Case Manager

5 months ago


Omaha, United States Molina Healthcare Full time
Job Description

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.

#PJHS

Pay Range: $23.76 - $51.49 / HOURLY
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.


  • RN Case Manager

    4 weeks ago


    Omaha, Nebraska, United States Brightstar Care Full time

    Job DescriptionJob Title: RN Case Manager Company: BrightStar Care Job Type: Full-Time/Part-TimeAbout BrightStar Care:BrightStar Care is a leading home healthcare provider dedicated to delivering high-quality care to individuals in their homes. We are part of a national network with a commitment to quality, compassion, and integrity. Our mission is to...


  • Omaha, Nebraska, United States Omaha Children's Hospital Full time

    Pediatric Case Manager Job SummaryWe are seeking a highly skilled Pediatric Case Manager to join our team at Omaha Children's Hospital. As a Pediatric Case Manager, you will play a critical role in coordinating patient care and ensuring that our young patients receive the best possible treatment.Key Responsibilities:Assess patient needs and develop...


  • Omaha, Nebraska, United States Omaha Children's Hospital Full time

    Pediatric Case Manager Job DescriptionOmaha Children's Hospital is seeking a highly skilled Pediatric Case Manager to join our team. As a key member of our healthcare team, you will play a vital role in ensuring the delivery of quality, cost-effective healthcare services to our patients.Key Responsibilities:Assess and develop individualized care plans for...


  • Omaha, Nebraska, United States Omaha Children's Hospital Full time

    Job SummaryWe are seeking a highly skilled and compassionate RN Case Manager to join our team at Omaha Children's Hospital. As a key member of our care coordination team, you will work closely with patients, families, and healthcare providers to ensure seamless transitions and optimal health outcomes.Key ResponsibilitiesAssess and develop individualized care...

  • Career Case Manager

    4 weeks ago


    Omaha, Nebraska, United States Equus Full time

    Job DescriptionWe are seeking a skilled Career Case Manager to join our team at Equus Workforce Solutions in Omaha. As a Career Case Manager, you will play a critical role in helping job seekers and career changers prepare for and advance in careers with a focus on sustainable, high-growth, high-demand industries.Your primary responsibilities will...

  • Nurse Case Manager

    4 weeks ago


    Omaha, Nebraska, United States DaVita Full time

    We are seeking a skilled and compassionate Nurse Case Manager to join our team at DaVita. As a Home Hemodialysis Specialist, you will play a critical role in providing comprehensive patient care in an independent setting.Key Responsibilities:Provide education on Home Hemodialysis to patients and their caregivers in a clinical settingDevelop and implement...

  • Nurse Case Manager

    1 month ago


    Omaha, Nebraska, United States St Croix Hospice Full time

    Job Title: Registered Nurse - Case ManagerJob Summary:The Registered Nurse - Case Manager plays a vital role in providing high-quality patient care and coordinating services to meet the needs of individuals and families in their homes and communities.Key Responsibilities:Conduct comprehensive assessments of patients and families to determine hospice...


  • Omaha, Nebraska, United States Remedy Roads LLC Full time

    Job Title: Case ManagerJob Summary:Remedy Roads LLC is seeking a skilled Case Manager to join our team. As a Case Manager, you will be responsible for providing support and guidance to clients with behavioral health and developmental disabilities. Your primary goal will be to help clients achieve their goals and improve their overall well-being.Key...


  • Omaha, Nebraska, United States Remedy Roads LLC Full time

    **Case Manager Job Responsibilities:**We are seeking a skilled Case Manager to join our team at Remedy Roads LLC. As a Case Manager, you will be responsible for:Admitting new clients by reviewing records and applications, and conducting orientations.Preparing clients for discharge by reviewing and amplifying discharge plans, and coordinating discharge and...

  • RN - Case Management

    1 month ago


    Omaha, United States CHI Health Lakeside Full time

    TOP RANKED TRAVEL NURSING COMPANY IN THE NATION BY BLUEPIPES Description Ready for your next adventure? Axis Medical Staffing, one of the leading Travel Nursing Companies in the nation, has an immediate 8H Days 8 hr days shift Case Management opening in Omaha, Nebraska. This job is expected to close within 30 days.Job SummarySpecialty: Case Management...


  • Omaha, United States Children's Hospital & Medical Center Full time

    Job DescriptionSchedule Monday-Friday 8:00 am - 4:30 pmAt Children's, the region's only full-service pediatric healthcare center, our people make us the very best for kids. Come cultivate your passion, purpose and professional development in an environment of excellence and inclusion, where team members are supported and deeply valued. Opportunities for...


  • Omaha, United States Omaha Children's Hospital Full time

    Schedule Monday-Friday 8:00 am - 4:30 pm At Children’s, the region’s only full-service pediatric healthcare center, our people make us the very best for kids. Come cultivate your passion, purpose and professional development in an environment of excellence and inclusion, where team members are supported and deeply valued. Opportunities for career growth...

  • Nurse Case Manager

    2 months ago


    Omaha, Nebraska, United States MIDWEST HOME HEALTH INC Full time

    About the PositionThe Registered Nurse (RN) Case Manager coordinates all aspects of the patient's home care, interacting with other medical disciplines as needed and providing professional care to the patient. This includes performing the admission visit to the patient in the home and determining the patient's eligibility for home care services, as well as...

  • Case Manager

    1 month ago


    Omaha, United States Molina Healthcare Full time

    JOB DESCRIPTIONJob SummaryMolina 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...

  • Case Manager

    4 weeks ago


    Omaha, United States Molina Healthcare Full time

    JOB DESCRIPTIONJob SummaryMolina 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...

  • Nurse Case Manager

    4 weeks ago


    Omaha, Nebraska, United States Angels Care Home Health Service LLC Full time

    About the Position:As a Registered Nurse - Case Manager with Angels Care Home Health Service LLC, you will play a vital role in coordinating all aspects of patient care in the home setting. This includes interacting with other medical disciplines as needed and providing professional care to patients. You will also perform admission visits to determine...

  • Oncology Case Manager

    1 month ago


    Omaha, Nebraska, United States Nebraska Medicine Full time

    Job SummaryNebraska Medicine is seeking a highly skilled Oncology Case Manager to join our team. As a key member of our healthcare team, you will play a vital role in delivering high-quality patient care and achieving excellent outcomes.Key ResponsibilitiesManage a system of patient care delivery for a designated group of patients to achieve high-quality,...


  • Omaha, United States Molina Healthcare Full time

    For this role, we are seeking a RN Complex Case Manager. Must reside and be licensed for the state of NEBRASKA. 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...

  • Case Manager II

    1 month ago


    Omaha, Nebraska, United States Heartland Family Service Full time

    Job SummaryHeartland Family Service is seeking a skilled Case Manager II to join our residential substance abuse treatment team. As a key member of our direct care staff, you will provide supervision and support to residents in a 24-hour residential facility serving women and their children.This is a dynamic and fast-paced environment that requires a strong...

  • Registered Nurse

    2 months ago


    Omaha, United States St Croix Hospice Full time

    Registered Nurse (RN) Case Manager Job Details Level Experienced Job Location Omaha NE - Omaha, NE Education Level 2 Year Degree Job Shift Day Job Category Nurse Description TheRegistered Nurse Case Managerplans, organizes and directs hospice care and is experienced in nursing, with emphasis on community health education/experience. The...