RN - CA Licensure - Transition of Care Coach
Molina Healthcare Arizona; Nebraska; New York; Phoenix, Arizona; Tampa, Florida; Savannah, Georgia; Boise, Idaho; Lexington-Fayette, Kentucky; Ann Arbor, Michigan; Omaha, Nebraska; Lincoln, Nebraska; Cleveland, Ohio; Cincinnati, Ohio; Houston, Texas; Layton, Utah; Bellevue, Washington; Georgia; Texas; Washington; Orlando, Florida; Caldwell, Idaho; Davenport, Iowa; Sioux City, Iowa; Covington, Kentucky; Grand Rapids, Michigan; Sterling Heights, Michigan; Dayton, Ohio; San Antonio, Texas; Dallas, Texas; Salt Lake City, Utah; Florida; Idaho; Jacksonville, Florida; Idaho Falls, Idaho; Meridian, Idaho; Louisville, Kentucky; Kearney, Nebraska; Las Cruces, New Mexico; Rochester, New York; Syracuse, New York; Austin, Texas; Vancouver, Washington; Green Bay, Wisconsin; Iowa; Scottsdale, Arizona; Detroit, Michigan; Grand Island, Nebraska; Buffalo, New York; Columbus, Ohio; Madison, Wisconsin; Mesa, Arizona; St. Petersburg, Florida; Des Moines, Iowa; Bowling Green, Kentucky; Owensboro, Kentucky; Bellevue, Nebraska; New York, New York; Akron, Ohio; Seattle, Washington; Milwaukee, Wisconsin; Racine, Wisconsin; Michigan; Ohio; Utah; Chandler, Arizona; Miami, Florida; Macon, Georgia; Nampa, Idaho; Cedar Rapids, Iowa; Warren, Michigan; Roswell, New Mexico; Yonkers, New York; Provo, Utah; Kenosha, Wisconsin; Kentucky; Tucson, Arizona; Augusta, Georgia; Columbus, Georgia; Santa Fe, New Mexico; West Valley City, Utah; Orem, Utah; Spokane, Washington; New Mexico; Atlanta, Georgia; Iowa City, Iowa; Albuquerque, New Mexico; Rio Rancho, New Mexico; Fort Worth, Texas; Tacoma, Washington Job ID 2029302JOB DESCRIPTION
For this position we are seeking a (RN) Registered Nurse who must have a current active unrestricted RN license in the state of CA.
Case Manager RN will work in remote setting supporting our Medicare/Medicaid population who have recently been admitted into Hospital. The Case Manager will support our members to ensure successful transition from inpatient to outpatient. 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. Preferred candidates will have previous case management, managed care, hospital, and/or home health experience.
This role is currently 100% remote
Home office with internet connectivity of high speed required.
Schedule: Monday thru Friday 8:00AM to 5:00PM PACIFIC TIME ZONE (No weekends or Holidays)
**Candidates who do not live in California must be willing to work CA Pacifc Business hours.
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
- Follows member throughout a 30-day program that starts at hospital admission and continues through transitions from the acute setting to other settings, including nursing facility placement and private home, with the goal of reduced readmissions.
- Ensures safe and appropriate transitions by collaborating with hospital discharge planners, as well as with hospitalists, outpatient providers, facility staff, and family/support network, as needed or at the request of member.
- Ensures member transitions to a setting with adequate caregiving and functional support, as well as medical and medication oversight as required.
- Works with participating ancillary providers, public agencies, or other service providers to make sure necessary services and equipment are in place for a safe transition.
- Conducts face-to-face visits of all members while in the hospital and home visits of high-risk members post-discharge.
- Coordinates care and reassesses member's needs using the Coleman Care Transitions Model recommended post-discharge timeline.
- Educates and supports member focusing on seven primary areas (ToC Pillars): medication management, use of personal health record, follow up care, signs and symptoms of worsening condition, nutrition, functional needs and or Home and Community-based Services, and advance directives.
- 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.
- Facilitates interdisciplinary care team meetings and informal ICT collaboration.
- 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 will conduct medication reconciliation when needed.
JOB QUALIFICATIONS
Required Education
Graduate from an Accredited School of Nursing. Bachelor's Degree in Nursing preferred.
Required Experience
1-3 years hospital discharge planning or home health.
