• U

    RN CASE MANAGER  

    - Corrales
    Sign-On Bonus AvailableRelocation Assistance AvailableReceive 17% Week... Read More

    Sign-On Bonus Available

    Relocation Assistance Available

    Receive 17% Weekday Nights, 26% Weekend Nights and 15% Weekend Day shift differentials

    Minimum Offer

    $ 35.56/hr.

    Maximum Offer

    $ 50.48/hr.

    Compensation Disclaimer

    Compensation for this role is based on a number of factors, including but not limited to experience, education, and other business and organizational considerations.

    Department: OP Care Management Svcs

    FTE: 1.00
    Full Time
    Shift: Days

    Position Summary:
    Coordinate all systems/services required for an organized, multidisciplinary, patient centered care team approach, and assure quality, cost-effective care for the identified patient population. Manage the course of treatment of patients, coordinating care with physicians, nurses and other staff ensuring quality patient outcomes are achieved within established time frames and with efficient utilization of resources. Conduct initial and ongoing assessments, initiate disease management protocols, determine and manage outcomes, ensure continuity of care through discharge planning, utilization of resources and analysis of variances. Function as a contact person for patient, family, health care team members, community resources and employees as necessary. Ensure adherence to Hospitals and departmental policies and procedures. Patient care assignment may include neonate, pediatric, adolescent, adult and geriatric age groups.

    Detailed responsibilities:
    * PATIENT CENTERED MED - Adhere to and promote the core expectations of the Patient Centered Medical Home or Patient Centered Specialty Practice as applicable
    * IDENTIFICATION - Identify appropriate patients within designated specialty area requiring patient case management interventions by utilizing established procedures including census review, risk screens, and referral
    * DATA - Perform assessment, data collection, obtain, review, and analyze information in collaboration with the patient, family, significant others, health care team members, employers, and others as appropriate
    * ASSESSMENT - Assess the patient's clinical, psychosocial status and current treatment plans
    * NEEDS - Assess the patient/family/significant others needs in relation to the medical diagnosis and treatment and resources; provide treatment options, financial resources, psychosocial needs, and discharge planning in collaboration with appropriate resources
    * ORDERS AND REFERRALS - Obtain necessary orders from physicians to initiate home health referrals, home infusion medications and supplies, oxygen and equipment; coordinate referrals for oxygen and equipment
    * REPORTS & RECORDS - Maintain computer-based tracking system and compile required reports and records
    * COLLABORATION - Develop collaborative relationships with other departments/services and community health care agencies facilitating and supporting quality care in area of clinical expertise; act as a resource on complex patient care activities
    * GOALS - Assist the patient, family, significant others to set patient-centered goals for individual patient, family, and significant others in collaboration with physicians, staff RNs and other health care team members
    * PLAN OF CARE - Develop comprehensive multidisciplinary plan of care effectively utilizing tools and resources
    * DISCHARGE PLANNING - Conduct timely discharge planning by anticipating patient needs in collaboration with physicians, staff RN's, and other health care team members
    * VARIANCES - Intervene when variances occur in patient individualized treatment plan
    * RESOURCES - Coordinate and evaluate the use of resources and services in a quality-conscious, cost effective manner and collaborate with appropriate providers to ensure effective, quality outcomes
    * INTERVENTIONS - Monitor and evaluate short-term and long-term patient responses to interventions in collaboration with quality assurance and utilization review, maintaining interdependent follow-up as necessary
    * VARIANCE - Review variance from standardized protocols of care with health care team members and implement resolution strategies
    * TREATMENT CONFERENCE - Facilitate and/or participate in conferences providing ongoing evaluation of interdisciplinary dynamics, goals attainment and treatment management
    * EDUCATION - Ensure and/or provide instruction to the patient and family based on identified learning needs; assess patient/family knowledge, health status expectations, and locus of control
    * INFORMATION - Assist with development of activities and methods to ensure information is articulated and disseminated to appropriate members of the health care team
    * CONTINUITY OF CARE - Collaborate with the health care team to ensure continuity of patient care throughout all health care settings; promote effective communication among health care team members including the patient, family, and significant others
    * MEETINGS - Participate in team meetings when indicated or as directed
    * CARE PLAN - Incorporate recommendations and/or services of interdisciplinary team members in the care plan
    * COMMUNICATION - Use interpersonal communication strategies with individuals as well as groups of patients, families, significant others, and staff to achieve expected outcomes and patient/family and health care team satisfaction
    * DOCUMENTATION - Provide routine verbal and written documentation for the initial assessment and progress of the patient to other members of the health care team in a timely manner
    * ORIENTATION - Participate in orientation, continuing education of staff RN's and other health care team members as appropriate
    * QUALITY - Participate in continuous quality improvement activities by evaluating patient care systems that may include standards, protocols, and documentation
    * COMMITTEES - Attend meetings and represent department or Hospitals within Hospitals related committees or the community, as assigned by supervisor
    * DEVELOPMENT - Enhance professional growth and development through participation in educational programs, reading current literature, attending in-services, meetings and workshops
    * PATIENT SAFETY 1 - Follow patient safety-related policies, procedures and protocols
    * PATIENT SAFETY 2 - Demonstrate proactive approach to patient safety by seeking opportunities to improve patient safety through questioning of current policies and processes
    * PATIENT SAFETY 3 - Identify and report/correct environmental conditions and/or situations that may put a patient at undue risk
    * PATIENT SAFETY 4 - Report potential or actual patient safety concerns, medical errors and/or near misses in a timely manner
    * PATIENT SAFETY 5 - Encourage patients to actively participate in their own care by asking questions and reporting treatment or situations that they don't understand or may "not seem right"
    * MEDICATION - (UPC and CPC Only) Administer medication, including IV medication, via the Seven Rights; document and communicate clinical findings
    * PATIENT CARE - (UPC and CPC Only) Write treatment plans; coordinate patient drug and procedure activities; administer medication and treatment; provide and coordinate nursing care of assigned patients; may facilitate group therapy and/or education sessions

