Care Management Registered Nurse in Ammon, ID
Job Description
Job Summary
Join our dedicated team as a Care Management Registered Nurse, where you will play a crucial role in coordinating integrated member care for individuals with complex health needs. You will work collaboratively with a multidisciplinary team to ensure quality and cost-effective care across various services.
Essential Job Duties
• Conduct comprehensive member assessments on-site as needed, adhering to all regulatory timelines.
• Facilitate enrollment and disenrollment processes for waiver services.
• Collaborate with members, caregivers, and healthcare professionals to develop and implement personalized care plans.
• Monitor and evaluate the effectiveness of care plans, making necessary adjustments to achieve member goals.
• Promote the integration of services, including behavioral health and long-term support resources.
• Assess medical needs and authorize appropriate waiver services.
• Provide guidance on covered benefits and available funding sources.
• Lead interdisciplinary care team meetings to discuss approval or denial of services.
• Utilize motivational interviewing techniques to support and empower members during interactions.
• Identify barriers to care and facilitate resolutions for psycho/social, financial, and medical issues.
• Develop critical incident prevention plans ensuring member health and safety.
• Support peers with consultation, resources, and advice as needed.
• Manage complex member cases and medication reconciliation when required.
• Travel may be required for home visits, estimated at 25-40% based on contractual obligations.
Required Qualifications
• Minimum of 2 years in healthcare, including 1 year in care management or similar settings.
• Active and unrestricted RN license in your state of practice.
• Valid driver's license, reliable transportation, and insurance for job-related travel.
• Detail-oriented and proactive work style.
• Strong knowledge of community resources.
• Ability to adapt communication and styles to diverse populations.
• Ability to work independently with minimal supervision.
• Expertise in time management, problem-solving, and critical thinking.
• Excellent verbal and written communication skills.
• Proficiency in Microsoft Office and other relevant software.
• Experience with substance use disorder populations preferred in some states.
Preferred Qualifications
• Certified Case Manager (CCM) designation.
• Experience with waiver service populations.
If you're passionate about making a difference in the lives of individuals with diverse needs and are committed to delivering compassionate care, we encourage you to apply. Molina Healthcare offers a competitive benefits and compensation package and is an Equal Opportunity Employer (EOE) M/F/D/V.
Pay Range: $23.76 - $51.49 / HOURLY. Actual compensation may vary based on geographic location, work experience, education, and skills.
Join our dedicated team as a Care Management Registered Nurse, where you will play a crucial role in coordinating integrated member care for individuals with complex health needs. You will work collaboratively with a multidisciplinary team to ensure quality and cost-effective care across various services.
Essential Job Duties
• Conduct comprehensive member assessments on-site as needed, adhering to all regulatory timelines.
• Facilitate enrollment and disenrollment processes for waiver services.
• Collaborate with members, caregivers, and healthcare professionals to develop and implement personalized care plans.
• Monitor and evaluate the effectiveness of care plans, making necessary adjustments to achieve member goals.
• Promote the integration of services, including behavioral health and long-term support resources.
• Assess medical needs and authorize appropriate waiver services.
• Provide guidance on covered benefits and available funding sources.
• Lead interdisciplinary care team meetings to discuss approval or denial of services.
• Utilize motivational interviewing techniques to support and empower members during interactions.
• Identify barriers to care and facilitate resolutions for psycho/social, financial, and medical issues.
• Develop critical incident prevention plans ensuring member health and safety.
• Support peers with consultation, resources, and advice as needed.
• Manage complex member cases and medication reconciliation when required.
• Travel may be required for home visits, estimated at 25-40% based on contractual obligations.
Required Qualifications
• Minimum of 2 years in healthcare, including 1 year in care management or similar settings.
• Active and unrestricted RN license in your state of practice.
• Valid driver's license, reliable transportation, and insurance for job-related travel.
• Detail-oriented and proactive work style.
• Strong knowledge of community resources.
• Ability to adapt communication and styles to diverse populations.
• Ability to work independently with minimal supervision.
• Expertise in time management, problem-solving, and critical thinking.
• Excellent verbal and written communication skills.
• Proficiency in Microsoft Office and other relevant software.
• Experience with substance use disorder populations preferred in some states.
Preferred Qualifications
• Certified Case Manager (CCM) designation.
• Experience with waiver service populations.
If you're passionate about making a difference in the lives of individuals with diverse needs and are committed to delivering compassionate care, we encourage you to apply. Molina Healthcare offers a competitive benefits and compensation package and is an Equal Opportunity Employer (EOE) M/F/D/V.
Pay Range: $23.76 - $51.49 / HOURLY. Actual compensation may vary based on geographic location, work experience, education, and skills.
Job Details
Medical Speciality
Home HealthGeriatricsPsychiatry
Employment Type
Full-time
Required License
RN (Registered Nurse)
Work Setting
ClinicTelehealth
About Molina Healthcare
Molina Healthcare is a leading health care provider dedicated to improving the health and lives of its members. With over 30 years of experience, Molina specializes in delivering high-quality and affordable health care solutions. The company focuses on addressing the unique needs of its members by offering a range of services designed to promote overall well-being and access to essential health care. Molina's commitment to quality and affordability sets it apart in the industry, making it a trusted choice for many seeking comprehensive health care coverage.