No longer accepting applications
Transition of Care Coach (RN)
Molina HealthcareColumbus, GA, US30+ days ago
Job type
- Full-time
Job descriptionEnsures 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. 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. Actual compensation may vary from posting based on geographic location, work experience, education and / or skill level.
Job Description
JOB DESCRIPTION
\n
Job Summary
\n
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.
\n
KNOWLEDGE / SKILLS / ABILITIES
\n \n
- 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.
\n
\n
\n
\n
\n
\n
\n
\n
\n
\n
\n
\n
\n
\n \n
JOB QUALIFICATIONS
\n
Required Education
\n
Graduate from an Accredited School of Nursing. Bachelor's Degree in Nursing preferred.
\n
Required Experience
\n
1-3 years hospital discharge planning or home health.
\n
Required License, Certification, Association
\n \n
\n
\n \n
Preferred Education
\n
Bachelor's Degree in Nursing
\n
Preferred Experience
\n
3-5 years hospital discharge planning or home health.
\n
Preferred License, Certification, Association
\n
Active, unrestricted Transitions of Care Sub-Specialty Certification and / or Certified Case Manager (CCM)
\n
\n
To all current Molina employees : If you are interested in applying for this position, please apply through the intranet job listing.
\n
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
Create a job alert for this search
Transition Of Care Coach Rn • Columbus, GA, US
Related jobs
Triage Staffing is seeking a travel nurse RN Long Term Care (LTC) Behavioral Health for a travel nursing job in Columbus, Georgia.
Job Description & Requirements.Travel Long Term Care : Behaviora...Show moreLast updated: 27 days ago
Occupational Therapist Career Opportunity.Your Calling, Close to Home and Heart.Are you in pursuit of a career that's more than a job, one that aligns with your heart and community? We believe ...Show moreLast updated: 26 days ago
AlliedTravelCareers is working with Care Career to find a qualified RRT in Augusta, Georgia, 30909!.Respiratory therapists interview and examine patients with breathing or cardiopulmonary disorders...Show moreLast updated: 30+ days ago AlliedTravelCareers is working with AMN Healthcare Allied to find a qualified Occupational Therapist (OT) in CARROLLTON, Georgia, 30117!.
Job Description & Requirements.Occupational Therapist - ...Show moreLast updated: 30+ days ago 
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: 21 hours ago AlliedTravelCareers is working with Windsor Healthcare Recruitment Group, Inc.Radiation Therapist in Atlanta, Georgia, 31146!.
Are you looking for the next step in your career.If you have proton and...Show moreLast updated: 26 days ago 
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: 14 days ago
Correctional Nursing : Healthcare’s Best-Kept Secret.Troup County Jail – LaGrange, GA.Every Other Weekend | 12-Hour Day Shifts.
Sign-On & Retention Bonus + DailyPay Option.Correctional healthcare is ...Show moreLast updated: 5 days ago
Occupational Therapist Career Opportunity.Your Calling, Close to Home and Heart.Are you in pursuit of a career that's more than a job, one that aligns with your heart and community? We believe ...Show moreLast updated: 3 days ago AlliedTravelCareers is working with Pioneer Healthcare Services to find a qualified Physical Therapist (PT) in Hinesville, Georgia, 31313!.
If you're interested in making a significant impact as a.A...Show moreLast updated: 30+ days ago AlliedTravelCareers is working with Secure Nursing Service to find a qualified Occupational Therapist (OT) in Marietta, Georgia, 30060!.
Competitive Pay Rates & Benefits.Full Housing Placement A...Show moreLast updated: 30+ days ago AlliedTravelCareers is working with Host Healthcare to find a qualified Radiation Therapist in Canton, Georgia, 30115!.Host Healthcare is an award-winning travel healthcare company with an immediat...Show moreLast updated: 4 days ago AlliedTravelCareers is working with LRS Healthcare to find a qualified Radiation Therapist in Canton, Georgia, 30115!.Ready to start your next travel adventure? LRS Healthcare offers a full benefit...Show moreLast updated: 4 days ago AlliedTravelCareers is working with Voyage Healthcare to find a qualified Radiation Therapist in CANTON, Georgia, 30115!.
