(RN) REMOTE Care Manager - High Risk OB

Molina Healthcare•Long Beach, NM

1d•Remote

About The Position

Provides support for care management/care coordination activities and collaborates with a multidisciplinary team, coordinating the integrated delivery of member care across the continuum. Strives to ensure member progress toward desired outcomes and contributes to the overarching strategy to provide quality and cost-effective member care. This is a remote telephonic care manager position with a specialty in helping members navigate high-risk pregnancies. The territory for this position is nationwide.

Requirements

At least 2 years of experience in healthcare, 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 the state of practice.
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.

Nice To Haves

Certified Case Manager (CCM).
Strong preference for a valid and active CA RN license.
CST/MST time zone preferred.

Responsibilities

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 a care coordination plan in collaboration with the member, caregiver, physician, and/or other appropriate healthcare professionals and member support network to address member needs and goals.
Conducts telephonic visits as required.
Performs ongoing monitoring of the care plan to evaluate effectiveness, document interventions and goal achievement, and suggest changes accordingly.
Maintains an 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 the 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.