Case Manager RN

5 days ago


Long Beach, California, United States Molina Healthcare Full time
Job Title: Case Manager RN

Molina Healthcare is seeking a skilled Case Manager RN to join our team. As a Case Manager RN, you will work with our Medicaid population to provide comprehensive care and support.

Job Summary

The Case Manager RN will work in a remote and field setting, supporting our members with complex medical conditions and medication regimens. You will participate in interdisciplinary care team meetings, develop and implement care plans, and conduct face-to-face assessments to ensure our members receive the best possible care.

Responsibilities
  • Conduct comprehensive assessments of members to identify their needs and goals
  • Develop and implement care plans in collaboration with members, caregivers, and healthcare professionals
  • Monitor and evaluate the effectiveness of care plans, making adjustments as needed
  • Facilitate interdisciplinary care team meetings to ensure seamless care coordination
  • Provide education and support to members to promote healthy behaviors and self-management
  • Assess for medical necessity and authorize waiver services as needed
  • Conduct face-to-face or home visits to assess member needs and provide support
Requirements
  • Active, unrestricted State Registered Nursing license (RN) in good standing
  • At least 1 year of experience working with persons with disabilities/chronic conditions and Long Term Services & Supports
  • 1-3 years in case management, disease management, managed care or medical or behavioral health settings
  • Valid driver's license with good driving record and reliable transportation
Preferred Qualifications
  • Bachelor's Degree in Nursing
  • 3-5 years in case management, disease management, managed care or medical or behavioral health settings
  • 1 year experience working with population who receive waiver services
What We Offer

Molina Healthcare offers a competitive benefits and compensation package, as well as opportunities for professional growth and development. We are an Equal Opportunity Employer (EOE) M/F/D/V.


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