Job DescriptionJOB DESCRIPTIONJOB SUMMARY:The Molina Healthcare Internship Program shares an objective to create a steppingstone for students who aim to be professionals and future leaders in the healthcare business profession. Interns are assigned special projects and various other duties that are intended to provide them with valuable professional work experience and industry insight. The purpose of an internship is to develop talent by providing students with experiential learning, formal training and opportunities to interact with healthcare professionals and community leaders. Interns will perform meaningful work alongside talented professionals, gaining insight to Molina’s culture, Mission and Values.KNOWLEDGE, SKILLS & ABILITIESHealthcare Services (HCS) – Wisconsin LTSS Learn Molina LTSS (long term care services and supports) business and the customers we serve in WisconsinLearn our care management platform, SharePoint, and corresponding business processes the platform supportsWork closely with a team of Care Management, Utilization management and Specialty Consult leaders Learn about the importance of integrated care from a member experience perspective Experience member visits, including assessment, screening and care planning processAssist with review and updating of training materials, research new topics – all LTSS services, including self-direction and competitive employmentSupport and assist with cost of care initiatives Preferred Experience Must possess clear and professional written, verbal and interpersonal communication skillsStrong work ethic, self-motivated and ability to develop relationshipsGood time management, organizational and interpersonal skills requiredComputer experience including MS Word, Excel, Outlook and PowerPoint and experience with internet research.Excellent critical thinking/problem solving skillsAbility to handle confidential informationAbility to maintain confidentiality and to comply with Health Insurance Portability and Accountability Act (HIPAA)REQUIRED EDUCATION:Candidate must currently be enrolled in an undergraduate program as a current freshman or sophomore with a minimum GPA of 3.0 or higher and pursuing a Bachelor's degree within the health care services, nursing, human services, nursing or public health areas. Candidate must possess unrestricted authorization to work in the United States.#PJCorp#LI-AC1#HTF Pay Range: $9.25 - $18.05 / HOURLY
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
Job DescriptionJob Description
Job SummaryAre you seeking a unique nursing position that gives you a great work/life balance and lets you support people to live the lives that they choose? Then you’ll want to keep reading about this rewarding work opportunity! We are currently looking for a Registered Nurse licensed in Wisconsin to become our next IRIS Self-Directed Personal Care (SDPC) RN. This is a remote position, where you will partner with people in your community who are enrolled in the Wisconsin IRIS program – a Medicaid long-term care option for older adults and people with disabilities. People in the IRIS program who need personal care services have the choice to enroll in the IRIS Self-Directed Personal Care (IRIS SPDC) option. You can learn more about IRIS SDPC on the Wisconsin Department of Health Services website here, and learn about the IRIS program here. While this role is home-based, you will have regularly scheduled visits with people in their homes and communities. As an IRIS SDPC RN, you’ll provide oversight and guidance to the people enrolled in the IRIS SDPC option. You’ll also build relationships with the people you partner with and ensure that they’re getting the most out of the IRIS Self-Directed Personal Care option through assessment, oversight, training and education. IRIS SDPC RNs are responsible for administering the Wisconsin Personal Care Screening Tool; creating person-centered plans of care; providing personal care oversight to a group of people in IRIS, providing education and training for IRIS participants and care providers, and conducting the required documentation and follow-up. As an IRIS SDPC RN, you’ll play an important role in helping people of various backgrounds and abilities live their lives the way they choose. Knowledge/Skills/AbilitiesProvides personal care assessments and oversight to the My Cares Groups by administering the Wisconsin Personal Care Screening Tool and addendums as requiredDocuments assessment as required by individual tool and Department of Health Services policies and by completing oversight visits and calls as requiredOversees a My Cares Groups of participants, develops individual plans of care, ensures physician orders for care are obtained and reviews and revises plan of care as neededSubmits for Prior Authorization for personal care servicesComplies with all Department of Health Services policies and SDPC Guidelines, procedures, and practices along with documentation and program regulationsProvides personal care training to participants or care providers as requested and provides educational materials as neededCompletes collateral contacts with IRIS Consultants and Long-Term Care Functional Screeners and physicians to ensure care needs are