Nurse Case Manager

3 weeks ago


Santa Teresa, New Mexico, United States Molina Healthcare Full time
Job Summary

Molina Healthcare Services (HCS) is seeking a skilled Nurse Case Manager to join our team. As a key member of our multidisciplinary team, you will work closely with members, providers, and healthcare professionals to assess, facilitate, plan, and coordinate an integrated delivery of care across the continuum.

Key Responsibilities:
  • Completes 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.
  • 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 suggests changes accordingly.
  • Maintains ongoing member case load for regular outreach and management.
  • Promotes 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.

Requirements:

Graduate from an Accredited School of Nursing.
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 ability to drive within applicable state or locality with reliable transportation.

What We Offer:

Molina Healthcare offers a competitive benefits and compensation package. We are an Equal Opportunity Employer (EOE) M/F/D/V. The actual compensation may vary from posting based on geographic location, work experience, education, and/or skill level.
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