Case Manager
2 months ago
We are looking for a RN Care Transitions Case Manager who must reside in CALIFORNIA and be able to drive within one of the following county locations: Los Angeles County, San Diego County, San Bernardino County, Riverside County or Sacramento County. We are seeking a RN with a minimum of 1 year hospital experience. Discharge planning and Case Management preferred. Transition Care Case Manager will work in remote and field setting with our Medicaid Population. 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. TRAVEL BY CAR WILL BE REQUIRED to do member visits in the surrounding areas. Travel will be within a 1- 2 hour radius from your home location. You must be able to do your own driving. A clean DMV driving record, proof of auto insurance, and reliable transportation is required. Home office with internet connectivity of high speed required. You must provide your own home office including desk and chair. Schedule: Monday thru Friday 8:30AM to 5:30PM PACIFIC 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 Follows member throughout a 30-day program that starts at hospital admission and continues through transitions from the acute setting to other settings, including nursing facility placement and private home, with the goal of reduced readmissions. Ensures safe and appropriate transitions by collaborating with hospital discharge planners, as well as with hospitalists, outpatient providers, facility staff, and family/support network, as needed or at the request of member. Ensures member transitions to a setting with adequate caregiving and functional support, as well as medical and medication oversight as required. Works with participating ancillary providers, public agencies, or other service providers to make sure necessary services and equipment are in place for a safe transition. Conducts face-to-face visits of all members while in the hospital and home visits of high-risk members post-discharge. Coordinates care and reassesses member's needs using the Coleman Care Transitions Model recommended post-discharge timeline. Educates and supports member focusing on seven primary areas (ToC Pillars): medication management, use of personal health record, follow up care, signs and symptoms of worsening condition, nutrition, functional needs and or Home and Community-based Services, and advance directives. 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. Facilitates interdisciplinary care team meetings and informal ICT collaboration. 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 will conduct medication reconciliation when needed. 40-50% local travel required. JOB QUALIFICATIONS Required Education Graduate from an Accredited School of Nursing. Bachelor's Degree in Nursing preferred. Required Experience 1-3 years hospital discharge planning or home health. 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 hospital discharge planning or home health. Preferred License, Certification, Association Active, unrestricted Transitions of Care Sub-Specialty Certification and/or 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.
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Case Manager
1 week ago
Riverside, United States Illumination Foundation Full time $22 - $25Job DescriptionJob Description“Every person deserves compassion, dignity, and the safety of a place to call home.”Homelessness is the largest social and public health crisis in California. Illumination Foundation (IF) is a growing non-profit organization dedicated towards disrupting the cycle of homelessness by providing targeted, interdisciplinary...
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Riverside, United States Southern California Hospitalist Network Full timeThe primary goal of a nurse case manager is to ensure that every patient in their care receives exceptional care for your facility. To accomplish this, nurse case managers usually perform the following duties: The case manager performs the primary role functions of assessment, planning, facilitation and advocacy. These functions are achieved through...
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Case Manager
3 months ago
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Riverside, United States Illumination Foundation Full time“Every person deserves compassion, dignity, and the safety of a place to call home.” Homelessness is the largest social and public health crisis in California. Illumination Foundation (IF) is a growing non-profit organization dedicated towards disrupting the cycle of homelessness by providing targeted, interdisciplinary services in our recuperative care...
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Housing Case Manager
3 months ago
Riverside, United States Illumination Foundation Full timeJob DescriptionJob Description“Every person deserves compassion, dignity, and the safety of a place to call home.”Homelessness is the largest social and public health crisis in California. Illumination Foundation (IF) is a growing non-profit organization dedicated towards disrupting the cycle of homelessness by providing targeted, interdisciplinary...
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Riverside, United States PACS Inc Full timeWhy work at Riverwalk Post-Acute? Competitive Pay & Benefits, with frequent opportunities for bonus/overtime Fast working laptops and all needed equipment. Our staff will not slow down by outdated equipment. We are focused on training and education. We will assist and invest in your future! Pay: $20-$23 per hour +/ DOE Schedule: Full time Responsibilities:...
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Hospice RN Case Manager
5 days ago
Riverside, California, United States MCM & Associates Full timePosition OverviewMCM & Associates is seeking a dedicated and empathetic RN Case Manager to provide exceptional hospice care. This role is ideal for a nurse who values flexibility and wants to make a significant difference in patients' lives during their most critical moments.Key ResponsibilitiesThe RN Case Manager will be responsible for planning,...
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RN Case Manager Hospice
3 weeks ago
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Registered Nurse Case Coordinator
5 days ago
Riverside, California, United States Molina Healthcare Full timePOSITION: REGISTERED NURSE CASE MANAGER for Molina Healthcare. Candidates must reside in California, specifically in Sacramento County, LA County, San Diego County, San Bernardino, or Riverside County. Bilingual Spanish is preferred. We are seeking an RN with a minimum of 1 year of relevant experience in Case Management. Experience in Ambulatory Case...
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Hospice RN Case Manager
5 days ago
Riverside, California, United States MCM & Associates Full timePosition OverviewMCM & Associates is seeking a dedicated and empathetic RN Case Manager specializing in hospice care. This role is ideal for a nursing professional who values flexibility and wishes to make a significant difference in the lives of patients and their families during critical times.Key ResponsibilitiesConduct comprehensive assessments of...
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Case Management Specialist RN-PD
4 months ago
Riverside, United States Kaiser Permanente Full timeJob Summary: Works collaboratively with an assigned panel of physicians to manage the patients specialized needs. The managing team does differ according to the chronic disease. Duties include assessment to identify member needs and development of specific care management plan to address needs. In conjunction with the Physician, implements care/treatment...
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Case Manager Specialty RN
3 weeks ago
Riverside, United States Kaiser Permanente Full timeJob Summary: Works collaboratively with an assigned panel of physicians to manage the patients specialized needs. The managing team does differ according to the chronic disease. Duties include assessment to identify member needs and development of specific care management plan to address needs. In conjunction with the Physician, implements care/treatment...
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Registered Nurse Case Coordinator
40 minutes ago
Riverside, California, United States Molina Healthcare Full timePosition OverviewThe Registered Nurse Case Coordinator plays a vital role in our healthcare delivery system, focusing on the management of care for our members within the California Health Plan. Candidates are expected to reside in California, specifically in regions such as Sacramento County, LA County, San Diego County, San Bernardino, or Riverside County....