metCompletes other duties as assignedOvertime work may be requiredMay be required to drive 50% of the time during a given day of member home visits Exposure to members homes which may include navigating stairs, exposure to different environments, and pets Job QualificationsREQUIRED EDUCATION:Associates Degree in NursingREQUIRED EXPERIENCE:Minimum 2 years of experience in nursing with at least one year of home health serving individuals with developmental disabilities, physical disabilities, or the elderly.Demonstrated computer and software skills required, proficiency with Microsoft Office Suite and database operation/maintenance skills and data entry experience.Excellent written and verbal communication skills required and the ability to adapt communication styles to fit situation.Strong teaching and mentoring skills.Strong analytical and problem-solving skills.Good organizational and time management skills with ability to manage tasks independently.Flexibility in the work environment and willingness and ability to adapt to changing organizational needs.REQUIRED LICENSE, CERTIFICATION, ASSOCIATION:Current unrestricted license in the state of Wisconsin as a Registered Nurse.Valid Driver’s LicensePREFERRED EDUCATION:Bachelor’s Degree in NursingPREFERRED EXPERIENCE:Experience providing care through the Wisconsin Medicaid Personal Care Program or one year of home care experience 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.#PJNurse#HTF Pay Range: $26.41 - $51.49 / HOURLY
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
Job DescriptionJob Description
Home Health Care, Hospice Care, Palliative Care, Long Term Care, RehabNo weekends, No afterhours support, No holidaysJob DescriptionJob Summary Are you seeking a unique nursing position that gives you a great work/life balance and lets you support people to live the lives that they choose? Then you’ll want to keep reading about this rewarding work opportunity! We are currently looking for a Registered Nurse licensed in Wisconsin to become our next IRIS Self-Directed Personal Care (SDPC) RN. This is a remote position, where you will partner with people in your community who are enrolled in the Wisconsin IRIS program – a Medicaid long-term care option for older adults and people with disabilities. People in the IRIS program who need personal care services have the choice to enroll in the IRIS Self-Directed Personal Care (IRIS SPDC) option. You can learn more about IRIS SDPC on the Wisconsin Department of Health Services website here, and learn about the IRIS program here. While this role is home-based, you will have regularly scheduled visits with people in their homes and communities. As an IRIS SDPC RN, you’ll provide oversight and guidance to the people enrolled in the IRIS SDPC option. You’ll also build relationships with the people you partner with and ensure that they’re getting the most out of the IRIS Self-Directed Personal Care option through assessment, oversight, training and education. IRIS SDPC RNs are responsible for administering the Wisconsin Personal Care Screening Tool; creating person-centered plans of care; providing personal care oversight to a group of people in IRIS, providing education and training for IRIS participants and care providers, and conducting the required documentation and follow-up. As an IRIS SDPC RN, you’ll play an important role in helping people of various backgrounds and abilities live their lives the way they choose. Knowledge/Skills/AbilitiesProvides personal care assessments and oversight to the My Cares Groups by administering the Wisconsin Personal Care Screening Tool and addendums as requiredDocuments assessment as required by individual tool and Department of Health Services policies and by completing oversight visits and calls as requiredOversees a My Cares Groups of participants, develops individual plans of care, ensures physician orders for care are obtained and reviews and revises plan of care as neededSubmits for Prior Authorization for personal care servicesComplies with all Department of Health Services policies and SDPC Guidelines, procedures, and practices along with documentation and program regulationsProvides personal care training to participants or care providers as requested and provides educational materials as neededCompletes collateral contacts with IRIS Consultants and Long-Term Care Functional Screeners and physicians to ensure care needs are metCompletes other duties as assignedOvertime work may be requiredMay be required to drive 50% of the time during a given day of member home visits Exposure to members homes which may include navigating stairs, exposure to different environments, and pets Job QualificationsREQUIRED EDUCATION:Associates Degree in NursingREQUIRED EXPERIENCE:Minimum 2 years of experience in nursing with at least one year of home health serving individuals with developmental disabilities, physical disabilities, or the elderly.Demonstrated computer and software skills required, proficiency with Microsoft Office Suite and database operation/maintenance skills and data entry experience.Excellent written and verbal communication skills required and the ability to adapt communication styles to fit situation.Strong teaching and mentoring skills.Strong analytical and problem-solving skills.Good organizational and time management skills with ability to manage tasks independently.Flexibility in the work environment and willingness and ability to adapt to changing organizational needs.REQUIRED LICENSE, CERTIFICATION, ASSOCIATION:Current unrestricted license in the state of Wisconsin as a Registered Nurse.Valid Driver’s LicensePREFERRED EDUCATION:Bachelor’s Degree in NursingPREFERRED EXPERIENCE:Experience providing care through the Wisconsin Medicaid Personal Care Program or one year of home care experience 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.#PJCorp#HTF#LI-AC1 Pay Range: $26.41 - $51.49 / HOURLY
