Care Manager (RN)

Job Description

JOB DESCRIPTION

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Job Summary

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Molina Healthcare Services (HCS) works with members, providers and multidisciplinary team members to assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long term care, for members with high need potential. HCS staff work to ensure that patients progress toward desired outcomes with quality care that is medically appropriate and cost-effective based on the severity of illness and the site of service.

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KNOWLEDGE / SKILLS / ABILITIES

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• Completes comprehensive assessments of members per regulated timelines and determines who may qualify for case management based on clinical judgment, changes in member's health or psychosocial wellness, and triggers identified in the assessment.

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JOB QUALIFICATIONS

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Required Education

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Graduate from an Accredited School of Nursing. Bachelor's Degree in Nursing preferred.

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Required Experience

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1-3 years in case management, disease management, managed care or medical or behavioral health settings.

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Required License, Certification, Association

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Active, unrestricted State Registered Nursing (RN) license in good standing.

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Must have valid driver's license with good driving record and be able to drive within applicable state or locality with reliable transportation.

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Preferred Education

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Bachelor's Degree in Nursing

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Preferred Experience

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3-5 years in case management, disease management, managed care or medical or behavioral health settings.

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Preferred License, Certification, Association

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Active, unrestricted Certified Case Manager (CCM)

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To all current Molina employees : If you are interested in applying for this position, please apply through the intranet job listing.

Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M / F / D / V.

Pay Range : $27.73 - $54.06 / HOURLY