RN Transition of Care - Care Manager (Texas)
- Full-time
JOB DESCRIPTION
For this position we are seeking a (RN) Registered Nurse who must live in Texas and have a current active unrestricted RN license in the state of TX.
Case Manager RN will work Hybrid (Telephonic and face to face visits within Hospitals) supporting our TX Medicaid population who have recently been admitted into Hospital. The Case Manager will support our members to ensure successful transition from inpatient to outpatient. Excellent computer skills and attention to detail are very important to multitask between systems, talk with members on the phone, and enter accurate contact notes. This is a fast-paced position and productivity is important. Preferred candidates will have previous case management, managed care, inpatient hospital experience.
TRAVEL in the field to do member visits in designated Hospitals El Paso, Hidalgo County, and San Antonio TX (mileage reimbursement)
Schedule : Monday thru Friday 8 : 00AM to 5 : 00PM CST (No weekends or Holidays)
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
- 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.
- Develops and implements a case management plan in collaboration with the member, caregiver, physician and / or other appropriate healthcare professionals and member's support network to address the member needs and goals.
- Conducts face-to-face or home visits as required.
- Performs ongoing monitoring of the care plan to evaluate effectiveness, document interventions and goal achievement, and suggest changes accordingly.
- Maintains ongoing member case load for regular outreach and management.
- Promotes integration of services for members including behavioral health care and long term services and supports / home and community to enhance the continuity of care for Molina members.
- Facilitates interdisciplinary care team 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.
- 25- 40% local travel required.
- 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 conduct medication reconciliation when needed.
JOB QUALIFICATIONS
Required Education
Graduate from an Accredited School of Nursing. Bachelor's Degree in Nursing preferred.
Required Experience
1-3 years in case management, disease management, managed care or medical or behavioral health settings.
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 in case management, disease management, managed care or medical or behavioral health settings.
Preferred License, Certification, Association
Active, unrestricted 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 - $51.49 / HOURLY
Create a job alert for this search
Care Manager Rn • New Braunfels, TX, US
Travel Nurse RN - Intermediate Care - $1,449 per week in Austin, TX
Travel Nurse RN - Intensive Care Unit (ICU) / Critical Care - $1,553 per week in Tyler, TX
RN Transition of Care - Care Manager (Texas)
Travel Nurse RN - Intensive Care Unit (ICU) / Critical Care - $1,286 to $1,480 per week in Pearland, TX
Travel Nurse RN - Intermediate Care - $1,951 to $1,966 per week in Austin, TX
RN, Registered Nurse - ICU
Travel Nurse RN - Intensive Care Unit (ICU) / Critical Care - $1,329 per week in Pearland, TX
Travel Nurse RN - Intensive Care Unit (ICU) / Critical Care - $1,534 per week in Pearland, TX
RN, Registered Nurse-Stone Oak Surgery Center
Travel Nurse RN - Intensive Care Unit (ICU) / Critical Care - $1,508 per week in Pearland, TX
Travel Nurse RN - Intermediate Care - $1,679 per week in Austin, TX
Field Care Manager, LTSS (RN) - Local Travel Required - San Antonio
RN, Registered Nurse - Santa Rosa Surgery Center
Travel Nurse RN - Intensive Care Unit (ICU) / Critical Care - $1,384 to $1,578 per week in Austin, TX
RN Carceral Care Manager Remote
RN, Registered Nurse Clinic Lead - Cardiology Cath
Travel Nurse RN - Intermediate Care in Austin, TX
Travel Nurse RN - Intensive Care Unit (ICU) / Critical Care - $1,378 to $1,572 per week in Austin, TX
Travel Nurse RN - Stepdown - $1,858 per week in Amarillo, TX