Behavioral Health Case Manager RN

Energy Jobline; Chesterfield Court House (VA); Remote; USD 60,000 - 80,000; Full time

Job summary

An established industry player in healthcare is seeking a dedicated RN Case Manager to support members with severe mental illness in Virginia. This role involves remote work and field visits to assess and coordinate care for members, ensuring their needs are met through comprehensive case management. The ideal candidate will have strong assessment skills and be adept at engaging with members to create effective care plans. This position offers a dynamic environment where you can make a significant impact on the lives of those in need while enjoying a supportive workplace culture and competitive compensation. If you are passionate about healthcare and driven to make a difference, this opportunity is for you.

Qualifications

• Graduate from an Accredited School of Nursing with a Bachelor's Degree in Nursing.
• 1-3 years in case management or related settings required.

Responsibilities

• Conduct face-to-face assessments and develop case management plans.
• Monitor care plans and facilitate interdisciplinary care team meetings.

Skills

Case Management

Motivational Interviewing

Assessment Skills

Computer Skills

Interpersonal Communication

Education

Bachelor's Degree in Nursing

Tools

High-Speed Internet

Job description

JOB DESCRIPTION

For this position, we are seeking a RN who lives in VIRGINIA and must be licensed for the state of VIRGINIA.

The Case Manager RN will work in a remote and field setting supporting our SMI (Severe Mental Illness) Medicaid Population. The Case Manager will be required to physically go to members’ homes to complete face-to-face assessments. You will participate in interdisciplinary care team meetings for our members and ensure they have care plans based on their concerns/health needs. 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.

Travel Requirements

Travel in the field to do member visits in the surrounding areas will be required. We are looking for a candidate who will work remotely primarily in the Central VA Area. Mileage will be reimbursed.

Home office with high-speed internet connectivity is required.

Schedule: Monday thru Friday 8:00 AM to 5:00 PM. No weekends or holidays.

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

1. 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.
2. 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.
3. Conducts face-to-face or home visits as required.
4. Performs ongoing monitoring of the care plan to evaluate effectiveness, document interventions and goal achievement, and suggest changes accordingly.
5. Maintains ongoing member case load for regular outreach and management.
6. 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.
7. Facilitates interdisciplinary care team meetings and informal ICT collaboration.
8. Uses motivational interviewing and Molina clinical guideposts to educate, support, and motivate change during member contacts.
9. Assesses for barriers to care, provides care coordination and assistance to members to address concerns.
10. 25-40% local travel required.
11. RNs provide consultation, recommendations, and education as appropriate to non-RN case managers.
12. RNs are assigned cases with members who have complex medical conditions and medication regimens.
13. RNs conduct medication reconciliation when needed.

JOB QUALIFICATIONS

Required Education: Graduate from an Accredited School of Nursing. Bachelor's Degree in Nursing.

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 a valid driver's license with a good driving record and be able to drive within applicable state or locality with reliable transportation.

Preferred Qualifications

Education: Bachelor's Degree in Nursing.

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

License, Certification, Association: Active, unrestricted Certified Case Manager (CCM).

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.