RN Care Manager carceral with field travel based in WA

Molina Healthcare; Lexington (KY); Remote; USD 80,000 - 100,000; Full time

Job summary

A healthcare organization is looking for an experienced RN to manage cases within the Washington State Plan. Responsibilities include conducting assessments, developing care plans, and support for members with complex needs. Ideal candidates have case management experience and RN licensure in good standing. Bilingual candidates are encouraged to apply. This position is remote with some local travel required.

Benefits

Competitive benefits

Flexible work schedule

Qualifications

• 1-3 years in case management, disease management, managed care, or medical/behavioral health settings.
• Active, unrestricted State Registered Nursing (RN) license in good standing.
• Valid driver's license with good driving record.

Responsibilities

• Conduct assessments to determine case management qualifications.
• Develop and implement case management plans.
• Conduct home visits as required.
• Monitor care plan effectiveness.

Skills

Comprehensive assessments

Case management

Integration of services

Medication reconciliation

Motivational interviewing

Education

Graduate from an Accredited School of Nursing

Bachelor's Degree in Nursing (preferred)

Job description

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.

We are seeking a candidate with a WA state RN licensure to support the Washington State Plan. Candidates with knowledge of the criminal justice system, or carceral facility knowledge/work experience are highly preferred. Bilingual candidates that speak fluent Spanish are encouraged to apply to support our diverse communities. Further details to be discussed during our interview process.

Remote with 10% field travel to local facilities in Seattle, Yakima, Kennewick, Spokane, Vancouver or Wenatchee WA

Work schedule: Monday- Friday: 7:30am- 4:30pm PST.

RN WA licensure required

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

Pay Range: $26.41 - $61.79 / HOURLY

*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.