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
Job DescriptionJOB DESCRIPTIONFamily Care with My Choice WisconsinJob SummaryMolina 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/ABILITIESCompletes face-to-face comprehensive assessments of members per regulated timelines.Facilitates comprehensive waiver enrollment and disenrollment processes.Develops and implements a case management plan, including a waiver service plan, in collaboration with the member, caregiver, physician and/or other appropriate healthcare professionals and member's support network to address the member needs and goals.Performs ongoing monitoring of the care plan to evaluate effectiveness, document interventions and goal achievement, and suggest changes accordingly.Promotes integration of services for members including behavioral health care and long term services and supports, home and community to enhance the continuity of care for Molina members.Assesses for medical necessity and authorize all appropriate waiver services.Evaluates covered benefits and advise appropriately regarding funding source.Conducts face-to-face or home visits as required.Facilitates interdisciplinary care team meetings for approval or denial of services and informal ICT collaboration.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 psycho/social, financial, and medical obstacles concerns.Identifies critical incidents and develops prevention plans to assure member's health and welfare.Provides consultation, recommendations and education as appropriate to non-RN case managersWorks cases with members who have complex medical conditions and medication regimensConducts medication reconciliation when needed.50-75% travel required. JOB QUALIFICATIONSRequired EducationGraduate from an Accredited School of NursingRequired ExperienceAt least 1 year of experience working with persons with disabilities/chronic conditions and Long Term Services & Supports.1-3 years in case management, disease management, managed care or medical or behavioral health settings.Required License, Certification, AssociationActive, unrestricted State Registered Nursing license (RN) in good standingIf field work is required, Must have valid driver's license with good driving record and be able to drive within applicable state or locality with reliable transportation.State Specific RequirementsVirginia: Must have at least one year of experience working directly with individuals with Substance Use DisordersPreferred EducationBachelor's Degree in NursingPreferred Experience3-5 years in case management, disease management, managed care or medical or behavioral health settings.1 year experience working with population who receive waiver services.Preferred License, Certification, AssociationActive and unrestricted 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.#PJNurse#LI-AC1#HTF Pay Range: $26.41 - $51.49 / HOURLY
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
Job DescriptionJOB DESCRIPTIONFamily Care with My Choice WisconsinJob SummaryMolina 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/ABILITIESCompletes face-to-face comprehensive assessments of members per regulated timelines.Facilitates comprehensive waiver enrollment and disenrollment processes.Develops and implements a case management plan, including a waiver service plan, in collaboration with the member, caregiver, physician and/or other appropriate healthcare professionals and member's support network to address the member needs and goals.Performs ongoing monitoring of the care plan to evaluate effectiveness, document interventions and goal achievement, and suggest changes accordingly.Promotes integration of services for members including behavioral health care and long term services and supports, home and community to enhance the continuity of care for Molina members.Assesses for medical necessity and authorize all appropriate waiver services.Evaluates covered benefits and advise appropriately regarding funding source.Conducts face-to-face or home visits as required.Facilitates interdisciplinary care team meetings for approval or denial of services and informal ICT collaboration.