Telephonic Case Manager

4 weeks ago


Long Beach, United States Molina Healthcare Full time

Opportunity for a Telephonic RN to join our Marketplace Team performing telephonic Case Management. 100% remote. Schedule is M – F, 8AM -5PM PST, and flexibility with schedule is necessary, as well as willingness to work a couple of evenings a week, will be needed to have more opportunity to reach our members. Please consider this parameter before applying to this role. Experience with OB/ High Risk Pregnancy cases will be essential to be successful in this role. BILINGUAL SPANISH is a plus. We can consider candidates who live in the following states: CALIFORNIA, IDAHO, WASHINGTON, UTAH, NEVADA. Excellent computer skills and attention to detail are very important to multitask between systems, talk with members on the phone, and enter accurate contact notes. This is a fast-paced position and productivity is important. Excellent skillset working with EMR's and Microsoft Office. Home office with internet connectivity of high speed required. You must provide your own home office including desk and chair. 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. 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

    2 weeks ago


    Long Beach, California, United States TotalMed Case Management Staffing Full time

    Company Overview:TotalMed Case Management Staffing is dedicated to providing exceptional staffing solutions in the healthcare sector. We prioritize a partnership that emphasizes integrity and support for our healthcare professionals.Position Summary:We are currently seeking a skilled Travel Nurse RN specializing in Case Management. This role involves...


  • Long Beach, California, United States Adecco USA Full time

    Job Title: RN Case Manager - Field Position - Long BeachLocation: Remote/HybridSchedule: Monday to Friday, 8:00 AM - 5:00 PMJob Overview:We are seeking an experienced and compassionate RN Case Manager to join our team. This hybrid role is primarily virtual, with occasional fieldwork, particularly in the Long Beach and greater LA/OC area. As an RN Case...

  • Case Manager

    4 days ago


    Long Beach, California, United States LHH Recruitment Solutions Full time

    Job SummaryWe are seeking a highly skilled and compassionate Case Manager to join our team at LHH Recruitment Solutions. As a Case Manager, you will play a critical role in supporting homeless individuals with substance abuse and behavioral health issues.Key ResponsibilitiesManage a caseload of 20-25 clients weekly, with 4-5 clients per day.Conduct daily...


  • Long Beach, California, United States Adecco USA Full time

    Position Title: RN Case ManagerLocation: Long Beach, CA (Hybrid Role)Schedule: Monday to Friday, 8:00 AM - 5:00 PM No weekends, no on-callsPosition Summary:We are looking for a dedicated and skilled RN Case Manager to become part of our expanding team. This hybrid position primarily involves virtual interactions, with occasional field visits in the Long...


  • Long Beach, California, United States Adecco USA Full time

    Position Title: RN Case ManagerLocation: Long Beach, CA (Hybrid Role)Work Schedule: Monday to Friday, 8:00 AM - 5:00 PM No weekends or on-call dutiesPosition Summary:We are looking for a dedicated and skilled RN Case Manager to become part of our expanding team. This hybrid position primarily involves virtual interactions, with occasional field visits in the...


  • Long Beach, California, United States Adecco USA Full time

    Position Title: RN Case ManagerLocation: Long Beach, CA (Hybrid Role)Work Schedule: Monday to Friday, 8:00 AM - 5:00 PM No weekends or on-call dutiesPosition Summary:We are looking for a dedicated and skilled RN Case Manager to become part of our expanding team. This hybrid position primarily involves virtual interactions, with occasional field visits in the...


  • Long Beach, California, United States Adecco USA Full time

    Job Title: RN Case ManagerLocation: Long Beach, CA (Hybrid Role)Schedule: Monday to Friday, 8:00 AM - 5:00 PM No weekends, no on-callsPosition Overview:We are looking for a dedicated and skilled RN Case Manager to become part of our dynamic team. This hybrid position is primarily remote, with occasional field visits, particularly within the Long Beach and...


  • Long Beach, United States April Parker Foundation Full time

    Position Summary The Case Manager | Enhanced Case Management (ECM) will provide comprehensive case management services to individuals and families, focusing on enhancing their access to necessary resources and support. As a Case Manager, you will work closely with clients to conduct assessments, develop care plans, and provide ongoing support and advocacy....


