Nurse Case Manager

3 days ago


Sens, Bourgogne-Franche-Comté, United States Molina Healthcare Full time
Job Overview

Molina Healthcare Services is seeking a skilled Nurse Case Manager to join our team. As a Nurse Case Manager, you will play a vital role in assessing, facilitating, planning, and coordinating the delivery of care across the continuum for members with high needs.

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 goal achievement, 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 member 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.
  • Valid driver's license with good driving record and be able to drive within applicable state or locality with reliable transportation.

Salary Range: $27.73 - $54.06 per hour. The actual compensation may vary based on geographic location, work experience, education, and/or skill level.

About Us: Molina Healthcare offers a competitive benefits and compensation package. We are an Equal Opportunity Employer (EOE) M/F/D/V.



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