This job is closed
We regret to inform you that the job you were interested in has been closed. Although this specific position is no longer available, we encourage you to continue exploring other opportunities on our job board.
Remote Telephonic Case Manager RN
Molina Healthcare - Richmond, KY
posted about 2 months ago
About the position
The Registered Nurse (RN) position at Molina Healthcare involves managing a caseload of members enrolled in the DSNIP Medicare Advantage program across Ohio, Kentucky, and South Carolina. The role requires comprehensive assessments, case management planning, and ongoing monitoring of care plans to ensure quality and cost-effective healthcare delivery. This remote position emphasizes excellent computer skills and productivity in a fast-paced environment, with a focus on integrating services for members with complex medical needs.
Responsibilities
- Complete comprehensive assessments of members per regulated timelines.
- Develop and implement a case management plan in collaboration with members and healthcare professionals.
- Conduct face-to-face or home visits as required.
- Perform ongoing monitoring of care plans to evaluate effectiveness and document interventions.
- Maintain an ongoing member caseload for regular outreach and management.
- Promote integration of services for members, including behavioral health care and long-term services.
- Facilitate interdisciplinary care team meetings and informal collaboration.
- Use motivational interviewing to educate and support members during contacts.
- Assess for barriers to care and provide care coordination to address concerns.
- Provide consultation and recommendations to non-RN case managers.
- Conduct medication reconciliation when needed.
Requirements
- Graduate from an Accredited School of Nursing.
- Active, unrestricted State Registered Nursing (RN) license in good standing.
- 1-3 years of experience in case management, disease management, managed care, or medical/behavioral health settings.
- Valid driver's license with a good driving record.
Nice-to-haves
- Bachelor's Degree in Nursing (preferred).
- 3-5 years of experience in case management, disease management, managed care, or medical/behavioral health settings (preferred).
- Active, unrestricted Certified Case Manager (CCM) (preferred).
Benefits
- Competitive benefits and compensation package.
