Case Manager Registered Nurse in Beechwood Trails, OH
Job Description
We are excited to invite applications for the role of Case Manager Registered Nurse (RN). To be eligible, candidates must possess a current active unrestricted RN license.
This position combines remote and field settings, focusing on supporting members in Medicare and Medicaid programs, particularly the HIDE-SNP population. You will conduct face-to-face assessments, develop care plans, and provide essential education and support. Strong computer skills and attention to detail are crucial for managing multiple systems, engaging with members, and recording accurate contact notes in a fast-paced environment where productivity is key.
This is a home office role, and a high-speed internet connection is required.
Schedule: Monday through Friday, 8:00 AM to 5:00 PM
Field Travel: Candidates should be prepared for local travel (Mileage reimbursement is provided) within the following counties: Lorain, Cuyahoga, Medina, Wayne, Summit, Portage, Geauga, Lake, Stark - Cleveland area.
Job Summary: The Case Manager RN provides vital support for care management and coordination activities, collaborating with a multidisciplinary team to facilitate integrated delivery of member care across various settings. Your efforts will aim to ensure members progress towards their desired outcomes, all while contributing to a strategy focused on quality and cost-effective care.
Essential Job Duties:
• Conduct comprehensive member assessments and determine eligibility for care management.
• Develop and implement tailored care coordination plans in collaboration with members, caregivers, and healthcare professionals.
• Perform telephonic and in-person visits as needed.
• Monitor and adjust care plans based on effectiveness and member progress.
• Maintain a caseload for regular follow-up and management.
• Ensure integration of services including behavioral health and community resources.
• Facilitate interdisciplinary care team meetings to enhance member care.
• Educate and motivate members using motivational interviewing techniques.
• Identify barriers to care and provide solutions.
• Handle complex cases, including medication management and reconciliation, as necessary.
Required Qualifications:
• A minimum of 2 years of experience in healthcare, preferably in care management.
• Active and unrestricted RN license in the state of practice.
• Valid driver's license with reliable transportation.
• Understanding of EMR and HIPAA guidelines.
• Knowledge of community resources.
• Proactive work style and an eye for detail.
• Ability to adapt to diverse settings and foster professional relationships.
• Excellent communication, problem-solving, and time-management skills.
• Proficient in Microsoft Office and online systems.
Preferred Qualifications:
• Certification as a Case Manager (CCM) is a plus.
If you are interested and meet the qualifications above, we encourage you to apply. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
Pay Range: $26.41 - $51.49 / Hourly
• Compensation may vary based on location, experience, education, and skills.
This position combines remote and field settings, focusing on supporting members in Medicare and Medicaid programs, particularly the HIDE-SNP population. You will conduct face-to-face assessments, develop care plans, and provide essential education and support. Strong computer skills and attention to detail are crucial for managing multiple systems, engaging with members, and recording accurate contact notes in a fast-paced environment where productivity is key.
This is a home office role, and a high-speed internet connection is required.
Schedule: Monday through Friday, 8:00 AM to 5:00 PM
Field Travel: Candidates should be prepared for local travel (Mileage reimbursement is provided) within the following counties: Lorain, Cuyahoga, Medina, Wayne, Summit, Portage, Geauga, Lake, Stark - Cleveland area.
Job Summary: The Case Manager RN provides vital support for care management and coordination activities, collaborating with a multidisciplinary team to facilitate integrated delivery of member care across various settings. Your efforts will aim to ensure members progress towards their desired outcomes, all while contributing to a strategy focused on quality and cost-effective care.
Essential Job Duties:
• Conduct comprehensive member assessments and determine eligibility for care management.
• Develop and implement tailored care coordination plans in collaboration with members, caregivers, and healthcare professionals.
• Perform telephonic and in-person visits as needed.
• Monitor and adjust care plans based on effectiveness and member progress.
• Maintain a caseload for regular follow-up and management.
• Ensure integration of services including behavioral health and community resources.
• Facilitate interdisciplinary care team meetings to enhance member care.
• Educate and motivate members using motivational interviewing techniques.
• Identify barriers to care and provide solutions.
• Handle complex cases, including medication management and reconciliation, as necessary.
Required Qualifications:
• A minimum of 2 years of experience in healthcare, preferably in care management.
• Active and unrestricted RN license in the state of practice.
• Valid driver's license with reliable transportation.
• Understanding of EMR and HIPAA guidelines.
• Knowledge of community resources.
• Proactive work style and an eye for detail.
• Ability to adapt to diverse settings and foster professional relationships.
• Excellent communication, problem-solving, and time-management skills.
• Proficient in Microsoft Office and online systems.
Preferred Qualifications:
• Certification as a Case Manager (CCM) is a plus.
If you are interested and meet the qualifications above, we encourage you to apply. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
Pay Range: $26.41 - $51.49 / Hourly
• Compensation may vary based on location, experience, education, and skills.
Job Details
Medical Speciality
Home HealthGeriatricsPublic health
Employment Type
Full-time
Required License
RN (Registered Nurse)
Work Setting
OfficeTelehealth
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.