(RN) Remote Care Manager - SC based

Molina Healthcare • Greenville, SC • 1d 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.

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, face-to-face or home 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.

Valid and unrestricted driver's license, reliable transportation, and adequate auto insurance for job related travel requirements, unless otherwise required by law.

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).

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: $25.08 - $51.49 / HOURLY

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

Similar Jobs

Customer Service Associate

Walgreens • Duncan, SC • 5h 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...

5h ago

Go to Apply

Security Officer Logistics Operation

Allied Universal • Greenville, SC • 5h ago

Management & Administrative

Allied Universal®, North America's leading security and facility services company, offers rewarding careers that provide you a sense of purpose. While working in a dynamic, welcoming, and collaborative workplace, you wil...

5h ago

Go to Apply

Security Officer Access Attendant

Allied Universal • Greer, SC • 5h ago

Management & Administrative

5h ago

Go to Apply

Facilities Manager

RBC Bearings • Belton, SC • 14h ago

Management & Administrative

Description Job Title: Facilities Manager Location: Belton, SC Reports to: Manufacturing Engineering Manager Employment Type: Full-time Seniority Level: Mid to Senior Level Industry: Manufacturing | Industrial Maintenanc...

14h ago

Go to Apply

Part Sales Manager - Part Time

AutoZone, Inc. • Greenville, SC • 1d ago

Management & Administrative

Job Description AutoZone's Store Management team drives store performance, fosters a productive team, and ensures exceptional customer service. Managers and MITs play a key leadership role, expected to Live The Pledge an...

1d ago

Go to Apply

Part Sales Manager - Full Time

AutoZone, Inc. • Simpsonville, SC • 1d ago

Management & Administrative

1d ago

Go to Apply

Security Officer - Manufacturing Site

Allied Universal • Fountain Inn, SC • 1d ago

Management & Administrative

1d ago

Go to Apply

Security Account Manager

Allied Universal • Fountain Inn, SC • 2d ago

Management & Administrative

Company Overview: Allied Universal®, North America's leading security and facility services company, offers rewarding careers that provide you a sense of purpose. While working in a dynamic, welcoming, and collaborative...

2d ago

Go to Apply

Wine Sales Account Manager - Greenville

Reyes Holdings • Greenville, SC • 2d ago

Management & Administrative

Represent an exceptional lineup of world-class spirits, beer, and wine - build relationships, grow market share, and elevate your sales career with Reyes Beverage Group! Shift: Full-time Pay: Salary + Sales Incentives +...

2d ago

Go to Apply

Electrical Products Sales Manager (Medium Voltage)

Eaton Corporation • Greenville, SC • 2d ago

Management & Administrative

Eaton's ES AMER ARS PDCAD division is currently seeking a Electrical Products Sales Manager (Medium Voltage). The position will be based at our facility in Greenville, SC or Greenwood, SC. We are offering relocation assi...

2d ago

Go to Apply

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