    Qualifications

    Education:
    Essential:
    * Program Graduate
    Nonessential:
    * Bachelor's Degree
    Education specialization:
    Essential:
    * Nationally Accredited Nursing Graduate
    Nonessential:
    * Nursing

    Experience:
    Essential:
    1 year directly related experience

    Nonessential:
    Bilingual English/Keres, Tewa, Tiwa, Towa, Zuni, or Navajo

    Credentials:
    Essential:
    * RN in NM or as allowed by reciprocal agreement by NM
    * CPR for Healthcare/BLS Prov or Prof Rescuers w/in 30 days

    Physical Conditions:
    Light Work: Exerting up to 20 pounds of force occasionally, and/or up to 10 pounds of force frequently, and/or a negligible amount of force constantly (Constantly: activity or condition exists 2/3 or more of the time) to move objects. Physical demand requirements are in excess of those for Sedentary Work. May require walking or standing to a significant degree or requires sitting most of the time but entails pushing and/or pulling of arm or leg controls; and/or may require working at a production rate pace entailing the constant pushing and/or pulling of materials even though the weight of materials is negligible.

    Working conditions:
    Essential:
    * Minor Hazard - physical risks, dirt, dust, fumes, noise
    * Tuberculosis testing is completed upon hire and additionally as required

    Department: Registered Nurse

    Read Less
  • U

    RN CASE MANAGER  

    - Los Lunas
    Sign-On Bonus AvailableRelocation Assistance AvailableReceive 17% Week... Read More

    Sign-On Bonus Available

    Relocation Assistance Available

    Receive 17% Weekday Nights, 26% Weekend Nights and 15% Weekend Day shift differentials

    Minimum Offer

    $ 35.56/hr.

    Maximum Offer

    $ 50.48/hr.

    Compensation Disclaimer

    Compensation for this role is based on a number of factors, including but not limited to experience, education, and other business and organizational considerations.

    Department: OP Care Management Svcs

    FTE: 0.50
    Part Time
    Shift: Days

    Position Summary:
    Coordinate all systems/services required for an organized, multidisciplinary, patient centered care team approach, and assure quality, cost-effective care for the identified patient population. Manage the course of treatment of patients, coordinating care with physicians, nurses and other staff ensuring quality patient outcomes are achieved within established time frames and with efficient utilization of resources. Conduct initial and ongoing assessments, initiate disease management protocols, determine and manage outcomes, ensure continuity of care through discharge planning, utilization of resources and analysis of variances. Function as a contact person for patient, family, health care team members, community resources and employees as necessary. Ensure adherence to Hospitals and departmental policies and procedures. Patient care assignment may include neonate, pediatric, adolescent, adult and geriatric age groups.

