(RN) REMOTE Care Manager - High Risk OB

Molina Healthcare • Arizona, Arizona • 6d ago

JOB DESCRIPTION

Job Summary

Provides support for care management/care coordination activities and collaborates with multidisciplinary team coordinating integrated delivery of member care across the continuum. Strives to ensure member progress toward desired outcomes and contributes to overarching strategy to provide quality and cost-effective member care.This is a remote telephonic care manager position with a speciality in helping members navigate high risk pregancy. The territory for this position is nation wide.

Essential Job Duties

Completes comprehensive assessments of members per regulated timelines and determines who may qualify for care management based on clinical judgment, changes in member health or psychosocial wellness and triggers identified in assessments.

Develops and implements care coordination plan in collaboration with member, caregiver, physician and/or other appropriate health care professionals and member support network to address member needs and goals.

Conducts telephonic visits as required.

Performs ongoing monitoring of care plan to evaluate effectiveness, document interventions and goal achievement, and suggest changes accordingly.

Maintains ongoing member caseload for regular outreach and management.

Promotes integration of services for members including behavioral health, long-term services and supports (LTSS), and home and community resources to enhance continuity of care.

Facilitates interdisciplinary care team (ICT) 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.

May provide consultation, resources and recommendations to peers as needed.

Care manager RNs may be assigned complex member cases and medication regimens.

Care manager RNs may conduct medication reconciliation as needed.

Required Qualifications

At least 2 years experience in health care, preferably in care management, or experience in a medical and/or behavioral health setting, or equivalent combination of relevant education and experience.

Registered Nurse (RN). License must be active and unrestricted in state of practice.

Understanding of the electronic medical record (EMR) and Health Insurance Portability and Accountability Act (HIPAA).

Demonstrated knowledge of community resources.

Ability to operate proactively and demonstrate detail-oriented work.

Ability to work within a variety of settings and adjust style as needed - working with diverse populations, various personalities and personal situations.

Ability to work independently, with minimal supervision and self-motivation.

Responsiveness in all forms of communication, and ability to remain calm in high-pressure situations.

Ability to develop and maintain professional relationships.

Excellent time-management and prioritization skills, and ability to focus on multiple projects simultaneously and adapt to change.

Excellent problem-solving, and critical-thinking skills.

Strong verbal and written communication skills.

Microsoft Office suite/applicable software program proficiency, and ability to navigate online portals and databases.

Preferred Qualifications

Certified Case Manager (CCM).

Strong preference for a valid and active CA RN license.

CST/MST time zone preferred.

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 - $51.49 / HOURLY

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

Similar Jobs

Project Manager

PCL Construction • Tempe, AZ • 1h ago

Management & Administrative

Project Manager The future you want is within reach. Let's build it together. At PCL Construction, Inc., part of the PCL Family of Companies (PCL), we don't just build projects-we build opportunities, careers and communi...

1h ago

Go to Apply

Project Manager

PCL Construction • Tempe, AZ • 1h ago

Management & Administrative

1h ago

Go to Apply

Customer Service Representative

U-Haul • Sierra Vista, AZ • 3h ago

Management & Administrative

Location: 2011 E Fry Blvd, Sierra Vista, Arizona 85635 United States of America Are you a people person? Do you love helping others? U-Haul is in search of friendly, motivated people for the position of Customer Service...

3h ago

Go to Apply

Customer Service Rep.

CAI • Phoenix, AZ • 3h ago

Management & Administrative

Customer Service Rep. Req number: R8160 Employment @type: Full time Worksite flexibility: Remote Who we are CAI is a global services firm with over 9,000 associates worldwide and a yearly revenue of $1.3 billion+. We hav...

3h ago

Go to Apply

ServiceNow Automated Test Framework QA Engineer/Tester (Remote-DC/MD/VA)

GovCIO • Phoenix, AZ • 3h ago

Management & Administrative

United States Suitability/Public Trust Hybrid schedule Information Technology Overview GovCIO is seeking a ServiceNow Quality Assurance Engineer and Tester. The ideal candidate will thrive in a fast-paced operations and...

3h ago

Go to Apply

Operations Research Analyst / Data Lead (Remote)

GovCIO • Phoenix, AZ • 3h ago

Management & Administrative

United States Suitability/Public Trust Fully remote Information Technology Overview GovCIO is currently hiring for an Operations Research Analyst / DataLead to support program management, data analytics, and reporting ac...

3h ago

Go to Apply

Sr. Account Manager - Merchant Services

Intuit • Phoenix, AZ • 4h ago

Management & Administrative

Overview As a Merchant Services Strategic Sr. Account Manager at Intuit, you will play a vital role in driving growth and expanding merchant services through our accountant partner ecosystem. Your primary objective is to...

4h ago

Go to Apply

Customer Accounts Manager

Aaron's Inc • Tucson, AZ • 4h ago

Management & Administrative

Customer Accounts Manager The salary range for this role is $18.00 to $19.00 per hour.* This position is also eligible for incentive pay based on performance. Aaron's Customer Account Managers drive the success of our st...

4h ago

Go to Apply

Associate Account Manager

Republic Services • Phoenix, AZ • 4h ago

Management & Administrative

POSITION SUMMARY: The Associate Account Manager is responsible for proactively maintaining and retaining relationships with existing customers for permanent commercial and industrial waste services in an assigned territo...

4h ago

Go to Apply

Account Manager - Remote

Dragonfly Health • Mesa, AZ • 4h ago

Management & Administrative

Description Essential Functions Note: The essential duties and primary accountabilities below are intended to describe the general content of and requirements of this position and are not intended to be an exhaustive sta...

4h ago

Go to Apply

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