RN Transition of Care Coach Field Care in Richland, Pasco,or Kennewick

JOB DESCRIPTION

Job Summary

Provides

support for care transition activities. Facilitates transitional

care processes and coordination for member discharge from hospital

admission to all other settings. Strives to ensure that best

possible services are available to members at time of hospital

discharge, and focuses on goal to reduce member readmissions.

Contributes to overarching strategy to provide quality and

cost-effective member care.

We are seeking a

candidate with a WA state RN licensure. Candidates with case

management and hospital- facility experience is highly preferred.

Candidates must have a h istory of working with

providers and members to provide care coordination, find resources,

managing care needs, advocating, and assessing

needs. Additional skills required strong communication skills,

problem solving and must be organized. Bilingual

candidates are encouraged to apply. Further details to be discussed

during our interview process.

Remote with field

travel to hospital facilities in the cities of

Richland, Pasco, and

Kennewick

Work schedule : Monday- Friday : 8 : 00am- 5 : 00pm PST.

RN WA licensure required

Essential Job Duties

• Follows member throughout a 30 day program

that starts at hospital admission and continues oversight through

transitions from acute setting to all other settings, including

nursing facility placement / private home, with the goal of reduced

readmissions.

by collaborating with the hospital discharge planner, as well as

collaborating with hospitalists, outpatient providers, facility

staff, and family / support network.

transitions to setting with adequate caregiving and functional

support, as well as medical and medication oversight

support.

public agencies or other service providers to make sure necessary

services and equipment are in place for safe transition.

and, home visits high-risk members post-discharge as

needed.

using the Coleman Care Transition model post-discharge.

Educates and supports member focusing on seven primary areas

(Transition of Care 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.

motivational interviewing and Molina clinical guideposts to

educate, support and motivate change during member

contacts.

coordination and assistance to member to address

concerns.

meetings (ICT) and collaboration.

consultation, recommendations and education as appropriate to

non-behavioral health care managers.

travel may be required (based upon state / contractual

requirements).

Required

Qualifications

experience in health care, with at least 1 year of experience in

hospital discharge planning, care management or behavioral health

setting, or equivalent combination of relevant education and

experience.

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.

using the Care Transitions Intervention (CTI) or similar

model.

health.

resources.

Ability to work within a variety of settings and adjust style as

needed - working with diverse populations, various personalities

and personal situations.

with minimal supervision and demonstrate self-motivation.

calm in high-pressure situations.

and maintain professional relationships.

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

multiple projects simultaneously and adapt to change.

Excellent problem-solving, and critical-thinking skills.

Microsoft Office suite / other applicable software program(s)

proficiency.

Preferred

Qualifications

sub-specialty certification and / or Certified Case Manager

(CCM).

experience.

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 : $26.41 - $59.21 / HOURLY

geographic location, work experience, education and / or skill

level.