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. This position will be supporting our Medicare program. We are seeking a Registered Nurse with previous Case Management and MCO experience. Proficient to advanced MS Excel knowledge is helpful. A Texas and Arizona RN license is highly preferred. Pervious leadership experience is highly referred. Further details to be discussed during our interview process. Remote position with possible 75% field travel within Clark County Nevada. Oversees an integrated Care Management team responsible for case management, community connectors, health management, and/or transition of care activities to assist Molina Healthcare members with their healthcare needs. Care Management staff work to help members achieve optimal clinical, financial and quality of life outcomes, including safely and effectively transitioning Molina members from acute or inpatient care to lower levels of care and/or home in a cost-efficient manner. 3 or more years in case management, disease management, managed care or medical or behavioral health settings. If licensed, license must be active, unrestricted and in good standing. Bachelor's or master’s degree in Nursing, More than five years Case Management experience. Medicaid/Medicare Population experience with increasing responsibility. Certified Case Manager (CCM), Certified Professional in Healthcare Management Certification (CPHM), Certified Professional in Health Care Quality (CPHQ), or other healthcare or management certification. 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.Work schedule M-F 8:00 AM to 5:00 PM EST.
KNOWLEDGE/SKILLS/ABILITIES
JOB QUALIFICATIONS
Required Education
Required Experience
Required License, Certification, Association
Nevada RN license
Preferred Education
Preferred Experience
Texas RN license
Arizona RN license
Preferred License, Certification, Association