Registered Nurse Case Manager Complex Care Remote in New York
New York, New York
Employer: Molina Healthcare
Industry:
Salary: $23.76 - $51.49 per hour
Job type: Full-Time
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.
This position will be supporting our Complex Adult Case Management program. We are seeking a Registered Nurse with previous Case/Care Management and managed care experience. Candidates with experience in managing complex care / HIV patients and knowledge of community resources for social determinants of health concerns are highly preferred . MCO experience is highly preferred. New York RN licensure is required. Further details to be discussed during our interview process.
Remote position, must reside in New York and agreeable to work with or have familiarity with upstate and downstate regions.
Work schedule Monday - Friday 8:30 AM to 5:00 PM EST.
KNOWLEDGE/SKILLS/ABILITIES
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.
Pay Range: $23.76 - $51.49 / HOURLY
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
About Us
Molina Healthcare is a nationwide fortune 500 organization with a mission to provide quality healthcare to people receiving government assistance. If you are seeking a meaningful opportunity in a team-oriented environment, come be a part of a highly engaged workforce dedicated to our mission. Bring your passion and talents and together we can make a difference in the lives of others. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
Job Type: Full Time
Posting Date: 09/30/2024
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.
This position will be supporting our Complex Adult Case Management program. We are seeking a Registered Nurse with previous Case/Care Management and managed care experience. Candidates with experience in managing complex care / HIV patients and knowledge of community resources for social determinants of health concerns are highly preferred . MCO experience is highly preferred. New York RN licensure is required. Further details to be discussed during our interview process.
Remote position, must reside in New York and agreeable to work with or have familiarity with upstate and downstate regions.
Work schedule Monday - Friday 8:30 AM to 5:00 PM EST.
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.
- 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.
Pay Range: $23.76 - $51.49 / HOURLY
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
About Us
Molina Healthcare is a nationwide fortune 500 organization with a mission to provide quality healthcare to people receiving government assistance. If you are seeking a meaningful opportunity in a team-oriented environment, come be a part of a highly engaged workforce dedicated to our mission. Bring your passion and talents and together we can make a difference in the lives of others. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
Job Type: Full Time
Posting Date: 09/30/2024
Created: 2024-10-01
Reference: 2028103
Country: United States
State: New York
City: New York
ZIP: 10036
Similar jobs:
-
Fulltime, Permanent Radiologist around Westchester County, New York
ICON Medical Network in Westchester County, New York -
Client Success Specialist / Account Manager, New York
Uber in New York, New York💸 $88000 per year -
Social Worker Assistant 2, (NY HELPS), Central New York Psychiatric Center, Adirondack, P25502
StateJobsNY in Saranac Lake, New York -
Campus Undergraduate - 2025 Enterprise China Management Summer Internship New York, NY
American Express in New York, New York -
Assistant Director of Food and Beverage - Millennium Hilton New York One UN Plaza
Hilton Hotels & Resorts in New York, New York💸 $85000 - $95000 per year -
Mental Health and Addiction Peer Support Specialist - Remote in New York
UnitedHealth Group in Albany, New York💸 $19.47 - $38.08 per hour -
Associate, Consulting Clients - New York (Jan 2025 Start)
Third Bridge in New York, New York💸 $70000 per year -
MAC Artist - Full Time - Bloomingdales 59th - New York, NY
Estee Lauder Companies in New York, New York -
STORE MANAGER in Liverpool, NEW YORK
Dollar General in Liverpool, New York💸 $59920.0 per year -
Licensed Master Social Worker, (NY HELPS), Central New York Psychiatric Center, Albany Pre-Release, P25551
StateJobsNY in Albany, New York -
Rehabilitation Counselor 2, (NY HELPS), Central New York Psychiatric Center, Albion Satellite Unit, P25519
StateJobsNY in Albion, New York -
STORE MANAGER in Richfield Springs, NEW YORK
Dollar General in Richfield Springs, New York💸 $58460.0 per year -
Registered Nurse Supervisor 1 Psychiatric, (NY HELPS) Western New York Children's Psychiatric Center, Nights, P25211
StateJobsNY in West Seneca, New York💸 $79928 per year -
CNA / Certified Nurse Aide - New York, NY
Frontier Management in New York, New York💸 $17 - $23 per hour -
Labor Services Representative/Trainee 1/2 (Spanish Language) - New York City (NY HELPS)
StateJobsNY in New York, New York -
Virtual Engagement Associate (VEA) - New York
Morgan Stanley in New York, New York💸 $57000 - $115000 per year -
Campus Undergraduate - 2025 Enterprise Digital & Data Solutions Digital Product Summer Internship New York, NY
American Express in New York, New York -
Trial Attorney (New York Field Office)
Offices, Boards and Divisions in New York, New York -
Bellperson - Conrad New York Downtown
Conrad Hotels & Resorts in New York, New York💸 $17.28 - $23.04 per hour -
Product Manager, Integrity and Authenticity - Trust and Safety - New York
TikTok in New York, New York