Case Manager RN

2 weeks ago


Lubbock TX United States Molina Healthcare Full time

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)

 

#PJHS

#LI-AC1

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


  • Registered Nurse

    1 week ago


    Denver, CO, United States Professional Case Management Full time

    Make a Difference on Your Own Schedule and Terms!Hiring Case Managers in Colorado   Come join our growing team! A few of our perks:Create your own schedule!$42/hr. (including 100% of Hourly Wage Paid for All Drive Time) Our RN-Case Managers conduct in-home nursing visits for our clients. All our clients are former Nuclear Weapon's Workers with...

  • Registered Nurse

    6 days ago


    Cincinnati, OH, United States Professional Case Management Full time

    Make a Difference on Your Own Schedule and Terms!Hiring Case Managers in Ohio   Come join our growing team! A few of our perks:Create your own schedule!$38/hr. (including 100% of Hourly Wage Paid for All Drive) Our RN-Case Managers conduct in-home nursing visits for our clients. All our clients are former Nuclear Weapon's Workers with chronic/terminal...

  • Registered Nurse

    1 month ago


    Pasco, WA, United States Professional Case Management Full time

    Make a Difference on Your Own Schedule and Terms!Hiring Case Managers in Washington   Come join our growing team! A few of our perks:Create your own schedule!$42/hr. (including 100% of Hourly Wage Paid for All Drive Time) Our RN-Case Managers conduct in-home nursing visits for our clients. All our clients are former Nuclear Weapon's Workers with...

  • Registered Nurse

    4 weeks ago


    Tooele, UT, United States Professional Case Management Full time

    Make a Difference on Your Own Schedule and Terms!Hiring Case Managers in Utah   Come join our growing team! A few of our perks:Create your own schedule!$40/hr. (including 100% of Hourly Wage Paid for All Drive Time) Our RN-Case Managers conduct in-home nursing visits for our clients. All our clients are former Nuclear Weapon's Workers with...

  • Registered Nurse

    1 month ago


    Santa Fe, NM, United States Professional Case Management Full time

    Make a Difference on Your Own Schedule and Terms!Hiring Case Managers in New Mexico   Come join our growing team! A few of our perks:Create your own schedule!$40/hr. (including 100% of Hourly Wage Paid for All Drive Time) Our RN-Case Managers conduct in-home nursing visits for our clients. All our clients are former Nuclear Weapon's Workers with...


  • Lubbock, TX, United States Direct Health Care, Inc. Full time

    $10,000.00 Sign On Bonus for RN Field Case Manager (full-time) opportunity available in home health and hospice agency. RN will be responsible for case management and field visits for a designated caseload. Applicants must be a RN with a current license in the state of TX and have a minimum of 1 year experience as an RN in the clinical setting. Applicants...


  • Royal Oak, MI, United States Horizon Case Management Corp Full time

    Job descriptionAbout usWe are professional, rewarding, and collaborative, and our goal is to assist our disabled clients with advocating for medical necessity and coordinating their care.Our work environment includes:Work-from-home daysGrowth opportunitiesOn-the-job trainingFlexible working hoursRegular social eventsAboutJob Title: Case Manager RNName of...


  • Fresno, CA, United States Pinnacle Case Management Solutions, LLC. Full time

    Company DescriptionPinnacle Case Management Solutions, LLC provides nurse case management services to employers, third-party administrators, and insurance carriers in the Workers' Compensation industry. Our dedicated team of nurses support all parties involved in the recovery process, including the claim examiner, employer, provider, and injured worker. We...

  • RN CASE MANAGER ER

    2 weeks ago


    , TX, United States Cuero Regional Hospital Full time

    Cuero Regional Hospital is searching for a PRN RN Case Manager ER in our Case Management Department.Job Description: Under the Direction of the Chief Quality Officer, The Case Manager will ensure that patients receive appropriate, quality care that is cost effective. Work directly with patients and their family members to conduct various assessments to...