  • Long Beach, United States April Parker Foundation Full time

    Position Summary The Case Manager | Enhanced Case Management (ECM) will provide comprehensive case management services to individuals and families, focusing on enhancing their access to necessary resources and support. As a Case Manager, you will work closely with clients to conduct assessments, develop care plans, and provide ongoing support and advocacy....


  • Long Beach, United States April Parker Foundation Full time

    Position Summary The Case Manager Enhanced Case Management (ECM) will provide comprehensive case management services to individuals and families, focusing on enhancing their access to necessary resources and support. As a Case Manager, you will work closely with clients to conduct assessments, develop care plans, and provide ongoing support and advocacy....

  • Case Manager

    3 months ago


    Long Beach, United States ICAN California Abilities Network Full time

    Job DescriptionJob DescriptionICAN Supported Employment ProgramCase Manager Job DescriptionPrimary Function:This is an administrative position. The Supported Employment Program Case Manager is responsible for carrying out the day-to-day client services management duties to help the clients in their caseload meet or exceed their service objectives and goals...


  • Long Beach, United States April Parker Foundation Full time

    Job DescriptionJob DescriptionPosition Summary The Case Manager | Enhanced Case Management (ECM) will provide comprehensive case management services to individuals and families, focusing on enhancing their access to necessary resources and support. As a Case Manager, you will work closely with clients to conduct assessments, develop care plans, and provide...


  • Long Beach, United States April Parker Foundation Full time

    Job DescriptionJob DescriptionPosition Summary The Case Manager | Enhanced Case Management (ECM) will provide comprehensive case management services to individuals and families, focusing on enhancing their access to necessary resources and support. As a Case Manager, you will work closely with clients to conduct assessments, develop care plans, and provide...

  • Case Manager III

    2 months ago


    Long Beach, United States U.S. VETS Full time $64,480 - $66,560

    This position reports directly to the Program Coordinator or Clinical Director of U.S.VETS. Case Manager III is responsible for providing guidance to veterans to achieve their highest level of independence. Case management is a collaborative process which assesses, plans, implements, coordinates, monitors, and evaluates the selection of services to optimally...

  • Case Manager I

    2 months ago


    Long Beach, United States Tarzana Treatment Center Full time

    Job DescriptionJob DescriptionPOSITION SUMMARYSeeking a full-time employee as a Case Manager to work as part of multidisciplinary team for Enhanced Case Management. This program is designed to provide in-person, community-based case management and wraparound services to eligible Medi-Cal members with multiple chronic conditions. Duties include but are not...

  • Case Manager I

    3 months ago


    Long Beach, United States Tarzana Treatment Center Full time

    Job DescriptionJob DescriptionPOSITION SUMMARYSeeking a full-time employee as a Case Manager to work as part of multidisciplinary team for Enhanced Case Management. This program is designed to provide in-person, community-based case management and wraparound services to eligible Medi-Cal members with multiple chronic conditions. Duties include but are not...


  • Long Beach, United States April Parker Foundation Full time

    Job DescriptionJob DescriptionPosition Summary The CALAIM Supervisor | Enhanced Case Manager will provide supervision and support to the CALAIM team while also serving as an Enhanced Case Manager. The CALAIM Supervisor is responsible for ensuring the CALAIM program is implemented effectively and efficiently. As an Enhanced Case Manager, you will work...


  • Long Beach, United States April Parker Foundation Full time

    Job DescriptionJob DescriptionPosition Summary The CALAIM Supervisor | Enhanced Case Manager will provide supervision and support to the CALAIM team while also serving as an Enhanced Case Manager. The CALAIM Supervisor is responsible for ensuring the CALAIM program is implemented effectively and efficiently. As an Enhanced Case Manager, you will work...

  • Clinical Case Manager

    22 hours ago


    Long Beach, California, United States Blue Shield of California Full time

    About the RoleAs a Care Management Specialist at Blue Shield of California, you will play a critical role in supporting the mission of our department, which is to provide exceptional care and support to our members in maintaining their health and wellness in the outpatient setting.Key ResponsibilitiesResearch and Design Treatment Plans: Develop and implement...

  • Veteran Case Manager

    2 weeks ago


    Long Beach, California, United States U.S. VETS Full time

    U.S. VETS is a non-profit organization dedicated to helping military veterans and their families transition successfully into civilian life. We provide comprehensive support services, including housing assistance, counseling, career development, and more. We are currently seeking a compassionate and experienced Veteran Case Manager to join our team. In this...