Talent.com
Transition of Care Coach (RN)

Transition of Care Coach (RN)

Molina HealthcareLazy Lake, FL, United States
3 hours ago
Job type
  • Full-time
Job description

JOB DESCRIPTION Job Summary 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. KNOWLEDGE / SKILLS / ABILITIES Follows member throughout a 30-day program that starts at hospital admission and continues through transitions from the acute setting to other settings, including nursing facility placement and private home, with the goal of reduced readmissions. Ensures safe and appropriate transitions by collaborating with hospital discharge planners, as well as with hospitalists, outpatient providers, facility staff, and family / support network, as needed or at the request of member. Ensures member transitions to a setting with adequate caregiving and functional support, as well as medical and medication oversight as required. Works with participating ancillary providers, public agencies, or other service providers to make sure necessary services and equipment are in place for a safe transition. Conducts face-to-face visits of all members while in the hospital and home visits of high-risk members post-discharge. Coordinates care and reassesses member's needs using the Coleman Care Transitions Model recommended post-discharge timeline. Educates and supports member focusing on seven primary areas (ToC Pillars) : medication management, use of personal health record, follow up care, signs and symptoms of worsening condition, nutrition, functional needs and or Home and Community-based Services, and advance directives. 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. Facilitates interdisciplinary care team meetings and informal ICT collaboration. RNs provide consultation, recommendations, and education as appropriate to non-RN case managers. RNs are assigned cases with members who have complex medical conditions and medication regimens. RNs will conduct medication reconciliation when needed. 40-50% local travel required. JOB QUALIFICATIONS Required Education Graduate from an Accredited School of Nursing. Bachelor's Degree in Nursing preferred. Required Experience 1-3 years hospital discharge planning or home health. Required License, Certification, Association Active, unrestricted State Registered Nursing (RN) license in good standing. Must have valid driver's license with good driving record and be able to drive within applicable state or locality with reliable transportation. Preferred Education Bachelor's Degree in Nursing Preferred Experience 3-5 years hospital discharge planning or home health. Preferred License, Certification, Association Active, unrestricted Transitions of Care Sub-Specialty Certification and / or Certified Case Manager (CCM) 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 : $26.41 - $61.79 / HOURLY

  • Actual compensation may vary from posting based on geographic location, work experience, education and / or skill level.
Create a job alert for this search

Rn Transition • Lazy Lake, FL, United States

Related jobs
  • Promoted
Travel Physical Therapist (PT) - $1,859 to $1,917 per week in Fort Myers, FL

Travel Physical Therapist (PT) - $1,859 to $1,917 per week in Fort Myers, FL

AlliedTravelCareersMiami, Florida, US
Full-time
AlliedTravelCareers is working with Pioneer Healthcare Services to find a qualified Physical Therapist (PT) in Fort Myers, Florida, 33912!. If you're interested in making a significant impact as a.A...Show moreLast updated: 30+ days ago
  • Promoted
  • New!
Care Management Coordinator

Care Management Coordinator

Quadrant Health GroupBoca Raton, FL, United States
Full-time
Join our dynamic team at Quadrant Health Group!.We are seeking a passionate and dedicated Client Care Coordinator to join our growing team in Boca Raton, FL. The ideal candidate is vital to the behi...Show moreLast updated: 19 hours ago
  • Promoted
Travel Interventional Radiology RN - $2,489 per week

Travel Interventional Radiology RN - $2,489 per week

HealthTrust Workforce Solutions HCAMargate, FL, United States
Full-time
HealthTrust Workforce Solutions HCA is seeking a travel nurse RN Interventional Radiology for a travel nursing job in Margate, Florida. Job Description & Requirements.Entrust Your Career to HealthTr...Show moreLast updated: 5 days ago
  • Promoted
Chaplain

Chaplain

U.S. NavyKey Biscayne, FL, United States
Full-time +1
To be eligible to enlist in the U.Navy, candidates must be between the ages of 18-34.As a Navy Chaplain, you will be the voice of encouragement, reason and hope to thousands of Sailors and Marines,...Show moreLast updated: 30+ days ago
  • Promoted
Travel Occupational Therapist (OT) - $2,028 per week in Tallahassee, FL

Travel Occupational Therapist (OT) - $2,028 per week in Tallahassee, FL

AlliedTravelCareersMiami, Florida, US
Full-time
AlliedTravelCareers is working with Centra Healthcare Solutions to find a qualified Occupational Therapist (OT) in Tallahassee, Florida, 32308!. Centra Healthcare Solutions is seeking an experienced...Show moreLast updated: 1 day ago
  • Promoted
  • New!
Travel Occupational Therapist (OT) - $1,714 per week in Tallahassee, FL

Travel Occupational Therapist (OT) - $1,714 per week in Tallahassee, FL

AlliedTravelCareersMiami, Florida, US
Full-time
AlliedTravelCareers is working with Triage Staffing LLC to find a qualified Occupational Therapist (OT) in Tallahassee, Florida, 32301!. Travel Rehab : Occupational Therapy Tallahassee.Shift Details : ...Show moreLast updated: 5 hours ago
  • Promoted
Travel Occupational Therapist (OT) in Miami, FL

Travel Occupational Therapist (OT) in Miami, FL

AlliedTravelCareersMiami, Florida, US
Full-time
AlliedTravelCareers is working with Care Career to find a qualified Occupational Therapist (OT) in Miami, Florida, 33175!. Occupational therapists treat disabled, ill, or injured patients with speci...Show moreLast updated: 30+ days ago
  • Promoted
  • New!
Transition of Care Coach (RN)

Transition of Care Coach (RN)

