Healthcare Case Manager

1 day ago


Seattle, Washington, United States Molina Healthcare Full time
Job Summary

Molina Healthcare Services is seeking a skilled Healthcare Case Manager to support our Washington State Plan. As a key member of our multidisciplinary team, you will assess, facilitate, plan, and coordinate an integrated delivery of care across the continuum for members with high need potential.

The ideal candidate will have previous knowledge of behavioral health services, substance abuse, physical health/disease management, and long-term care. You should also have experience supporting social service needs, possess community resources, and health promotion expertise. This role involves outreach calling to educate and enroll new potential members.

**Work Schedule:** Monday - Friday, 8:30 AM to 5:00 PM PST
**Remote Position with Field Travel:** 60% field travel within King County required.

About the Role
  • Completes comprehensive assessments of members per regulated timelines and determines 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 suggest changes accordingly.
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.
Preferred Qualifications
  • 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).
About Us

Molina Healthcare offers a competitive benefits and compensation package. We are an Equal Opportunity Employer (EOE) M/F/D/V. The estimated hourly salary for this position is $$26.41 - $59.21, which is commensurate with experience and qualifications.



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