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 psycho/social, financial, and medical obstacles concerns.Identifies critical incidents and develops prevention plans to assure member's health and welfare.Provides consultation, recommendations and education as appropriate to non-RN case managersWorks cases with members who have complex medical conditions and medication regimensConducts medication reconciliation when needed.50-75% travel required. JOB QUALIFICATIONSRequired EducationGraduate from an Accredited School of NursingRequired ExperienceAt least 1 year of experience working with persons with disabilities/chronic conditions and Long Term Services & Supports.1-3 years in case management, disease management, managed care or medical or behavioral health settings.Required License, Certification, AssociationActive, unrestricted State Registered Nursing license (RN) in good standingIf field work is required, Must have valid driver's license with good driving record and be able to drive within applicable state or locality with reliable transportation.State Specific RequirementsVirginia: Must have at least one year of experience working directly with individuals with Substance Use DisordersPreferred EducationBachelor's Degree in NursingPreferred Experience3-5 years in case management, disease management, managed care or medical or behavioral health settings.1 year experience working with population who receive waiver services.Preferred License, Certification, AssociationActive and unrestricted 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.#PJNurse#LI-AC1#HTF Pay Range: $26.41 - $51.49 / HOURLY
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
Job DescriptionJOB DESCRIPTIONJOB SUMMARY:The Molina Healthcare Internship Program shares an objective to create a steppingstone for students who aim to be professionals and future leaders in the healthcare business profession. Interns are assigned special projects and various other duties that are intended to provide them with valuable professional work experience and industry insight. The purpose of an internship is to develop talent by providing students with experiential learning, formal training and opportunities to interact with healthcare professionals and community leaders. Interns will perform meaningful work alongside talented professionals, gaining insight to Molina’s culture, Mission and Values.KNOWLEDGE, SKILLS & ABILITIESWorks closely with other team members and management to develop/maintain/deepen relationships with key business leaders, community-based organizations (CBOs) and healthcare providers, ensuring all efforts are directed towards building stronger communities through improving people’s health and lives, with a focus on growing membership for Molina’s Medicaid and related programs in order to do so. Supports the Molina approach to addressing health equity and population needs in our local communities by helping connect members to the resources and services they need to support their health and well-being.Schedules, coordinates & participates in activities such as enrollment and community-based events and encourages key partners to participate..Learns the Molina Healthcare member engagement practices, and where applicable, deliver presentations, attend meetings and distribute educational materials to both members and potential membersIdentify and promote Molina's programs out in the community and create opportunities for employees to participate.Preferred Experience Must possess clear and professional written, verbal and interpersonal communication skillsStrong work ethic, self-motivated and ability to develop relationshipsGood time management, organizational and interpersonal skills requiredComputer experience including MS Word, Excel, Outlook and PowerPoint and experience with internet research.Excellent critical thinking/problem solving skillsAbility to handle confidential informationAbility to maintain confidentiality and to comply with Health Insurance Portability and Accountability Act (HIPAA)REQUIRED EDUCATION:Candidate must currently be enrolled in an undergraduate program as a current freshman or sophomore with a minimum GPA of 3.0 or higher and pursuing a Bachelor's degree with preference in the following areas - Marketing, Communications, General Business, Healthcare Administration, Political Science/Public Affairs. Candidate must possess unrestricted authorization to work in the United States.#PJCorp#LI-AC1#HTF Pay Range: $9.25 - $18.05 / HOURLY
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
Job DescriptionJOB DESCRIPTIONJOB SUMMARY:The Molina Healthcare Internship Program shares an objective to create a steppingstone for students who aim to be professionals and future leaders in the healthcare business profession. Interns are assigned special projects and various other duties that are intended to provide them with valuable professional work experience and industry insight. The purpose of an internship is to develop talent by providing students with experiential learning, formal training and opportunities to interact with healthcare professionals and community leaders. Interns will perform meaningful work alongside talented professionals, gaining insight to Molina’s culture, Mission and Values.KNOWLEDGE, SKILLS & ABILITIESWorks closely with other team members and management to develop/maintain/deepen relationships with key business leaders, community-based organizations (CBOs) and healthcare providers, ensuring all efforts are directed towards building stronger communities through improving people’s health and lives, with a focus