Registered Nurse Case Manager MLTC Bilingual REMOTE based in New York
Job DescriptionJOB DESCRIPTIONJob SummaryMolina 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.
This position will support our Senior Whole Health business.
Senior Whole Health by Molina is a Managed Long-Term Care (MLTC), and Medicaid Advantage (MAP) plan.
These plans streamline the delivery of long-term services to chronically ill or disabled people who are eligible for Medicaid and Medicare.
We are looking for Registered Nurse Case Managers with strong organizational and time management skills.
The Case Manager must have the ability to work in a high-volume environment to better serve our members.
Experience with Managed Long Term Care experience (MLTC) and SNF experience is highly preferred.
Bilingual candidates that speak Korean, Russian or Spanish encouraged to apply.
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 QUALIFICATIONSRequired EducationGraduate from an Accredited School of Nursing.
Bachelor's Degree in Nursing preferred.
Required Experience1-3 years in case management, disease management, managed care or medical or behavioral health settings.
Required License, Certification, AssociationActive, 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 EducationBachelor's Degree in NursingPreferred Experience3-5 years in case management, disease management, managed care or medical or behavioral health settings.
Preferred License, Certification, AssociationActive, unrestricted Certified Case Manager (CCM) Managed Long Term Care experience (MLTC) Case Management experience Home health experience Experience working with the geriatric population Ability to manage a high case load, up to 200 cases Must be able to work in a fast pace/high volume environment.
Hospital/SNF experience Bilingual:
Korean, Russian, or Spanish 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 - $51.
49 an hour Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
Recommended Skills Assessments Behavioral Medicine Care Coordination Case Management Certified Nurse Practitioner Clinical Works Estimated Salary: $20 to $28 per hour based on qualifications.
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.
This position will support our Senior Whole Health business.
Senior Whole Health by Molina is a Managed Long-Term Care (MLTC), and Medicaid Advantage (MAP) plan.
These plans streamline the delivery of long-term services to chronically ill or disabled people who are eligible for Medicaid and Medicare.
We are looking for Registered Nurse Case Managers with strong organizational and time management skills.
The Case Manager must have the ability to work in a high-volume environment to better serve our members.
Experience with Managed Long Term Care experience (MLTC) and SNF experience is highly preferred.
Bilingual candidates that speak Korean, Russian or Spanish encouraged to apply.
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 QUALIFICATIONSRequired EducationGraduate from an Accredited School of Nursing.
Bachelor's Degree in Nursing preferred.
Required Experience1-3 years in case management, disease management, managed care or medical or behavioral health settings.
Required License, Certification, AssociationActive, 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 EducationBachelor's Degree in NursingPreferred Experience3-5 years in case management, disease management, managed care or medical or behavioral health settings.
Preferred License, Certification, AssociationActive, unrestricted Certified Case Manager (CCM) Managed Long Term Care experience (MLTC) Case Management experience Home health experience Experience working with the geriatric population Ability to manage a high case load, up to 200 cases Must be able to work in a fast pace/high volume environment.
Hospital/SNF experience Bilingual:
Korean, Russian, or Spanish 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 - $51.
49 an hour Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
Recommended Skills Assessments Behavioral Medicine Care Coordination Case Management Certified Nurse Practitioner Clinical Works Estimated Salary: $20 to $28 per hour based on qualifications.
|
|
 | |