  • Houston, TX, United States HarmonyCares Full time

    Branch RN Case ManagerOverview HarmonyCares is one of the nation's largest home-based primary care practices. HarmonyCares is a family of companies all dedicated to providing high-quality, coordinated health care in the home. This includes HarmonyCares, HarmonyCares Medical Group, HarmonyCares Home Health and HarmonyCares Hospice. Our Mission - To bring...

  • RN Case Manager

    1 day ago


    Austin, TX, United States St. Gabriel's Hospice & Palliative Care Full time

    St. Gabriel's Hospice & Palliative Care is hiring an RN Case Manager in the Austin area!Candidates should desire to be part of a hard-working and supportive team where they will be valued. If providing stellar patient care is important to you, please apply!Job Summary: The primary functions of our RN Case Manager are to administer skilled nursing care for...


  • , TX, United States Questpro Full time

    We are currently partnered with one of the fastest growing, passionate, case management companies in the industry who has an immediate need for an experienced RN Field Case Manager to make a difference in the greater DFW Metro Area. Whether you’re looking for a new professional home, want to spend more time impacting the file vs writing reports or just...

  • RN CASE MANAGER

    2 weeks ago


    , IN, United States La Porte Hospital Company Full time

    RN Case Manager is to manage an assigned caseload of patients to ensure optimal clinical, financial, and quality outcomes during acute hospitalization. The RN Case Manager utilizes clinical criteria, professional nursing skills, and experience to assess admission and continued stay appropriateness and monitor the care plan to ensure timely delivery of care...

  • RN-Case Manager

    3 weeks ago


    Austin, TX, United States Ascension Seton Northwest Full time

    RN-Case ManagerDetails * Sign-on bonus: $5,000 * Department: Inpatient Case Management * Schedule: Days M-F * Hospital: Dell Children's Medical Center * Location: Austin, TX Benefits Paid time off (PTO) Various health insurance options & wellness plans Retirement benefits including employer match plans Long-term & short-term disability Employee...


  • , CA, United States Pinnacle Case Management Solutions, LLC. Full time

    Company DescriptionPinnacle Case Management Solutions, LLC provides nurse case management services to employers, third-party administrators, and insurance carriers in the Workers' Compensation industry. Our dedicated team of nurses support all parties involved in the recovery process, including the claim examiner, employer, provider, and injured worker. We...

  • RN Case Manager

    1 day ago


    Fort Worth, TX, United States St. Gabriel's Hospice & Palliative Care Full time

    St. Gabriel's Hospice & Palliative Care is hiring an RN Case Manager in the Fort Worth area!Candidates should desire to be part of a hard-working and supportive team where they will be valued. If providing stellar patient care is important to you, please apply!Job Summary: The primary functions of our RN Case Manager are to administer skilled nursing care...

  • PRN RN CASE MANAGER

    2 weeks ago


    , FL, United States EMPATH HEALTH Full time

    Coverage area includes Manatee and Sarasota Counties. The PRN RN Case Manager creates and maintains a plan of care, serving as the coordinator for patient and family interaction with Tidewell for the duration of the patient's hospice experience. When a patient and loved ones think of Tidewell Hospice, they will think first of the RN Case Manager. The case...

  • PRN RN CASE MANAGER

    2 weeks ago


    , FL, United States EMPATH HEALTH Full time

    Coverage area includes the Southern Sarasota and Charlotte county areas. The PRN RN Case Manager creates and maintains a plan of care, serving as the coordinator for patient and family interaction with Tidewell for the duration of the patient's hospice experience. When a patient and loved ones think of Tidewell Hospice, they will think first of the RN Case...


  • Montebello, CA, United States AltaMed Full time

    Work Boldly. Live Brilliantly. At AltaMed, we don't just serve our communities, we are part of them. We have raised the expectations of what a community clinic can deliver because we think quality care is for everyone. And, we are determined to provide it no matter the challenges because this is more than a job. It's the calling of our lives and it compels...


  • El Paso, TX, United States El Paso Children's Hospital Full time

    Case Manager RN, FT Days Rotating (4103-029)Comprehensively plans for case management services for a targeted patient population. Carries out activities related to utilization management, discharge planning, care coordination and referral to other levels of care. The Case Manager works with Physicians, Social Services and interdisciplinary team to facilitate...