Case Manager

3 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

#LI-AC1

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

  • Travel Nurse RN Case Manager

    4 weeks ago

    Omaha, Nebraska, United States TotalMed Case Management Staffing Full time

    Job Title: Travel Nurse RN Case ManagerTotalMed Case Management Staffing is seeking a skilled travel nurse RN case manager to join their team in Omaha, Nebraska.Job Details:Specialty: Case ManagementDiscipline: RNDuration: 13 weeksHours: 40 hours per weekShift: 8 hours, daysWe are looking for a dedicated and compassionate travel nurse RN case manager to...

  • Travel Nurse RN Case Manager

    4 weeks ago

    Omaha, Nebraska, United States TotalMed Case Management Staffing Full time

    Job Title: Travel Nurse RN Case ManagerTotalMed Case Management Staffing is seeking a travel nurse RN Case Management for a travel nursing job in Omaha, Nebraska.Job Description & RequirementsSpecialty: Case ManagementDiscipline: RNEmployment Type: TravelWe are seeking a Case Manager-Registered Nurse for an assignment in Omaha Nebraska.TotalMed Case...

  • RN - Case Manager

    4 weeks ago

    Omaha, Nebraska, United States CHI Health Lakeside Hospital - medicalsolutions Full time

    Job Title: RN - Case ManagerCHI Health Lakeside Hospital is seeking a skilled RN - Case Manager to join our medical solutions team. As a Case Manager RN, you will play a vital role in coordinating patient care and ensuring seamless transitions between healthcare services.Key Responsibilities:Coordinate patient care plans with healthcare providers and family...

  • Pediatric Case Manager

    1 week ago

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

    Job Title: RN Case Manager - EndocrinologyAt Children's Hospital & Medical Center, we are committed to providing exceptional care to our patients and their families. We are seeking a highly skilled and compassionate RN Case Manager to join our team.Job Summary:The RN Case Manager will serve as a key member of our care team, working closely with patients,...

  • RN - Case Manager

    3 months ago

    Omaha, United States CHI Health Lakeside Full time

    Cure Healthcare is seeking a RN - Case Manager for positions in Omaha, Nebraska. Current Nebraska license and AHA BLS required and additional certifications related to this specialty. This shift is 3x12 Days. Required: 2 years of recent experience in Case Manager. Please inquire for specific job details and confirm shift required by facility.

  • Case Manager II

    1 month ago

    Omaha, Nebraska, United States Heartland Family Service Full time

    Job Title: Case Manager IIJob Summary:Heartland Family Service is seeking a skilled Case Manager II to join our team. As a Case Manager II, you will provide direct care and support to residents in a residential substance abuse treatment facility, serving women and their children. This is a dynamic and challenging role that requires a strong commitment to...

  • Nurse Case Manager

    3 weeks ago

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

    Registered Nurse (RN) Case ManagerAt Midwest Home Health Inc, we are seeking a skilled and compassionate Registered Nurse (RN) Case Manager to join our team. As a RN Case Manager, you will play a vital role in coordinating all aspects of patient care in the comfort of their own home.About the Position:The RN Case Manager will interact with other medical...

  • RN Case Manager

    1 week 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...

  • RN Case Manager

    2 weeks ago

    Omaha, United States Brightstar Care of Omaha Full time

    Job Title: RN Case ManagerCompany: BrightStar Care of OmahaLocation: Omaha, NEJob Type: Full-Time/Part-TimeAbout BrightStar Care:BrightStar Care of Omaha is a leading home healthcare provider dedicated to delivering a higher standard of care to individuals in their homes. We are part of a national network with a commitment to quality, compassion, and...

  • Case Manager

    1 month ago

    Omaha, United States Equus Full time

    Job Description  - Build a professional one-on-one working relationship with clients to aid in eliminating challenges that are hindrances to obtaining and retaining employment. This includes: assessment, individualized attention and coordination- Provide consistent and comprehensive case management and follow-up- Conduct new customer orientation - Help to...

  • Pediatric Case Manager

    3 days ago

    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...

  • Case Manager III

    2 weeks ago

    Omaha, Nebraska, United States Heartland Family Service Full time

    Job Title: Case Manager IIIJob Summary:We are seeking a highly skilled and compassionate Case Manager III to join our team at Heartland Family Service. As a key member of our homeless services team, you will play a critical role in connecting individuals and families with housing and supportive services in Douglas, Sarpy, and Pottawattamie Counties.Key...

  • Case Manager

    3 weeks ago

    Omaha, Nebraska, United States YoungWilliams Full time

    Join YoungWilliams' Legal Team and Make a Difference in the Lives of Nebraska Families!No prior experience is necessary, as we provide extensive paid training to ensure your success.We offer flexible schedules, Monday through Friday, between 8 am and 5 pm, to accommodate your needs.You'll enjoy nine paid holidays, as well as paid sick and vacation days.Our...

  • Pediatric Case Manager

    4 days ago

    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...

  • RN Case Manager

    2 weeks ago

    Omaha, Nebraska, United States Brightstar Care of Omaha Full time

    Job Title: RN Case ManagerAbout BrightStar Care of Omaha:BrightStar Care of Omaha is a leading home healthcare provider dedicated to delivering high-quality care to individuals in their homes. Our mission is to improve the health and well-being of our clients while offering rewarding and meaningful careers for our staff.Job Overview:We are seeking a skilled...

  • Pediatric Case Manager

    4 weeks ago

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

    Pediatric Case Manager Job DescriptionAt Children's Hospital & Medical Center, we are seeking a highly skilled and compassionate Pediatric Case Manager to join our team. As a key member of our healthcare team, you will play a vital role in ensuring the best possible outcomes for our pediatric patients.Key Responsibilities:Assess and coordinate patient care...

  • Case Manager II

    4 weeks ago

    Omaha, Nebraska, United States Optum Full time

    Job Title: Case Manager IIOptum, a leading healthcare company, is seeking a skilled Case Manager II to join our team in Omaha, NE. As a Case Manager II, you will play a vital role in providing home-based services, education, and support to families, including household management and emotional/behavioral regulation.Key Responsibilities:Provide home-based...

  • Nurse Case Manager

    1 month ago

    Omaha, Nebraska, United States St Croix Hospice Full time

    Job Title: Registered Nurse - Case ManagementWe are seeking a skilled Registered Nurse to join our team as a Case Manager. In this role, you will be responsible for planning, organizing, and directing hospice care for patients and their families.Key Responsibilities:Conduct comprehensive assessments of patients and families to determine their needs and...

  • Pediatric Case Manager

    2 weeks ago

    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...

  • Pediatric Case Manager

    2 weeks ago

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

    Job DescriptionAt Children's Hospital & Medical Center, we are seeking a highly skilled and compassionate RN 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 high-quality, patient-centered care to our pediatric population.ResponsibilitiesAssess and develop individualized care plans...