on growing membership for Molina’s Medicaid and related programs in order to do so. Supports the Molina approach to addressing health equity and population needs in our local communities by helping connect members to the resources and services they need to support their health and well-being.Schedules, coordinates & participates in activities such as enrollment and community-based events and encourages key partners to participate..Learns the Molina Healthcare member engagement practices, and where applicable, deliver presentations, attend meetings and distribute educational materials to both members and potential membersIdentify and promote Molina's programs out in the community and create opportunities for employees to participate.Preferred Experience Must possess clear and professional written, verbal and interpersonal communication skillsStrong work ethic, self-motivated and ability to develop relationshipsGood time management, organizational and interpersonal skills requiredComputer experience including MS Word, Excel, Outlook and PowerPoint and experience with internet research.Excellent critical thinking/problem solving skillsAbility to handle confidential informationAbility to maintain confidentiality and to comply with Health Insurance Portability and Accountability Act (HIPAA)REQUIRED EDUCATION:Candidate must currently be enrolled in an undergraduate program as a current freshman or sophomore with a minimum GPA of 3.0 or higher and pursuing a Bachelor's degree with preference in the following areas - Marketing, Communications, General Business, Healthcare Administration, Political Science/Public Affairs. Candidate must possess unrestricted authorization to work in the United States.#PJCorp#LI-AC1#HTF Pay Range: $9.25 - $18.05 / HOURLY
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
Job DescriptionJOB DESCRIPTIONJOB SUMMARY:The Molina Healthcare Internship Program shares an objective to create a steppingstone for students who aim to be professionals and future leaders in the healthcare business profession. Interns are assigned special projects and various other duties that are intended to provide them with valuable professional work experience and industry insight. The purpose of an internship is to develop talent by providing students with experiential learning, formal training and opportunities to interact with healthcare professionals and community leaders. Interns will perform meaningful work alongside talented professionals, gaining insight to Molina’s culture, Mission and Values.KNOWLEDGE, SKILLS & ABILITIESWorks closely with other team members and management to develop/maintain/deepen relationships with key business leaders, community-based organizations (CBOs) and healthcare providers, ensuring all efforts are directed towards building stronger communities through improving people’s health and lives, with a focus on growing membership for Molina’s Medicaid and related programs in order to do so. Supports the Molina approach to addressing health equity and population needs in our local communities by helping connect members to the resources and services they need to support their health and well-being.Schedules, coordinates & participates in activities such as enrollment and community-based events and encourages key partners to participate..Learns the Molina Healthcare member engagement practices, and where applicable, deliver presentations, attend meetings and distribute educational materials to both members and potential membersIdentify and promote Molina's programs out in the community and create opportunities for employees to participate.Preferred Experience Must possess clear and professional written, verbal and interpersonal communication skillsStrong work ethic, self-motivated and ability to develop relationshipsGood time management, organizational and interpersonal skills requiredComputer experience including MS Word, Excel, Outlook and PowerPoint and experience with internet research.Excellent critical thinking/problem solving skillsAbility to handle confidential informationAbility to maintain confidentiality and to comply with Health Insurance Portability and Accountability Act (HIPAA)REQUIRED EDUCATION:Candidate must currently be enrolled in an undergraduate program as a current freshman or sophomore with a minimum GPA of 3.0 or higher and pursuing a Bachelor's degree with preference in the following areas - Marketing, Communications, General Business, Healthcare Administration, Political Science/Public Affairs. Candidate must possess unrestricted authorization to work in the United States.#PJCorp#LI-AC1#HTF Pay Range: $9.25 - $18.05 / HOURLY
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