    Detailed responsibilities:
    * PATIENT CENTERED MED - Adhere to and promote the core expectations of the Patient Centered Medical Home or Patient Centered Specialty Practice as applicable
    * IDENTIFICATION - Identify appropriate patients within designated specialty area requiring patient case management interventions by utilizing established procedures including census review, risk screens, and referral
    * DATA - Perform assessment, data collection, obtain, review, and analyze information in collaboration with the patient, family, significant others, health care team members, employers, and others as appropriate
    * ASSESSMENT - Assess the patient's clinical, psychosocial status and current treatment plans
    * NEEDS - Assess the patient/family/significant others needs in relation to the medical diagnosis and treatment and resources; provide treatment options, financial resources, psychosocial needs, and discharge planning in collaboration with appropriate resources
    * ORDERS AND REFERRALS - Obtain necessary orders from physicians to initiate home health referrals, home infusion medications and supplies, oxygen and equipment; coordinate referrals for oxygen and equipment
    * REPORTS & RECORDS - Maintain computer-based tracking system and compile required reports and records
    * COLLABORATION - Develop collaborative relationships with other departments/services and community health care agencies facilitating and supporting quality care in area of clinical expertise; act as a resource on complex patient care activities
    * GOALS - Assist the patient, family, significant others to set patient-centered goals for individual patient, family, and significant others in collaboration with physicians, staff RNs and other health care team members
    * PLAN OF CARE - Develop comprehensive multidisciplinary plan of care effectively utilizing tools and resources
    * DISCHARGE PLANNING - Conduct timely discharge planning by anticipating patient needs in collaboration with physicians, staff RN's, and other health care team members
    * VARIANCES - Intervene when variances occur in patient individualized treatment plan
    * RESOURCES - Coordinate and evaluate the use of resources and services in a quality-conscious, cost effective manner and collaborate with appropriate providers to ensure effective, quality outcomes
    * INTERVENTIONS - Monitor and evaluate short-term and long-term patient responses to interventions in collaboration with quality assurance and utilization review, maintaining interdependent follow-up as necessary
    * VARIANCE - Review variance from standardized protocols of care with health care team members and implement resolution strategies
    * TREATMENT CONFERENCE - Facilitate and/or participate in conferences providing ongoing evaluation of interdisciplinary dynamics, goals attainment and treatment management
    * EDUCATION - Ensure and/or provide instruction to the patient and family based on identified learning needs; assess patient/family knowledge, health status expectations, and locus of control
    * INFORMATION - Assist with development of activities and methods to ensure information is articulated and disseminated to appropriate members of the health care team
    * CONTINUITY OF CARE - Collaborate with the health care team to ensure continuity of patient care throughout all health care settings; promote effective communication among health care team members including the patient, family, and significant others
    * MEETINGS - Participate in team meetings when indicated or as directed
    * CARE PLAN - Incorporate recommendations and/or services of interdisciplinary team members in the care plan
    * COMMUNICATION - Use interpersonal communication strategies with individuals as well as groups of patients, families, significant others, and staff to achieve expected outcomes and patient/family and health care team satisfaction
    * DOCUMENTATION - Provide routine verbal and written documentation for the initial assessment and progress of the patient to other members of the health care team in a timely manner
    * ORIENTATION - Participate in orientation, continuing education of staff RN's and other health care team members as appropriate
    * QUALITY - Participate in continuous quality improvement activities by evaluating patient care systems that may include standards, protocols, and documentation
    * COMMITTEES - Attend meetings and represent department or Hospitals within Hospitals related committees or the community, as assigned by supervisor
    * DEVELOPMENT - Enhance professional growth and development through participation in educational programs, reading current literature, attending in-services, meetings and workshops
    * PATIENT SAFETY 1 - Follow patient safety-related policies, procedures and protocols
    * PATIENT SAFETY 2 - Demonstrate proactive approach to patient safety by seeking opportunities to improve patient safety through questioning of current policies and processes
    * PATIENT SAFETY 3 - Identify and report/correct environmental conditions and/or situations that may put a patient at undue risk
    * PATIENT SAFETY 4 - Report potential or actual patient safety concerns, medical errors and/or near misses in a timely manner
    * PATIENT SAFETY 5 - Encourage patients to actively participate in their own care by asking questions and reporting treatment or situations that they don't understand or may "not seem right"
    * MEDICATION - (UPC and CPC Only) Administer medication, including IV medication, via the Seven Rights; document and communicate clinical findings
    * PATIENT CARE - (UPC and CPC Only) Write treatment plans; coordinate patient drug and procedure activities; administer medication and treatment; provide and coordinate nursing care of assigned patients; may facilitate group therapy and/or education sessions

