Care Manager (RN)

in one of the following counties : Sacramento , San Diego, Los

Angeles, Riverside or San Bernardino

County.

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.

• Develops and 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.

• Conducts telephonic, face-to-face or home visits

as required.

• Performs ongoing monitoring of care plan

to evaluate effectiveness, document interventions and goal

achievement, and suggest changes accordingly.

• Maintains

ongoing member caseload for regular outreach and

management.

• Promotes 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.

Uses motivational interviewing and Molina clinical guideposts to

educate, support and motivate change during member

contacts.

• Assesses for barriers to care, provides care

coordination and assistance to member to address

concerns.

• 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.

• some local travel may

be required (based upon state / contractual

requirements).

Required Qualifications

• At

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.

• 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.

• Understanding 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.

• Ability to work

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

with diverse populations, various personalities and personal

situations.

• Ability to work independently, with minimal

supervision and 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 proficiency, and ability

to navigate online portals and

databases.

Preferred

Qualifications

• Certified Case

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 : $30.37 - $59.21 / HOURLY

• Actual compensation may vary from posting based on

geographic location, work experience, education and / or skill

level.