Care Manager (RN) Remote

Job Description

• REMOTE,  Nevada residents preferred. Candidates who do not live in NV must work Pacific Business Hours

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JOB DESCRIPTION

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Job Summary

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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.

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KNOWLEDGE / SKILLS / ABILITIES

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JOB QUALIFICATIONS

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Required Education

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Graduate from an Accredited School of Nursing. Bachelor's Degree in Nursing preferred.

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Required Experience

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1-3 years in case management, disease management, managed care or medical or behavioral health settings.

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Required License, Certification, Association

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Nevada licensure must be Active, unrestricted State Registered Nursing (RN) license in good standing.

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Must have valid driver's license with good driving record and be able to drive within applicable state or locality with reliable transportation.

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Preferred Education

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Bachelor's Degree in Nursing

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Preferred Experience

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3-5 years in case management, disease management, managed care or medical or behavioral health settings.

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Prior experience in Utilization Management and discharge planning.

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Preferred License, Certification, Association

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Active, unrestricted Certified Case Manager (CCM)

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Some experience with Utilization Management processes is desirable (InterQual, MCG guidelines) , discharge planning, as well as Case Management.

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This position will play a critical role in working with Sr.  leadership and reducing readmission rates. Works directly with facility discharge planners to ensure members have appropriate discharge plans in place i.e. home health, DME, PT / OT, etc.

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To all current Molina employees : If you are interested in applying for this position, please apply through the intranet job listing.

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Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M / F / D / V.

Pay Range : $27.73 - $54.06 / HOURLY