ALLIED-Radiation Therapist CANTON, Georgia.Top Reasons to Work in Travel Hea...Show moreLast updated: 4 days ago AlliedTravelCareers is working with Windsor Healthcare Recruitment Group, Inc.OT - School in Gainesville, Georgia, 30501!.
Top Reasons to Work in Travel Healthcare.The sense of adventure and explora...Show moreLast updated: 13 days ago AlliedTravelCareers is working with CompHealth to find a qualified Occupational Therapist (OT) in Macon, Georgia, 31201!.
CompHealth services are always free to you.Let us do the heavy lifting and h...Show moreLast updated: 30+ days ago AlliedTravelCareers is working with Triage Staffing LLC to find a qualified Physical Therapist (PT) in Marietta, Georgia, 30006!.
Travel Rehab : Physical Therapy Marietta.Shift Details : 9H Days (8 : ...Show moreLast updated: 3 days ago AlliedTravelCareers is working with Care Career to find a qualified RRT in Atlanta, Georgia, 30329!.Respiratory therapists interview and examine patients with breathing or cardiopulmonary disorders...Show moreLast updated: 22 days ago
- Promoted
Travel Nurse RN - Long Term Care (LTC) Behavioral Health
Triage StaffingColumbus, GA, USFull-time
- Promoted
Occupational Therapist
Encompass HealthBuena Vista, GA, USFull-time +1
- Promoted
Travel Registered Respiratory Therapist (RRT) - $1,871 per week in Augusta, GA
AlliedTravelCareersColumbus, Georgia, USFull-time
- Promoted
Travel Occupational Therapist (OT) in Carrollton, GA
AlliedTravelCareersColumbus, Georgia, USFull-time
- Promoted
- New!
Transition of Care Coach (RN)
Molina HealthcareColumbus, GA, USFull-time
- Promoted
Travel Radiation Therapist - $3,061 per week in Atlanta, GA
AlliedTravelCareersColumbus, Georgia, USFull-time
- Promoted
Transition of Care Coach (RN)
Molina Healthcare CareersColumbus, GA, USFull-time
- Promoted
Correctional Nursing : Healthcare’s Best-Kept Secret
Southern Health PartnersHamilton, GA, USFull-time
- Promoted
Occupational Therapist (Pool)
Rehabilitation Hospital of Phenix CityOpelika, AL, USFull-time +1
- Promoted
Travel Physical Therapist (PT) - $1,079 to $1,112 per week in Hinesville, GA
AlliedTravelCareersColumbus, Georgia, USFull-time
- Promoted
Travel Occupational Therapist (OT) - $2,000 per week in Marietta, GA
AlliedTravelCareersColumbus, Georgia, USFull-time
- Promoted
Travel Radiation Therapist - $1,928 to $2,081 per week in Canton, GA
AlliedTravelCareersColumbus, Georgia, USFull-time
- Promoted
Travel Radiation Therapist - $1,805 to $2,001 per week in Canton, GA
AlliedTravelCareersColumbus, Georgia, USFull-time
- Promoted
Travel Radiation Therapist - $2,084 to $2,193 per week in Canton, GA
AlliedTravelCareersColumbus, Georgia, USFull-time
- Promoted
Travel Occupational Therapist - School (OT) - $2,140 per week in Gainesville, GA
AlliedTravelCareersColumbus, Georgia, USFull-time
- Promoted
Travel Occupational Therapist (OT) - $1,820 to $3,054 per week in Macon, GA
AlliedTravelCareersColumbus, Georgia, USFull-time
- Promoted
Travel Physical Therapist (PT) - $1,846 per week in Marietta, GA
AlliedTravelCareersColumbus, Georgia, USFull-time
- Promoted
Travel Registered Respiratory Therapist (RRT) - $2,021 per week in Atlanta, GA
AlliedTravelCareersColumbus, Georgia, USFull-time