REMOTE CASE MANAGER (RN), ANYWHERE - Remote Eligible

✨ About The Role

- Responsible for completing comprehensive assessments of members and determining eligibility for case management based on clinical judgment and assessment triggers - Develop and implement case management plans in collaboration with members, caregivers, physicians, and healthcare professionals to address member needs and goals - Conduct ongoing monitoring of care plans, document interventions and goal achievement, and suggest changes accordingly - Maintain ongoing member case load for regular outreach and management, promoting integration of services and enhancing continuity of care for Molina members - Facilitate interdisciplinary care team meetings, provide consultation, recommendations, and education as appropriate, and conduct medication reconciliation when needed

⚡ Requirements

- Experience in case management, disease management, or managed care settings, with 3-4 years of relevant experience after completing education - Strong clinical judgment and ability to assess members for case management based on health and psychosocial wellness - Skilled in developing and implementing case management plans in collaboration with healthcare professionals and members' support networks - Ability to conduct face-to-face or home visits as required and monitor care plans effectively - Proficient in promoting integration of services, conducting care coordination, and addressing barriers to care