Case Manager
7 hours ago
Molina Healthcare Services (HCS) 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:
- Conduct 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.
- Develop and implement 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.
- Perform ongoing monitoring of the care plan to evaluate effectiveness, document interventions, and suggest changes accordingly.
- Maintain ongoing member case load for regular outreach and management.
- Promote 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.
- Facilitate interdisciplinary care team meetings and informal ICT collaboration.
- Use motivational interviewing and Molina clinical guideposts to educate, support, and motivate change during member contacts.
- Assess for barriers to care, provide care coordination, and assistance to members to address concerns.
Requirements:
- 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.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
Pay Range: $51.49/HOURLY
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