Case Manager (RN) MUST LIVE IN NEBRASKA

Molina Healthcare • Full-time • Omaha, NE, United States • 1m ago

JOB DESCRIPTION

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.

#PJHS

#LI-AC1

Pay Range: $25.08 - $51.49 / HOURLY
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

Related Jobs

Registered Nurse-Medical /Surgical Pediatrics-Inpatient (Full Time Days)

Boys Town National Research Hospital • Full-time • Boys Town, Nebraska 68010, United States • 3w ago

RN Pediatric

We are seeking a dedicated and compassionate Registered Nurse (RN) to join our Inpatient Medical Unit. We are a fast paced 14 bed Pediatric Medical/Surgical unit that provides care for patients with acute medical diagno...

3w ago

VIEW JOB

Registered Nurse-Peds ICU Nights

Boys Town National Research Hospital • Full-time • Boys Town, Nebraska 68010, United States • 1w ago

RN Pediatric ICU

We are seeking a dedicated and experienced nurse to join our Pediatric Intensive Care Unit (PICU) healthcare team. This is a 24-hour direct patient care unit with 6 private patient rooms. Patients admitted to the PICU a...

1w ago

VIEW JOB

Registered Nurse- Medical/Surgical Pediatrics-Inpatient (Full Time Nights) -Full Time Nights

Boys Town National Research Hospital • Full-time • Boys Town, Nebraska 68010, United States • 3w ago

RN Pediatric Med-Surg

3w ago

VIEW JOB

Hospice Registered Nurse

Angels Care Home Health • Full-time • Council Bluffs, IA, USA • 1w ago

RN Hospice Home Health

Hospice Registered Nurse (RN) Angels Care Hospice Why choose Angels Care Hospice? Angels Care Hospice is different. Our nurses are not just another ‘employee number’ to us. We strive to be an industry leader and a des...

1w ago

VIEW JOB

Director of Nursing- Long Term Care Facility

MedHires • Omaha, NE, US • 3w ago

RN Director of Nursing

Opportunity for a Registered Nurse (RN) or Licensed Vocational Nurse (LVN) to serve as Director of Nursing (DON ). We are looking for an experienced Director of Nursing to organize and oversee all nursing opera...

3w ago

VIEW JOB

Director of Nursing

Bickford of Omaha Hickory • Full-time • Omaha, NE, US • 4w ago

RN Director of Nursing

Join our DYNAMIC team at Bickford Senior Living as a Health & Wellness Director! The HWD is the clinical leader who supports the clinical operations within the branch. This position works closely with the Director...

4w ago

VIEW JOB

Registered Nurse- Behavioral Health

Boys Town National Research Hospital • Full-time • Boys Town, Nebraska 68010, United States • 1m ago

RN Psych

Provides nursing care to assigned youth by overseeing youth health and wellness, implementing daily nursing care routines including administration of medications, infection control management, management of emergency ca...

1m ago

VIEW JOB

Registered Nurse

CommonSpirit Health • Full-time • Omaha, NE, US • 1m ago

Overview Join the CommonSpirit Family, rated in the ‘Top 150 Best Places to work in Healthcare’ by Becker’s Healthcare! Now HIring a Registered Nurse! CHI Health at Home offers you the chance to make...

1m ago

VIEW JOB

Cardiac HVI ICU RN

CommonSpirit Health • Full-time • OMAHA, NE, US • 2m ago

RN ICU

Overview At CHI Health Creighton University Medical Center - Bergan Mercy our focus is patient-centered care. Our level I trauma center and academic medical center campus is designed to heal the body mind and spirit...

2m ago

VIEW JOB

Med Surg RN 4 week TRAVEL CONTRACT TO IOWA

FullShift Staffing, LLC • Full-time • Omaha, NE, US • 2w ago

RN Travel Med-Surg

J OIN OUR FULLSHIFT STAFFING TEAM! Job Description: Ready to embark on the adventure of a lifetime? Join us as we journey through the landscapes of rural healthcare, making a meaningful impact one pat...

2w ago

VIEW JOB