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 hospital discharge planning or home health.
Preferred License, Certification, Association
Active, unrestricted Transitions of Care Sub-Specialty Certification and/or 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: $26.41 - $61.79 / HOURLY
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
About Us
Molina Healthcare is a nationwide fortune 500 organization with a mission to provide quality healthcare to people receiving government assistance. If you are seeking a meaningful opportunity in a team-oriented environment, come be a part of a highly engaged workforce dedicated to our mission. Bring your passion and talents and together we can make a difference in the lives of others. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
Job Type: Full Time Posting Date: 01/15/2025ABOUT OUR LOCATION
View Map- COE CM Director, (RN required) Arizona, Phoenix Arizona, Vancouver Washington, Idaho Falls Idaho, Boise Idaho, Buffalo New York, Grand Rapids Michigan, Mesa Arizona, Cedar Rapids Iowa, Rochester New York, Layton Utah, Madison Wisconsin, San Antonio Texas, Orlando Florida, Macon Georgia, Dallas Texas, Racine Wisconsin, Scottsdale Arizona, Tampa Florida, Meridian Idaho, Tucson Arizona, Detroit Michigan, Atlanta Georgia, Green Bay Wisconsin, Iowa City Iowa, Lexington-Fayette Kentucky, Miami Florida, Orem Utah, Bowling Green Kentucky, Ann Arbor Michigan, Akron Ohio, Dayton Ohio, Caldwell Idaho, Chandler Arizona, Jacksonville Florida, St. Petersburg Florida, Augusta Georgia, Nampa Idaho, Salt Lake City Utah, Lincoln Nebraska, West Valley City Utah, Columbus Georgia, Owensboro Kentucky, Warren Michigan, Louisville Kentucky, Fort Worth Texas, Des Moines Iowa, Bellevue Nebraska, Syracuse New York, Omaha Nebraska, Roswell New Mexico, Columbus Ohio, Cleveland Ohio, Florida, Kentucky, New Mexico, Georgia, Ohio, Michigan, Iowa, Nebraska, Washington, Wisconsin, Idaho, Utah, New York, Texas, New York New York, Houston Texas, Austin Texas, Bellevue Washington, Rio Rancho New Mexico, Seattle Washington, Tacoma Washington, Kenosha Wisconsin, Kearney Nebraska, Cincinnati Ohio, Provo Utah, Las Cruces New Mexico, Santa Fe New Mexico, Albuquerque New Mexico, Grand Island Nebraska, Sioux City Iowa, Savannah Georgia, Covington Kentucky, Milwaukee Wisconsin, Davenport Iowa, Yonkers New York, Spokane Washington, Sterling Heights Michigan 12/11/2024
- Field Family Nurse Practitioner (Boise/Twin Falls, ID) Boise Idaho, Louisville Kentucky, New York, Savannah Georgia, Lexington-Fayette Kentucky, Orlando Florida, Nampa Idaho, Roswell New Mexico, Miami Florida, Idaho, Washington, Syracuse New York, Santa Fe New Mexico, Las Cruces New Mexico, Georgia, Rochester New York, St. Petersburg Florida, Omaha Nebraska, Provo Utah, Meridian Idaho, Ohio, Sterling Heights Michigan, Orem Utah, Scottsdale Arizona, Covington Kentucky, Sioux City Iowa, Lincoln Nebraska, Dayton Ohio, Des Moines Iowa, West Valley City Utah, Davenport Iowa, Madison Wisconsin, Fort Worth Texas, New York New York, Salt Lake City Utah, Tampa Florida, Milwaukee Wisconsin, New Mexico, Dallas Texas, Utah, Seattle Washington, Idaho Falls Idaho, Warren Michigan, Jacksonville Florida, Houston Texas, Tucson Arizona, Texas, Kearney Nebraska, Spokane Washington, San Antonio Texas, Michigan, Yonkers New York, Layton Utah, Kenosha Wisconsin, Mesa Arizona, Owensboro Kentucky, Vancouver Washington, Iowa City Iowa, Wisconsin, Grand Rapids Michigan, Racine Wisconsin, Grand Island Nebraska, Iowa, Nebraska, Kentucky, Florida, Tacoma Washington, Phoenix Arizona, Detroit Michigan, Macon Georgia, Rio Rancho New Mexico, Green Bay Wisconsin 12/05/2024