    Qualifications

    Education:
    Essential:
    * Program Graduate
    Nonessential:
    * Bachelor's Degree
    Education specialization:
    Essential:
    * Nationally Accredited Nursing Graduate
    Nonessential:
    * Nursing

    Experience:
    Essential:
    1 year directly related experience

    Nonessential:
    Bilingual English/Keres, Tewa, Tiwa, Towa, Zuni, or Navajo

    Credentials:
    Essential:
    * RN in NM or as allowed by reciprocal agreement by NM
    * CPR for Healthcare/BLS Prov or Prof Rescuers w/in 30 days

    Physical Conditions:
    Light Work: Exerting up to 20 pounds of force occasionally, and/or up to 10 pounds of force frequently, and/or a negligible amount of force constantly (Constantly: activity or condition exists 2/3 or more of the time) to move objects. Physical demand requirements are in excess of those for Sedentary Work. May require walking or standing to a significant degree or requires sitting most of the time but entails pushing and/or pulling of arm or leg controls; and/or may require working at a production rate pace entailing the constant pushing and/or pulling of materials even though the weight of materials is negligible.

    Working conditions:
    Essential:
    * Minor Hazard - physical risks, dirt, dust, fumes, noise
    * Tuberculosis testing is completed upon hire and additionally as required

    Department: Registered Nurse

    Read Less
  • U

    RN CASE MANAGER  

    - Bernalillo
    Sign-On Bonus AvailableRelocation Assistance AvailableReceive 17% Week... Read More

    Sign-On Bonus Available

    Relocation Assistance Available

    Receive 17% Weekday Nights, 26% Weekend Nights and 15% Weekend Day shift differentials

    Minimum Offer

    $ 35.56/hr.

    Maximum Offer

    $ 50.48/hr.

    Compensation Disclaimer

    Compensation for this role is based on a number of factors, including but not limited to experience, education, and other business and organizational considerations.

    Department: OP Care Management Svcs

    FTE: 0.50
    Part Time
    Shift: Days

    Position Summary:
    Coordinate all systems/services required for an organized, multidisciplinary, patient centered care team approach, and assure quality, cost-effective care for the identified patient population. Manage the course of treatment of patients, coordinating care with physicians, nurses and other staff ensuring quality patient outcomes are achieved within established time frames and with efficient utilization of resources. Conduct initial and ongoing assessments, initiate disease management protocols, determine and manage outcomes, ensure continuity of care through discharge planning, utilization of resources and analysis of variances. Function as a contact person for patient, family, health care team members, community resources and employees as necessary. Ensure adherence to Hospitals and departmental policies and procedures. Patient care assignment may include neonate, pediatric, adolescent, adult and geriatric age groups.

