RN Care Manager carceral with field work based in WA

Molina Healthcare; Augusta (GA); Hybrid; USD 80,000 - 100,000; Full time

Job summary

A leading healthcare provider is seeking an RN Care Manager to coordinate care for members through comprehensive assessments and case management plans. This remote position requires a valid RN license and knowledge of the criminal justice system is preferred. Candidates should have 1-3 years of relevant experience, and bilingual skills are encouraged. The role includes local travel and ongoing monitoring of care plans.

Benefits

Competitive benefits package

Equal Opportunity Employer

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 required.
• Bilingual in Spanish preferred.

Responsibilities

• Conduct comprehensive assessments and develop case management plans.
• Coordinate care with members and healthcare professionals.
• Provide ongoing monitoring and intervention.

Skills

Assessment skills

Care coordination

Communication skills

Motivational interviewing

Education

Graduate from an Accredited School of Nursing

Bachelor's Degree in Nursing preferred

Job description

RN Care Manager carceral with field work based in WA

Posted today

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 Bellevue, Everett, Spokane, Tacoma, or Vancouver WA

RN WA licensure required

KNOWLEDGE/SKILLS/ABILITIES

Responsibilities include comprehensive assessments, development and implementation of case management plans, coordination with members and care networks, and ongoing care monitoring. Travel 25-40% locally as required. RNs may provide consultation to non-RN case managers and manage complex cases and medication regimens. Medication reconciliation may be conducted as needed.

• Completes comprehensive assessments of members per regulated timelines and determines who may qualify for case management based on clinical judgment, changes in member 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.
• C onducts 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 caseload 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.
• 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. Bachelors 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

• Bachelors Degree in Nursing

Preferred Experience

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

Other

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: $26.41 - $61.79 / HOURLY. Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.