical...Mostrar más CHRISTUS Spohn Hospital Corpus Christi - Shoreline overlooking Corpus Christi Bay is the largest and foremost acute care medical facility in the region, with a full range of diagnostic and surgical...Mostrar más 
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 membe...Mostrar más The competent Nurse, in the same or similar clinical setting, practices independently and demonstrates an awareness of all relevant aspects of a situation.
Provides routine and complex care, with th...Mostrar más Offering a $10K Sign-on Bonus and $5K relocation assistance if applicable .January 26th, 2026 (accepting GN permit).The Spohn RN Residency program is accepting applications for the next cohort at C...Mostrar más At CHRISTUS Health, we are committed to delivering compassionate, high-quality care to our patients while fostering a positive, supportive environment for our healthcare professionals.We are always...Mostrar más The competent Nurse, in the same or similar clinical setting, practices independently and demonstrates an awareness of all relevant aspects of a situation.
Provides routine and complex care, with th...Mostrar más The Supervisor Registered Nurse Clinic is accountable for the daily operations of the clinic and for supervising the delivery of high-quality, cost-effective care to patients within the clinic sett...Mostrar más RN, Registered Nurse - Cardiac IMC • •Offering a $10K Sign-on + $5K Relocation if applicable.The competent Nurse, in the same or similar clinical setting, practices independently and demonstrates an...Mostrar más CHRISTUS Spohn Hospital Corpus Christi - Shoreline overlooking Corpus Christi Bay is the largest and foremost acute care medical facility in the region, with a full range of diagnostic and surgical...Mostrar más The Cardiac Cath Lab consists of 6 angiographic suites, one of those being dedicated to Electrophysiology Procedures (EP), as well as a Hybrid OR suite.
We do 4000 diagnostic and 900 interventional ...Mostrar más The competent Nurse, in the same or similar clinical setting, practices independently and demonstrates an awareness of all relevant aspects of a situation.
Provides routine and complex care, with th...Mostrar más
RN, Registered Nurse - A5 Cardiac Med / Surg Telemetry • • Now Offering a $10K Sign-on Bonus
CHRISTUS Health • Ingleside, TX, USA
A tiempo completo
Última actualización: hace más de 30 días • Oferta promocionada
RN, Registered Nurse - 5N Respiratory Med / Surg • • Now Offering a $10K Sign-on Bonus
CHRISTUS Health • Port Aransas, TX, USA
A tiempo completo
Última actualización: hace más de 30 días • Oferta promocionada
RN, Registered Nurse - A4 CVICU
CHRISTUS Health • Bishop, TX, USA
A tiempo completo
Última actualización: hace más de 30 días • Oferta promocionada
RN, Registered Nurse - A9 Trauma Stepdown
CHRISTUS Health • Odem, TX, USA
A tiempo completo
Última actualización: hace más de 30 días • Oferta promocionada
RN, Registered Nurse - A8 – Ortho / Oncology - Med / Surg
CHRISTUS Health • Odem, TX, USA
A tiempo completo
Última actualización: hace más de 30 días • Oferta promocionada
RN, Registered Nurse - Med / Surg Tele - 4th Floor (GI / Ger) - Part Time
CHRISTUS Health • Bishop, TX, USA
A tiempo parcial
Última actualización: hace más de 30 días • Oferta promocionada
RN, Registered Nurse - 2N – OPSU / Endo
CHRISTUS Health • Odem, TX, USA
A tiempo completo
Última actualización: hace 15 días • Oferta promocionada
RN, Registered Nurse Lead - General Surgery
CHRISTUS Health • Port Aransas, TX, USA
A tiempo completo
Última actualización: hace más de 30 días • Oferta promocionada
Telephonic Care Manager, LTSS (RN) - OB / Women's Health - TX ONLY
Molina Healthcare • Corpus Christi, TX, United States
A tiempo completo
Última actualización: hace 22 horas • Oferta promocionada • Nueva oferta
RN, Registered Nurse - Med / Surg Tele - 3rd Floor (Ortho)
CHRISTUS Health • Ingleside, TX, USA
A tiempo completo
Última actualización: hace 17 días • Oferta promocionada
RN - Nurse Residency - January 2026 - Offering $10K Sign-on Bonus + Relo
CHRISTUS Health • Odem, TX, USA
A tiempo completo
Última actualización: hace más de 30 días • Oferta promocionada
Pipeline-International Rehire Campaign
CHRISTUS Health • Driscoll, TX, USA
A tiempo completo
Última actualización: hace más de 30 días • Oferta promocionada
RN, Registered Nurse - Interventional Radiology
CHRISTUS Health • Driscoll, TX, USA
A tiempo completo
Última actualización: hace más de 30 días • Oferta promocionada
RN, Registered Nurse Supervisor Clinic - La Palmera Urgent Care
CHRISTUS Health • Sinton, TX, USA
A tiempo completo
Última actualización: hace más de 30 días • Oferta promocionada
RN, Registered Nurse - A6 Cardiac IMC • •Offering a $10K Sign-on + $5K Relo
CHRISTUS Health • Sinton, TX, USA
A tiempo completo
Última actualización: hace más de 30 días • Oferta promocionada
RN, Registered Nurse - 8N – Neuro IMC / Neurosurgical
CHRISTUS Health • Aransas Pass, TX, USA
A tiempo completo
Última actualización: hace 4 días • Oferta promocionada
RN, Registered Nurse - A3 – Cardiac Rehab & Cath Lab
CHRISTUS Health • Port Aransas, TX, USA
A tiempo completo
Última actualización: hace más de 30 días • Oferta promocionada
RN, Registered Nurse - Med / Surg Tele - 4th Floor (GI / Ger)
CHRISTUS Health • Aransas Pass, TX, USA
A tiempo completo
Última actualización: hace más de 30 días • Oferta promocionada