RN Case Manager - Medicaid Population

Molina Healthcare • Full-time • Christiansburg, VA, United States • 1m ago

JOB DESCRIPTION

Case Manager RN will work in remote and field setting supporting our Medicaid Population. Complete assessments, create care plans, and provides educations to our members. Excellent computer skills and attention to detail are very important to multitask between systems, talk with members on the phone, and enter accurate contact notes. This is a fast-paced position and productivity is important. Strongly preferred previous manage care experience.

Must be licensed in the state of VA

(Up to 25%) TRAVEL in the field to do member visits in the surrounding areas will be required within 2-hour travel radius -Mileage will be reimbursed. - Travel will be within a 2-hour radius.

Locations (Various within VA): Christiansburg VA area

Monday - Friday 8 AM to 5 PM EST - No Holidays or Weekends

Job Summary

Molina Healthcare Services (HCS) works with members, providers and multidisciplinary team members to assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long term care, for members with high need potential. HCS staff work to ensure that patients progress toward desired outcomes with quality care that is medically appropriate and cost-effective based on the severity of illness and the site of service.

KNOWLEDGE/SKILLS/ABILITIES

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.
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.
Facilitates interdisciplinary care team meetings and informal ICT collaboration.
Uses motivational interviewing and Molina clinical guideposts to educate, support and motivate change during member contacts.
Assesses for barriers to care, provides care coordination and assistance to member to address concerns.
25- 40% local travel required.
RNs provide consultation, recommendations and education as appropriate to non-RN case managers.
RNs are assigned cases with members who have complex medical conditions and medication regimens
RNs conduct medication reconciliation when needed.

JOB QUALIFICATIONS

Required Education

Graduate from an Accredited School of Nursing. Bachelor's Degree in Nursing preferred.

Required Experience

1-3 years in case management, disease management, managed care or medical or behavioral health settings.

Required License, Certification, Association

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.

Preferred Education

Bachelor's Degree in Nursing

Preferred Experience

3-5 years in case management, disease management, managed care or medical or behavioral health settings.

Preferred License, Certification, Association

Active, unrestricted Certified Case Manager (CCM)

To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing.

Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.

Pay Range: $27.73 - $54.06 / HOURLY
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

Related Jobs

Registered Nurse (RN)

Agape Care Group • Part-time • Radford, Virginia, United States • 2d ago

Overview Join Our Team as a Registered Nurse Do you value the time you spend with your patients? Is it important to you that your patients and their families know and feel that you are with them? We are lookin...

2d ago

VIEW JOB

Registered Nurse (RN)

Agape Care Group • Full-time • Radford, Virginia, United States • 2d ago

2d ago

VIEW JOB

Hospice Nurse - RN- PRN/Flex

Carilion Clinic • Per Diem • Radford, VA, US • 4d ago

RN Hospice

How You’ll Help Transform Healthcare: PRN/Flex schedule. Company equipment. Mileage Reimbursement. Could cover admissions, PRN visits, routine visits, and any other visit needs. Hours would be variable. ...

4d ago

VIEW JOB

Registered Nurse (RN)

IntelyCare • Per Diem • Radford, VA, US • $45 - $53 / hour • 1w ago

Achieve work-life balance with flexible schedules and earn up to $53 per hour as a Registered Nurse (RN) in and around Radford, Virginia. We get it; you work hard as a nursing professional, but have other pursuits a...

1w ago

VIEW JOB

Registered Nurse (RN)

IntelyCare • Per Diem • Christiansburg, VA, US • $45 - $53 / hour • 1w ago

Earn up to $53 an hour as a Registered Nurse (RN) in and around Christiansburg, Virginia, while taking advantage of flexible schedules and the professional support of W2 employment. Nursing professionals at IntelyCa...

1w ago

VIEW JOB

Registered Nurse (RN)

IntelyCare • Per Diem • Fairlawn, VA, US • $45 - $53 / hour • 1w ago

Take control of your life with flexible schedules and earn up to $53 per hour as a Registered Nurse (RN) in Fairlawn, Virginia, and throughout the region. At IntelyCare, we take work-life balance very seriously. Tha...

1w ago

VIEW JOB

RN - Medical Care - CNRVMC - Nights

Carilion Clinic • Full-time • Christiansburg, VA, US • 2w ago

How You’ll Help Transform Healthcare: RN Opportunity on Medical Care at Carilion New River Valley Medical Center (CNRVMC) in Christiansburg, VA $15K Sign On Bonus Available As a registered nurse, you are...

2w ago

VIEW JOB

RN - Adult Mental Health - New River Valley - Weekend Nights

Carilion Clinic • Full-time • Christiansburg, VA, US • 3w ago

RN Psych

How You’ll Help Transform Healthcare: RN Opportunity with Behavioral Health at Carilion New River Valley Medical Center (CNRVMC) in Christiansburg, VA $25K Sign On Bonus Available for Experienced RNs $15K...

3w ago

VIEW JOB

RN Cardiac Medical Unit PRN

HCA Healthcare • Per Diem • Blacksburg, VA, United States • 1m ago

Description Introduction Do you have the career opportunities as an RN Cardiac Medical Unit PRN you want in your current role? We invest in what matters most to nurses like you – at home, at work, and at every sta...

1m ago

VIEW JOB

RN CMU PRN

HCA Healthcare • Per Diem • Blacksburg, VA, United States • 1m ago

Description Introduction LewisGale Hospital Montgomery is committed to investing in the latest technology enabling nurses to work more efficiently. Are you passionate about delivering patient-centered care? Subm...

1m ago

VIEW JOB