Case Manager Registered Nurse in Owensboro, KY
Job Description
Job Description
We are seeking a dedicated Registered Nurse (RN) for the role of Case Manager. This position involves providing telephonic case management support for the Behavioral Health Medicaid population. If you are detail-oriented, tech-savvy, and thrive in a fast-paced work environment, we want to hear from you!
Office Requirements
Home office with high-speed internet connectivity is required.
Work Schedule
Monday to Friday, 8:00 AM to 5:00 PM EST (No Weekends or Holidays).
Job Summary
In this role, you will support care management and coordination, working collaboratively with a multidisciplinary team to ensure quality and efficient member care. Your goal will be to enhance member outcomes and contribute to cost-effective care delivery.
Essential Job Duties:
• Conduct comprehensive assessments of members, identifying those who may qualify for care management based on clinical insights.
• Develop and implement care coordination plans in collaboration with members, healthcare professionals, and their support networks.
• Conduct telephonic, face-to-face, or home visits as necessary.
• Monitor care plans for effectiveness, tracking interventions and progress to suggest necessary adjustments.
• Maintain a caseload for regular outreach and management of members.
• Promote the integration of services, including behavioral health and community resources.
• Facilitate interdisciplinary care team meetings to enhance collaboration.
• Utilize motivational interviewing and Molina clinical guidelines to educate and inspire change in members.
• Identify and address barriers to care, providing assistance and support to members as needed.
• May consult, provide resources, and offer peer recommendations.
• Handle complex cases as needed, including conducting medication reconciliation.
Travel Requirements:
25-40% local travel may be necessary based on state and contractual requirements.
Required Qualifications:
- Minimum of 2 years in health care, preferably in care management or relevant experience in medical or behavioral health settings.
- Active and unrestricted RN license in state of practice.
- Valid driver’s license, reliable transportation, and appropriate auto insurance for job-related travel.
- Strong understanding of electronic medical records (EMR) and HIPAA compliance.
- Knowledge of community resources and demonstrated problem-solving skills.
- Ability to effectively communicate and build professional relationships.
Preferred Qualifications:
- Certified Case Manager (CCM) credential.
Molina Healthcare values its employees and offers a competitive benefits and compensation package. We are proud to be an Equal Opportunity Employer (EOE) M/F/D/V.
Pay Range: $25.08 - $51.49 / Hourly
• Actual compensation may vary based on geographical location, work experience, education, and skill level.
We are seeking a dedicated Registered Nurse (RN) for the role of Case Manager. This position involves providing telephonic case management support for the Behavioral Health Medicaid population. If you are detail-oriented, tech-savvy, and thrive in a fast-paced work environment, we want to hear from you!
Office Requirements
Home office with high-speed internet connectivity is required.
Work Schedule
Monday to Friday, 8:00 AM to 5:00 PM EST (No Weekends or Holidays).
Job Summary
In this role, you will support care management and coordination, working collaboratively with a multidisciplinary team to ensure quality and efficient member care. Your goal will be to enhance member outcomes and contribute to cost-effective care delivery.
Essential Job Duties:
• Conduct comprehensive assessments of members, identifying those who may qualify for care management based on clinical insights.
• Develop and implement care coordination plans in collaboration with members, healthcare professionals, and their support networks.
• Conduct telephonic, face-to-face, or home visits as necessary.
• Monitor care plans for effectiveness, tracking interventions and progress to suggest necessary adjustments.
• Maintain a caseload for regular outreach and management of members.
• Promote the integration of services, including behavioral health and community resources.
• Facilitate interdisciplinary care team meetings to enhance collaboration.
• Utilize motivational interviewing and Molina clinical guidelines to educate and inspire change in members.
• Identify and address barriers to care, providing assistance and support to members as needed.
• May consult, provide resources, and offer peer recommendations.
• Handle complex cases as needed, including conducting medication reconciliation.
Travel Requirements:
25-40% local travel may be necessary based on state and contractual requirements.
Required Qualifications:
- Minimum of 2 years in health care, preferably in care management or relevant experience in medical or behavioral health settings.
- Active and unrestricted RN license in state of practice.
- Valid driver’s license, reliable transportation, and appropriate auto insurance for job-related travel.
- Strong understanding of electronic medical records (EMR) and HIPAA compliance.
- Knowledge of community resources and demonstrated problem-solving skills.
- Ability to effectively communicate and build professional relationships.
Preferred Qualifications:
- Certified Case Manager (CCM) credential.
Molina Healthcare values its employees and offers a competitive benefits and compensation package. We are proud to be an Equal Opportunity Employer (EOE) M/F/D/V.
Pay Range: $25.08 - $51.49 / Hourly
• Actual compensation may vary based on geographical location, work experience, education, and skill level.
Job Details
Medical Speciality
PsychiatryHome 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.