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Healthcare Case Coordinator

2 months ago

Spring Valley, Illinois, United States Molina Healthcare Full time
Position Overview
We are in search of a qualified Social Work or Registered Nurse Case Manager to support our Health Plan operations. This role is essential in managing our Medicaid population effectively.

Key Responsibilities
  • Conduct comprehensive assessments of members to determine eligibility for case management services based on clinical evaluations and health status changes.
  • Collaborate with members, caregivers, and healthcare professionals to develop and implement tailored case management plans that address individual needs and objectives.
  • Perform regular monitoring of care plans to assess effectiveness, document interventions, and recommend necessary adjustments.
  • Maintain a consistent case load for ongoing outreach and management of member needs.
  • Facilitate interdisciplinary team meetings to enhance service integration for members, including behavioral health and long-term care services.
  • Utilize motivational interviewing techniques to educate and support members in achieving their health goals.
  • Identify barriers to care and provide necessary coordination and assistance to members.
  • Engage in local travel for member visits as required.

Qualifications
Education:
Graduate from an accredited nursing program; a Bachelor's Degree in Nursing is preferred.

Experience:
1-3 years in case management, disease management, or healthcare settings is required.

Licensure:
Must possess an active, unrestricted State Registered Nursing (RN) license in good standing.

Preferred Qualifications:
  • Bachelor's Degree in Nursing
  • 3-5 years of relevant experience in case management or healthcare
  • Active Certified Case Manager (CCM) certification

Additional Information
Molina Healthcare is committed to providing a competitive benefits and compensation package. We are an Equal Opportunity Employer (EOE) M/F/D/V.