Registered Nurse Case Manager Remote with Field Work in Boston MA
Company: Molina Healthcare
Location: Boston
Posted on: May 7, 2024
Job Description:
JOB DESCRIPTIONJob SummaryMolina Healthcare Services (HCS) works
with members, providers, and multidisciplinary team members to
assess, facilitate, plan, and coordinate an integrated delivery of
care across the continuum, including behavioral health and
long-term care, for members with high need potential. HCS staff
work to ensure that patients progress toward desired outcomes with
quality care that is medically appropriate and cost-effective based
on the severity of illness and the site of service.This position
will support our Senior Whole Health business. -Senior Whole Health
by Molina Healthcare ("SWH") is a community-based health care
organization with national operations support delivering government
funded health plans for members who reside in Massachusetts. -We
are looking for Registered Nurse Case Managers with strong
organizational and time management -skills. - Experience with -Home
Care -experience -is highly preferred. -Bilingual candidates that
speak Spanish, Haitian Creole, or Chinese; must be comfortable
using interpreter line are encouraged to apply to support our
diverse communities!Remote position with Field Travel to members
home or adult day care health centers. -Hours: Monday - Friday 8:30
AM to 5:00 PM EST40% Remote with 70% Travel would be in -Greater
Boston, Jamacia Plain, Roxbury, Mattapan, Dorchester, Milton or
South End -KNOWLEDGE/SKILLS/ABILITIES
- Completes comprehensive assessments of members per regulated
timelines and determines who may qualify for case management based
on clinical judgment, changes in member's health or psychosocial
wellness, and triggers identified in the assessment.
- Develops and implements a case management plan in collaboration
with the member, caregiver, physician and/or other appropriate
healthcare professionals and member's support network to address
the member needs and goals.
- Conducts face-to-face or home visits as required.
- Performs ongoing monitoring of the care plan to evaluate
effectiveness, document interventions and goal achievement, and
suggest changes accordingly.
- Maintains ongoing member case load for regular outreach and
management.
- Promotes integration of services for members including
behavioral health care and long-term services and supports/home and
community to enhance the continuity of care for Molina
members.
- Facilitates interdisciplinary care team 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.
- 25- 40% local travel required.
- RNs provide consultation, recommendations, and education as
appropriate to non-RN case managers.
- RNs are assigned cases with members who have complex medical
conditions and medication regimens.
- RNs conduct medication reconciliation when needed.JOB
QUALIFICATIONSRequired EducationGraduate from an Accredited School
of Nursing. Bachelor's degree in nursing preferred.Required
Experience1-3 years in case management, disease management, managed
care or medical or behavioral health settings.Required License,
Certification, AssociationActive, unrestricted State Registered
Nursing (RN) license in good standing.Must have valid driver's
license with good driving record and be able to drive within
applicable state or locality with reliable transportation.Preferred
EducationBachelor's degree in nursingPreferred Experience3-5 years
in case management, disease management, managed care or medical or
behavioral health settings.Preferred License, Certification,
AssociationActive, unrestricted Certified Case Manager (CCM)Home
Care experiencePrevious experience with Geriatric
populationExperience with care coordination with PCPBilingual:
Greater Boston, Jamacia Plain, Roxbury, Mattapan, Dorchester,
Milton or South End - -To all current Molina employees: If you are
interested in applying for this position, please apply through the
intranet job listing.Molina Healthcare offers a competitive
benefits and compensation package. Molina Healthcare is an Equal
Opportunity Employer (EOE) M/F/D/V. Pay Range: $23.76 - $51.49 /
HOURLY
*Actual compensation may vary from posting based on geographic
location, work experience, education and/or skill level.
Keywords: Molina Healthcare, Brockton , Registered Nurse Case Manager Remote with Field Work in Boston MA, Executive , Boston, Massachusetts
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