JOB DESCRIPTION
We are searching for six TX licensed RNs to work telephonically with our
Medicaid members across the state. Three of the positions are open to RNs with
at least two years of experience in in Behavioral Health or Substance Abuse
Disorder in any type of setting; the other three should have at least two years
of experience working in ICU, CCU, or Emergency Department. The members
supported by these care managers have complex mental health diagnosis and/or
complex health diagnosis and comorbidities. Most of the responsibilities will be
managed telephonically, but there may be rare instances where meeting with a
member in person may be needed. Hours are Monday – Friday, 8 AM – 5 PM in your
time zone. Preference will be given to RNs who have been employed by another
managed care organization as a case manager. Bilingual is a plus.
Solid experience with Microsoft Office Suite is necessary, especially with
Outlook, Excel, Teams, and One Note.
Job Summary
Provides support for care management/care coordination activities and
collaborates with multidisciplinary team coordinating integrated delivery of
member care across the continuum. Strives to ensure member progress toward
desired outcomes and contributes to overarching strategy to provide quality and
cost-effective member care.
Essential Job Duties
• Completes comprehensive assessments of members per regulated timelines and
determines who may qualify for care management based on clinical judgment,
changes in member health or psychosocial wellness and triggers identified in
assessments.
• Develops and implements care coordination plan in collaboration with member,
caregiver, physician and/or other appropriate health care professionals and
member support network to address member needs and goals.
• Conducts telephonic, face-to-face or home visits as required.
• Performs ongoing monitoring of care plan to evaluate effectiveness, document
interventions and goal achievement, and suggest changes accordingly.
• Maintains ongoing member caseload for regular outreach and management.
• Promotes integration of services for members including behavioral health,
long-term services and supports (LTSS), and home and community resources to
enhance continuity of care.
• Facilitates interdisciplinary care team (ICT) meetings and informal ICT
collaboration.
• Uses motivational interviewing and Molina clinical guideposts to educate,
support and motivate change during member contacts.
• Assesses for barriers to care, provides care coordination and assistance to
member to address concerns.
• May provide consultation, resources and recommendations to peers as needed.
• Care manager RNs may be assigned complex member cases and medication
regimens.
• Care manager RNs may conduct medication reconciliation as needed.
• 25-40% estimated local travel may be required (based upon state/contractual
requirements). Required Qualifications
• At least 2 years experience in health care, preferably in care management, or
experience in a medical and/or behavioral health setting, or equivalent
combination of relevant education and experience.
• Registered Nurse (RN). License must be active and unrestricted in state of
practice.
• Valid and unrestricted driver's license, reliable transportation, and adequate
auto insurance for job related travel requirements, unless otherwise required by
law.
• Understanding of the electronic medical record (EMR) and Health Insurance
Portability and Accountability Act (HIPAA).
• Demonstrated knowledge of community resources.
• Ability to operate proactively and demonstrate detail-oriented work.
• Ability to work within a variety of settings and adjust style as needed -
working with diverse populations, various personalities and personal
situations.
• Ability to work independently, with minimal supervision and self-motivation.
• Responsiveness in all forms of communication, and ability to remain calm in
high-pressure situations.
• Ability to develop and maintain professional relationships.
• Excellent time-management and prioritization skills, and ability to focus on
multiple projects simultaneously and adapt to change.
• Excellent problem-solving, and critical-thinking skills.
• Strong verbal and written communication skills.
• Microsoft Office suite/applicable software program proficiency, and ability to
navigate online portals and 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