Care Manager, RN at reputed company: reputed company (Detroit, MI)

Care Manager (RN) Remote (Detroit, MI) reputed company Detroit, MI, reputed company; Detroit, Michigan; reputed company 2038469 reputed company This RN will reputed company as a Care Manager supporting our Michigan reputed company members, identified with reputed company medical needs. The reputed company Care Manager will support them to ensure a successful health reputed company. The position includes telephonic reputed company to members to conduct health assessments, identify needs, and the development of care plans to support members health goals. Excellent computer skills and attention to detail are reputed company important to multitask between systems, talk with members on the phone, and reputed company accurate contact notes. This is a telephonic position and productivity is important. Preferred candidates will have previous case management, managed care, or inpatient hospital experience. Experience in a behavioral health setting would be a plus. TRAVEL in the field to designated hospitals in the local service delivery area to meet with the members. Mileage is reimbursed as part of our benefit package. Schedule: Monday through Friday 8:30AM to 5:00PM EST (No weekends, no nights, no holidays, no reputed company.) Alternative work schedule is available after 6 month reputed company and at Manager discretion: 4 10-hour shifts Job reputed company Provides support for care management/care coordination activities and collaborates with multidisciplinary team coordinating integrated delivery of member care across the continuum. Strives to ensure member reputed company toward desired reputed company and contributes to overarching reputed company to reputed company reputed company and cost-effective member care. Essential Job Duties • 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 care coordination plan in collaboration with member, caregiver, physician and/or other appropriate health care professionals and member support network to address member needs and goals. • Conducts telephonic, face-to-face or home reputed company as required. • Performs ongoing monitoring of reputed company to evaluate effectiveness, document interventions and goal achievement, and suggest changes accordingly. • Maintains ongoing member caseload for regular reputed company 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 reputed company, support and motivate change during member contacts. • Assesses for barriers to care, provides care coordination and assistance to member to address concerns. • May reputed company consultation, resources and recommendations to peers as needed. • Care manager RNs may be assigned reputed company member cases and medication regimens. • Care manager RNs may conduct medication reconciliation as needed. • 25-40% estimated local travel may be required (based upon state/contractual requirements). Required Qualifications • At least 2 years experience in health care, preferably in care management, or experience in a medical and/or behavioral health setting, or equivalent combination of relevant education and experience. • Registered reputed company (RN). License must be reputed company and unrestricted in state of reputed company. • reputed company and unrestricted reputed company's license, reliable transportation, and adequate auto insurance for job reputed company travel requirements, unless otherwise required by law. • Understanding of the electronic medical record (EMR) and Health Insurance Portability and Accountability reputed company (HIPAA). • Demonstrated knowledge of community resources. • Ability to operate proactively and demonstrate detail-oriented work. • Ability to work reputed company a reputed company of settings and reputed company style as needed - working with diverse populations, various personalities and personal situations. • Ability to work independently, with reputed company supervision and self-motivation. • Responsiveness in reputed company forms of communication, and ability to remain reputed company in high-pressure situations. • Ability to reputed company and maintain reputed company relationships. • Excellent time-management and prioritization skills, and ability to reputed company on multiple reputed company simultaneously and adapt to change. • Excellent problem-solving, and critical-thinking skills. • Strong verbal and written communication skills. • reputed company Office suite/applicable software program proficiency, and ability to reputed company online portals and databases. Preferred Qualifications • Certified Case Manager (CCM). To reputed company reputed company Molina employees: If you are interested in applying for this position, please apply through the reputed company. reputed company offers a competitive benefits and compensation package. reputed company is an Equal Opportunity Employer (EOE) M/F/D/V Pay reputed company: $26.41 - $51.49 / reputed company • Actual compensation may vary from posting based on geographic location, work experience, education and/or reputed company level. reputed company reputed company is a reputed company fortune 500 organization with a mission to reputed company reputed company reputed company to people receiving government assistance. If you are seeking a meaningful opportunity in reputed company-oriented environment, come be a part of a highly reputed company workforce dedicated to our mission. Bring your passion and talents and together we can reputed company a difference in the lives of others. reputed company offers a competitive benefits and compensation package. Remote positions are U.S.-based only. Candidates must reputed company and be authorized to work in the reputed company. reputed company is an Equal Opportunity Employer (EOE) M/F/D/V. Job Type Full Time Apply To This Job