    Detailed responsibilities:
    * PATIENT CENTERED MED - Adhere to and promote the core expectations of the Patient Centered Medical Home or Patient Centered Specialty Practice as applicable
    * IDENTIFICATION - Identify appropriate patients within designated specialty area requiring patient case management interventions by utilizing established procedures including census review, risk screens, and referral
    * DATA - Perform assessment, data collection, obtain, review, and analyze information in collaboration with the patient, family, significant others, health care team members, employers, and others as appropriate
    * ASSESSMENT - Assess the patient's clinical, psychosocial status and current treatment plans
    * NEEDS - Assess the patient/family/significant others needs in relation to the medical diagnosis and treatment and resources; provide treatment options, financial resources, psychosocial needs, and discharge planning in collaboration with appropriate resources
    * ORDERS AND REFERRALS - Obtain necessary orders from physicians to initiate home health referrals, home infusion medications and supplies, oxygen and equipment; coordinate referrals for oxygen and equipment
    * REPORTS & RECORDS - Maintain computer-based tracking system and compile required reports and records
    * COLLABORATION - Develop collaborative relationships with other departments/services and community health care agencies facilitating and supporting quality care in area of clinical expertise; act as a resource on complex patient care activities
    * GOALS - Assist the patient, family, significant others to set patient-centered goals for individual patient, family, and significant others in collaboration with physicians, staff RNs and other health care team members
    * PLAN OF CARE - Develop comprehensive multidisciplinary plan of care effectively utilizing tools and resources
    * DISCHARGE PLANNING - Conduct timely discharge planning by anticipating patient needs in collaboration with physicians, staff RN's, and other health care team members
    * VARIANCES - Intervene when variances occur in patient individualized treatment plan
    * RESOURCES - Coordinate and evaluate the use of resources and services in a quality-conscious, cost effective manner and collaborate with appropriate providers to ensure effective, quality outcomes
    * INTERVENTIONS - Monitor and evaluate short-term and long-term patient responses to interventions in collaboration with quality assurance and utilization review, maintaining interdependent follow-up as necessary
    * VARIANCE - Review variance from standardized protocols of care with health care team members and implement resolution strategies
    * TREATMENT CONFERENCE - Facilitate and/or participate in conferences providing ongoing evaluation of interdisciplinary dynamics, goals attainment and treatment management
    * EDUCATION - Ensure and/or provide instruction to the patient and family based on identified learning needs; assess patient/family knowledge, health status expectations, and locus of control
    * INFORMATION - Assist with development of activities and methods to ensure information is articulated and disseminated to appropriate members of the health care team
    * CONTINUITY OF CARE - Collaborate with the health care team to ensure continuity of patient care throughout all health care settings; promote effective communication among health care team members including the patient, family, and significant others
    * MEETINGS - Participate in team meetings when indicated or as directed
    * CARE PLAN - Incorporate recommendations and/or services of interdisciplinary team members in the care plan
    * COMMUNICATION - Use interpersonal communication strategies with individuals as well as groups of patients, families, significant others, and staff to achieve expected outcomes and patient/family and health care team satisfaction
    * DOCUMENTATION - Provide routine verbal and written documentation for the initial assessment and progress of the patient to other members of the health care team in a timely manner
    * ORIENTATION - Participate in orientation, continuing education of staff RN's and other health care team members as appropriate
    * QUALITY - Participate in continuous quality improvement activities by evaluating patient care systems that may include standards, protocols, and documentation
    * COMMITTEES - Attend meetings and represent department or Hospitals within Hospitals related committees or the community, as assigned by supervisor
    * DEVELOPMENT - Enhance professional growth and development through participation in educational programs, reading current literature, attending in-services, meetings and workshops
    * PATIENT SAFETY 1 - Follow patient safety-related policies, procedures and protocols
    * PATIENT SAFETY 2 - Demonstrate proactive approach to patient safety by seeking opportunities to improve patient safety through questioning of current policies and processes
    * PATIENT SAFETY 3 - Identify and report/correct environmental conditions and/or situations that may put a patient at undue risk
    * PATIENT SAFETY 4 - Report potential or actual patient safety concerns, medical errors and/or near misses in a timely manner
    * PATIENT SAFETY 5 - Encourage patients to actively participate in their own care by asking questions and reporting treatment or situations that they don't understand or may "not seem right"
    * MEDICATION - (UPC and CPC Only) Administer medication, including IV medication, via the Seven Rights; document and communicate clinical findings
    * PATIENT CARE - (UPC and CPC Only) Write treatment plans; coordinate patient drug and procedure activities; administer medication and treatment; provide and coordinate nursing care of assigned patients; may facilitate group therapy and/or education sessions

    Qualifications

    Education:
    Essential:
    * Program Graduate
    Nonessential:
    * Bachelor's Degree
    Education specialization:
    Essential:
    * Nationally Accredited Nursing Graduate
    Nonessential:
    * Nursing

