Care Management Registered Nurse in Rio Rancho, NM

Job Summary The Care Management Registered Nurse plays a crucial role in providing support for care management and coordination activities. Collaborating with a multidisciplinary team, you will ensure the integrated delivery of member care across various settings. Your efforts will focus on achieving quality outcomes while maintaining a cost-effective approach to member care. Essential Job Duties • Conduct comprehensive assessments of members within regulated timelines, identifying those who may require care management based on clinical judgement and assessment triggers. • Develop and implement individualized care coordination plans in collaboration with members, caregivers, physicians, and other healthcare professionals to meet member needs and objectives. • Conduct telephonic, face-to-face, or home visits as necessary to deliver effective care. • Monitor ongoing care plans to evaluate their effectiveness, document interventions and goal achievements, and recommend adjustments when needed. • Maintain an ongoing caseload of members for regular outreach and management. • Enhance service integration for members, including behavioral health and long-term services and supports, to promote continuity of care. • Facilitate interdisciplinary care team meetings and foster informal collaborations among team members. • Utilize motivational interviewing techniques and clinical guidelines to educate, support, and motivate members during interactions. • Identify and address barriers to care, providing necessary coordination and assistance to members. • Offer consultations, resources, and recommendations to peers when required. • Handle complex member cases and medication regimens as needed, including conducting medication reconciliation. • Estimated local travel requirement of 25-40% based on state/contractual obligations. Required Qualifications • Minimum of 2 years of healthcare experience, preferably in care management or a medical/behavioral health setting, or an equivalent combination of relevant education and experience. • Current and unrestricted active Registered Nurse (RN) license. • Valid driver's license, reliable transportation, and adequate auto insurance for job-related travel, unless otherwise required by law. • Understanding of electronic medical records (EMR) and the Health Insurance Portability and Accountability Act (HIPAA). • Demonstrated knowledge of community resources and ability to work within diverse settings and populations. • Strong independent working skills with minimal supervision, self-motivation, and calmness in high-pressure situations. • Excellent communication, time-management, and problem-solving abilities. • Proficiency in Microsoft Office suite and ability to navigate online databases. Preferred Qualifications • Certified Case Manager (CCM). To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board. 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 / HOURLY. Actual compensation may vary based on geographic location, work experience, education, and/or skill level.