2024-06-14
Molina Healthcare (https://careers.molinahealthcare.com/)
Other
/yr
full-time
employee
Riverside
California
United States
CASE MANAGER REGISTERED NURSE for our CALIFORNIA Health Plan. Candidates must live in the state of California in Sacramento County, LA COUNTY, San Diego County, San Bernardino or Riverside COUNTY. Bilingual Spanish preferred.
We are looking for an RN with at least 1 year of relevant Case Management experience. Ambulatory Case Management, OB GYN Case Management or Disease Management preferred.
Case Manager RN will work in remote and field settings our Medicaid Population assisting with transition from inpatient admission to next steps. This role will allow you to work as a case manager to ensure our members have a successful discharge from the hospital to home. Excellent computer skills and attention to detail are very important to multitask between systems, talk with members on the phone, and enter accurate contact notes. This is a fast-paced position and productivity is important. Excellent skillset working with EMR's and Microsoft Office.
Travel may be required in the future to do member visits in the surrounding areas. Travel will be within a 1- 2-hour radius in the county that you live in. A clean DMV driving record, proof of auto insurance, and reliable transportation is required. Must be able to do your own driving. Please consider this requirement before you apply to this role. We do provide Mileage reimbursement.
Home office with internet connectivity of high speed required. You must provide your own home office including desk and chair.
Work Schedule: Monday thru Friday 8:30AM to 5:30PM Pacific.
JOB DESCRIPTION
Job Summary
Molina 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.
KNOWLEDGE/SKILLS/ABILITIES
JOB QUALIFICATIONS
Required Education
Graduate from an Accredited School of Nursing. Bachelor's Degree in Nursing preferred.
Required Experience
1-3 years in case management, disease management, managed care or medical or behavioral health settings.
Required License, Certification, Association
Active, 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 Education
Bachelor's Degree in Nursing
Preferred Experience
3-5 years in case management, disease management, managed care or medical or behavioral health settings.
Preferred License, Certification, Association
Active, unrestricted Certified Case Manager (CCM)
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.