Molina Healthcaremiami, fl, us
Full-time
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, inc...Show moreLast updated: 1 hour ago
  • Promoted
Travel Occupational Therapist (OT) - School - $1,753 per week in Florida

Travel Occupational Therapist (OT) - School - $1,753 per week in Florida

AlliedTravelCareersMiami, Florida, US
Full-time
AlliedTravelCareers is working with Windsor Healthcare Recruitment Group, Inc.Saturdays and Sundays with a potential need on Mondays and Fridays. North Florida Rehabilitation Hospital is a state-of-...Show moreLast updated: 9 days ago
  • Promoted
Travel Occupational Therapist (OT) - $1,460 per week in Bradenton, FL

Travel Occupational Therapist (OT) - $1,460 per week in Bradenton, FL

AlliedTravelCareersMiami, Florida, US
Full-time
AlliedTravelCareers is working with Triage Staffing LLC to find a qualified Occupational Therapist (OT) in Bradenton, Florida, 34201!. Travel Rehab : Occupational Therapy Bradenton, FL.Location : ...Show moreLast updated: 30+ days ago
  • Promoted
Travel Occupational Therapist (OT) - $1,820 to $3,054 per week in Sebring, FL

Travel Occupational Therapist (OT) - $1,820 to $3,054 per week in Sebring, FL

AlliedTravelCareersMiami, Florida, US
Full-time
AlliedTravelCareers is working with CompHealth to find a qualified Occupational Therapist (OT) in Sebring, Florida, 33870!. Interested in this assignment? Or maybe you still have not found what you ...Show moreLast updated: 30+ days ago
  • Promoted
Travel Occupational Therapist (OT) - $2,159 per week in Lakeland, FL

Travel Occupational Therapist (OT) - $2,159 per week in Lakeland, FL

AlliedTravelCareersMiami, Florida, US
Full-time
AlliedTravelCareers is working with Triage Staffing LLC to find a qualified Occupational Therapist (OT) in Lakeland, Florida, 33801!. Travel Rehab : Occupational Therapy Lakeland.Shift Details : 9H ...Show moreLast updated: 10 days ago
  • Promoted
Travel Occupational Therapist (OT) - $1,460 per week in Brandon, FL

Travel Occupational Therapist (OT) - $1,460 per week in Brandon, FL

AlliedTravelCareersMiami, Florida, US
Full-time
AlliedTravelCareers is working with Triage Staffing LLC to find a qualified Occupational Therapist (OT) in Brandon, Florida, 33508!. Travel Rehab : Occupational Therapy Brandon, FL.Shift Details : 8...Show moreLast updated: 2 days ago
  • Promoted
Travel Occupational Therapist (OT) - $1,540 per week in Bradenton, FL

Travel Occupational Therapist (OT) - $1,540 per week in Bradenton, FL

AlliedTravelCareersMiami, Florida, US
Full-time
AlliedTravelCareers is working with Cross Country Allied to find a qualified Occupational Therapist (OT) in Bradenton, Florida, 34209!. As an inpatient occupational therapist, you'll help individual...Show moreLast updated: 30+ days ago
  • Promoted
Travel Occupational Therapist (OT) in Tallahassee, FL

Travel Occupational Therapist (OT) in Tallahassee, FL

AlliedTravelCareersMiami, Florida, US
Full-time
AlliedTravelCareers is working with Fusion Medical Staffing to find a qualified Occupational Therapist (OT) in Tallahassee, Florida, 32308!. Travel Occupational Therapist (OT).Facility in Tallahasse...Show moreLast updated: 18 days ago
  • Promoted
Travel Occupational Therapist (OT) - $1,765 to $1,934 per week in Sebring, FL

Travel Occupational Therapist (OT) - $1,765 to $1,934 per week in Sebring, FL

AlliedTravelCareersMiami, Florida, US
Full-time
AlliedTravelCareers is working with AMN Healthcare Allied to find a qualified Occupational Therapist (OT) in SEBRING, Florida, 33870!. Job Description & Requirements.Occupational Therapist - Sch...Show moreLast updated: 2 days ago
  • Promoted
  • New!
Transition of Care Coach (RN) (Pacific Business hours)

Transition of Care Coach (RN) (Pacific Business hours)

Molina HealthcareMIAMI, FL, United States
Full-time
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, inc...Show moreLast updated: 9 hours ago
  • Promoted
Travel Occupational Therapist (OT) - $1,912 to $2,061 per week in Lakeland, FL

Travel Occupational Therapist (OT) - $1,912 to $2,061 per week in Lakeland, FL

AlliedTravelCareersMiami, Florida, US
Full-time
AlliedTravelCareers is working with Host Healthcare to find a qualified Occupational Therapist (OT) in Lakeland, Florida, 33815!. Host Healthcare is an award-winning travel healthcare company with a...Show moreLast updated: 4 days ago
  • Promoted
Travel Occupational Therapist (OT) - $1,390 to $1,541 per week in Bradenton, FL

Travel Occupational Therapist (OT) - $1,390 to $1,541 per week in Bradenton, FL

AlliedTravelCareersMiami, Florida, US
Full-time
AlliedTravelCareers is working with LRS Healthcare to find a qualified Occupational Therapist (OT) in Bradenton, Florida, 34209!. Ready to start your next travel adventure? LRS Healthcare offers a f...Show moreLast updated: 30+ days ago
  • Promoted
Travel Physical Therapist (PT) in Margate, FL

Travel Physical Therapist (PT) in Margate, FL

AlliedTravelCareersMargate, FL, US
Full-time
AlliedTravelCareers is working with Care Career to find a qualified Physical Therapist (PT) in Margate, Florida, 33063!.Physical therapists work with patients to improve their movement and manage t...Show moreLast updated: 30+ days ago