- Director, Provider Contracts Arizona, Chandler Arizona, Columbus Georgia, Louisville Kentucky, Warren Michigan, Texas, Albuquerque New Mexico, Syracuse New York, Cincinnati Ohio, Spokane Washington, Racine Wisconsin, Jacksonville Florida, Bowling Green Kentucky, Georgia, Owensboro Kentucky, Nebraska, Las Cruces New Mexico, Rio Rancho New Mexico, Rochester New York, Seattle Washington, Tacoma Washington, Vancouver Washington, Mesa Arizona, Scottsdale Arizona, Atlanta Georgia, Nampa Idaho, Florida, Sterling Heights Michigan, Kearney Nebraska, Fort Worth Texas, Layton Utah, Meridian Idaho, Cedar Rapids Iowa, Lexington-Fayette Kentucky, New Mexico, New York, Ohio, Utah, Ann Arbor Michigan, Dayton Ohio, Houston Texas, Salt Lake City Utah, Madison Wisconsin, Miami Florida, Orlando Florida, Macon Georgia, Idaho Falls Idaho, Kentucky, Michigan, Cleveland Ohio, Milwaukee Wisconsin, Kenosha Wisconsin, St. Petersburg Florida, Savannah Georgia, Boise Idaho, Caldwell Idaho, Davenport Iowa, Iowa, Covington Kentucky, Washington, Lincoln Nebraska, Roswell New Mexico, Yonkers New York, Columbus Ohio, Akron Ohio, San Antonio Texas, Austin Texas, Bellevue Washington, Idaho, Detroit Michigan, Grand Rapids Michigan, Grand Island Nebraska, Wisconsin, New York New York, West Valley City Utah, Provo Utah, Orem Utah, Phoenix Arizona, Tucson Arizona, Tampa Florida, Augusta Georgia, Des Moines Iowa, Sioux City Iowa, Iowa City Iowa, Omaha Nebraska, Bellevue Nebraska, Santa Fe New Mexico, Buffalo New York, Dallas Texas, Green Bay Wisconsin 02/13/2025
- Sr Architect, Info Systems - Azure/.Net/SQL - Remote Arizona, Kentucky, Idaho, Louisville Kentucky, Boise Idaho, Meridian Idaho, Davenport Iowa, New York New York, Buffalo New York, Cincinnati Ohio, Dallas Texas, Michigan, Grand Rapids Michigan, Lincoln Nebraska, Kearney Nebraska, Rio Rancho New Mexico, Orlando Florida, Columbus Ohio, San Antonio Texas, Austin Texas, Kenosha Wisconsin, New Mexico, Florida, Bowling Green Kentucky, Detroit Michigan, Ann Arbor Michigan, Albuquerque New Mexico, Tampa Florida, Augusta Georgia, Caldwell Idaho, West Valley City Utah, Madison Wisconsin, Racine Wisconsin, Ohio, Utah, Lexington-Fayette Kentucky, Grand Island Nebraska, Santa Fe New Mexico, Chandler Arizona, Jacksonville Florida, Des Moines Iowa, Rochester New York, Dayton Ohio, Milwaukee Wisconsin, Warren Michigan, Bellevue Nebraska, Columbus Georgia, Nampa Idaho, Idaho Falls Idaho, Cedar Rapids Iowa, Iowa City Iowa, Houston Texas, Salt Lake City Utah, Layton Utah, Tacoma Washington, Texas, Georgia, Covington Kentucky, Omaha Nebraska, Phoenix Arizona, Scottsdale Arizona, Miami Florida, Atlanta Georgia, Syracuse New York, Cleveland Ohio, Akron Ohio, Nebraska, Washington, Wisconsin, Iowa, Las Cruces New Mexico, Roswell New Mexico, Mesa Arizona, St. Petersburg Florida, Macon Georgia, Spokane Washington, Bellevue Washington, Green Bay Wisconsin, New York, Owensboro Kentucky, Sterling Heights Michigan, Tucson Arizona, Savannah Georgia, Sioux City Iowa, Yonkers New York, Fort Worth Texas, Orem Utah, Provo Utah, Vancouver Washington 01/30/2025