Care Manager (RN) - Must Reside in Iowa

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.

implements care 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.

face-to-face or home visits as

required.

monitoring of care plan to evaluate effectiveness, document

interventions and goal achievement, and suggest changes

accordingly.

member caseload 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.

interdisciplinary care team (ICT) meetings and informal ICT

collaboration.

motivational interviewing and Molina clinical guideposts to

educate, support and motivate change during member

contacts.

to care, provides care coordination and assistance to member to

address concerns.

consultation, resources and recommendations to peers as

needed.

assigned complex member cases and medication

regimens.

conduct medication reconciliation as

needed.

travel may be required (based upon state / contractual

requirements).

Required Qualifications

health care, preferably in care management, or experience in a

medical and / or behavioral health setting, or equivalent combination

of relevant education and

experience.

(RN). License must be 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.

Understanding of the electronic medical record (EMR) and Health

Insurance Portability and Accountability Act

(HIPAA).

of community resources.

to operate proactively and demonstrate detail-oriented

work.

variety of settings and adjust style as needed - working with

diverse populations, various personalities and personal

situations.

independently, with minimal supervision and

self-motivation.

in all forms of communication, and ability to remain calm in

high-pressure situations.

Ability to develop and maintain professional

relationships.

time-management and prioritization skills, and ability to focus on

multiple projects simultaneously and adapt to

change.

problem-solving, and critical-thinking

skills.

written communication skills.

Microsoft Office suite / applicable software program proficiency, and

ability to navigate online portals and

databases.

Preferred Qualifications

(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 : $25.08 - $51.49

/ HOURLY

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

level.