Job DescriptionJOB DESCRIPTIONJOB SUMMARY:The Molina Healthcare Internship Program shares an objective to create a steppingstone for students who aim to be professionals and future leaders in the healthcare business profession. Interns are assigned special projects and various other duties that are intended to provide them with valuable professional work experience and industry insight. The purpose of an internship is to develop talent by providing students with experiential learning, formal training and opportunities to interact with healthcare professionals and community leaders. Interns will perform meaningful work alongside talented professionals, gaining insight to Molina’s culture, Mission and Values.KNOWLEDGE, SKILLS & ABILITIESWorks closely with other team members and management to develop/maintain/deepen relationships with key business leaders, community-based organizations (CBOs) and healthcare providers, ensuring all efforts are directed towards building stronger communities through improving people’s health and lives, with a focus on growing membership for Molina’s Medicaid and related programs in order to do so. Supports the Molina approach to addressing health equity and population needs in our local communities by helping connect members to the resources and services they need to support their health and well-being.Schedules, coordinates & participates in activities such as enrollment and community-based events and encourages key partners to participate..Learns the Molina Healthcare member engagement practices, and where applicable, deliver presentations, attend meetings and distribute educational materials to both members and potential membersIdentify and promote Molina's programs out in the community and create opportunities for employees to participate.Preferred Experience Must possess clear and professional written, verbal and interpersonal communication skillsStrong work ethic, self-motivated and ability to develop relationshipsGood time management, organizational and interpersonal skills requiredComputer experience including MS Word, Excel, Outlook and PowerPoint and experience with internet research.Excellent critical thinking/problem solving skillsAbility to handle confidential informationAbility to maintain confidentiality and to comply with Health Insurance Portability and Accountability Act (HIPAA)REQUIRED EDUCATION:Candidate must currently be enrolled in an undergraduate program as a current freshman or sophomore with a minimum GPA of 3.0 or higher and pursuing a Bachelor's degree with preference in the following areas - Marketing, Communications, General Business, Healthcare Administration, Political Science/Public Affairs. Candidate must possess unrestricted authorization to work in the United States.#PJCorp#LI-AC1#HTF Pay Range: $9.25 - $18.05 / HOURLY
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
Job DescriptionJOB DESCRIPTIONFamily Care with My Choice WisconsinJob SummaryMolina 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/ABILITIESCompletes face-to-face comprehensive assessments of members per regulated timelines.Facilitates comprehensive waiver enrollment and disenrollment processes.Develops and implements a case management plan, including a waiver service plan, in collaboration with the member, caregiver, physician and/or other appropriate healthcare professionals and member's support network to address the member needs and goals.Performs ongoing monitoring of the care plan to evaluate effectiveness, document interventions and goal achievement, and suggest changes accordingly.Promotes integration of services for members including behavioral health care and long term services and supports, home and community to enhance the continuity of care for Molina members.Assesses for medical necessity and authorize all appropriate waiver services.Evaluates covered benefits and advise appropriately regarding funding source.Conducts face-to-face or home visits as required.Facilitates interdisciplinary care team meetings for approval or denial of services and informal ICT collaboration.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 psycho/social, financial, and medical obstacles concerns.Identifies critical incidents and develops prevention plans to assure member's health and welfare.Provides consultation, recommendations and education as appropriate to non-RN case managersWorks cases with members who have complex medical conditions and medication regimensConducts medication reconciliation when needed.50-75% travel required. JOB QUALIFICATIONSRequired EducationGraduate from an Accredited School of NursingRequired ExperienceAt least 1 year of experience working with persons with disabilities/chronic conditions and Long Term Services & Supports.1-3 years in case management, disease management, managed care or medical or behavioral health settings.Required License, Certification, AssociationActive, unrestricted State Registered Nursing license (RN) in good standingIf field work is required, Must have valid driver's license with good driving record and be able to drive within applicable state or locality with reliable transportation.State Specific RequirementsVirginia: Must have at least one year of experience working directly with individuals with Substance Use DisordersPreferred EducationBachelor's Degree in NursingPreferred Experience3-5 years in case management, disease management, managed care or medical or behavioral health settings.1 year experience working with population who receive waiver services.Preferred License, Certification, AssociationActive and unrestricted 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.#PJNurse#LI-AC1#HTF Pay Range: $26.41 - $51.49 / HOURLY
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
