Case Manager
5 days ago
Molina Healthcare is seeking a skilled Case Manager to join our team. As a Case Manager, you will work with members, providers, and multidisciplinary teams to assess, facilitate, plan, and coordinate an integrated delivery of care across the continuum.
Key Responsibilities:- Completes comprehensive assessments of members to determine 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 suggests 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.
- Graduate from an Accredited School of Nursing. Bachelor's Degree in Nursing preferred.
- 1-3 years in case management, disease management, managed care, or medical or behavioral health settings.
- 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.
- Bachelor's Degree in Nursing.
- 3-5 years in case management, disease management, managed care, or medical or behavioral health settings.
- Active, unrestricted Certified Case Manager (CCM).
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
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