Care Manager (RN)

Molina Healthcare • Omaha, NE • 4h ago

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

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 - $61.79 / HOURLY

*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

Similar Jobs

Care Manager (RN)

Molina Healthcare • Bellevue, NE • 4h ago

Management & Administrative

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...

4h ago

Go to Apply

Business Development Manager, Electrical Power Distribution

Siemens • Omaha, NE • 11h ago

Management & Administrative

Job Family: Electrical Products Req ID: 478370 Position Title: Business Development Manager - Electrical Power Distribution (Remote) Location: Minneapolis, MN Are you looking for a company that empowers talent? Here at S...

11h ago

Go to Apply

Regional Manager - Nebraska

ZOLL MEDICAL CORPORATION • Omaha, NE • 15h ago

Management & Administrative

CMS At ZOLL, we're passionate about improving patient outcomes and helping save lives. We provide innovative technologies that make a meaningful difference in people's lives. Our medical devices, software and related ser...

15h ago

Go to Apply

Customer Service Associate I

Dollar Tree • Bellevue, NE • 1d ago

Management & Administrative

We're seeking a Customer Service Associate to join our team and deliver a great shopping experience for every customer. Duties include, but are not limited to, the following: Assist customers with questions and recommend...

1d ago

Go to Apply

Customer Service Associate - Temporary

Walgreens • Council Bluffs, IA • 1d ago

Management & Administrative

Job Description: Models and delivers a distinctive and delightful customer experience. Registers sales on assigned cash register, provides customers with courteous, fair, friendly, and efficient checkout service. Custome...

1d ago

Go to Apply

Sales Manager

Aaron's Inc • Omaha, NE • 1d ago

Management & Administrative

The hourly range for this position is $14.75 to $15.50. This position is also eligible for incentive pay based on performance. Sales Manager Sales Managers Grow Our Business You'll never be bored in this role - and that'...

1d ago

Go to Apply

CHIEF OF REHABILITATION AND EXTENDED CARE

Veterans Affairs, Veterans Health Administration • Omaha, NE • 2d ago

Management & Administrative

Summary VA NWIHCS is an integrated system that serves more than 148,000 Veterans in 101 counties in Nebraska, western Iowa, Kansas, and Missouri. It includes a tertiary medical center in Omaha, 2 larger clinics in Lincol...

2d ago

Go to Apply

SCITLS Knowledge Management Analyst

General Dynamics Information Technology • Offutt Air Force Base, NE • 2d ago

Management & Administrative

Req ID: RQ207124 Type of Requisition: Regular Clearance Level Must Be Able to Obtain: Top Secret/SCI Public Trust/Other Required: None Job Family: Program Delivery and Execution Skills: Documentations,Knowledge Managemen...

2d ago

Go to Apply

Account Manager

City Wide Facility Solutions • Omaha, NE • 2d ago

Management & Administrative

City Wide Facility Solutions is actively seeking an Account Manager (FSM) to join our growing team in Omaha, NE. Are you an individual who embraces the challenge of problem-solving? Are you fueled by the exhilaration of...

2d ago

Go to Apply

Municipal Market OEM Sales Manager

Grundfos • Omaha, NE • 3d ago

Management & Administrative

Municipal Market OEM Sales Manager Apply Now Start applying with LinkedIn Please wait... Job Description Are you eager to join and contribute to a thriving sales team and grow our municipal business in the US and Canada?...

3d ago

Go to Apply

Subscribe to get new jobs sent directly to you
(no charge, cancel anytime)

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.