    Experience:
    Essential:
    1 year directly related experience

    Nonessential:
    Bilingual English/Keres, Tewa, Tiwa, Towa, Zuni, or Navajo

    Credentials:
    Essential:
    * RN in NM or as allowed by reciprocal agreement by NM
    * CPR for Healthcare/BLS Prov or Prof Rescuers w/in 30 days

    Physical Conditions:
    Light Work: Exerting up to 20 pounds of force occasionally, and/or up to 10 pounds of force frequently, and/or a negligible amount of force constantly (Constantly: activity or condition exists 2/3 or more of the time) to move objects. Physical demand requirements are in excess of those for Sedentary Work. May require walking or standing to a significant degree or requires sitting most of the time but entails pushing and/or pulling of arm or leg controls; and/or may require working at a production rate pace entailing the constant pushing and/or pulling of materials even though the weight of materials is negligible.

    Working conditions:
    Essential:
    * Minor Hazard - physical risks, dirt, dust, fumes, noise
    * Tuberculosis testing is completed upon hire and additionally as required

    Department: Registered Nurse

    Read Less
  • U

    RN CASE MANAGER  

    - Rio Rancho
    Sign-On Bonus AvailableRelocation Assistance AvailableReceive 17% Week... Read More

    Sign-On Bonus Available

    Relocation Assistance Available

    Receive 17% Weekday Nights, 26% Weekend Nights and 15% Weekend Day shift differentials

    Minimum Offer

    $ 35.56/hr.

    Maximum Offer

    $ 50.48/hr.

    Compensation Disclaimer

    Compensation for this role is based on a number of factors, including but not limited to experience, education, and other business and organizational considerations.

    Department: Care Management Services

    FTE: 0.50
    Part Time
    Shift: Days

    Position Summary:
    Coordinate all systems/services required for an organized, multidisciplinary, patient centered care team approach, and assure quality, cost-effective care for the identified patient population. Manage the course of treatment of patients, coordinating care with physicians, nurses and other staff ensuring quality patient outcomes are achieved within established time frames and with efficient utilization of resources. Conduct initial and ongoing assessments, initiate disease management protocols, determine and manage outcomes, ensure continuity of care through discharge planning, utilization of resources and analysis of variances. Function as a contact person for patient, family, health care team members, community resources and employees as necessary. Ensure adherence to Hospitals and departmental policies and procedures. Patient care assignment may include neonate, pediatric, adolescent, adult and geriatric age groups.

    Detailed responsibilities:
    * PATIENT CENTERED MED - Adhere to and promote the core expectations of the Patient Centered Medical Home or Patient Centered Specialty Practice as applicable
    * IDENTIFICATION - Identify appropriate patients within designated specialty area requiring patient case management interventions by utilizing established procedures including census review, risk screens, and referral
    * DATA - Perform assessment, data collection, obtain, review, and analyze information in collaboration with the patient, family, significant others, health care team members, employers, and others as appropriate
    * ASSESSMENT - Assess the patient's clinical, psychosocial status and current treatment plans
    * NEEDS - Assess the patient/family/significant others needs in relation to the medical diagnosis and treatment and resources; provide treatment options, financial resources, psychosocial needs, and discharge planning in collaboration with appropriate resources
    * ORDERS AND REFERRALS - Obtain necessary orders from physicians to initiate home health referrals, home infusion medications and supplies, oxygen and equipment; coordinate referrals for oxygen and equipment
    * REPORTS & RECORDS - Maintain computer-based tracking system and compile required reports and records
    * COLLABORATION - Develop collaborative relationships with other departments/services and community health care agencies facilitating and supporting quality care in area of clinical expertise; act as a resource on complex patient care activities
    * GOALS - Assist the patient, family, significant others to set patient-centered goals for individual patient, family, and significant others in collaboration with physicians, staff RNs and other health care team members
    * PLAN OF CARE - Develop comprehensive multidisciplinary plan of care effectively utilizing tools and resources
    * DISCHARGE PLANNING - Conduct timely discharge planning by anticipating patient needs in collaboration with physicians, staff RN's, and other health care team members
    * VARIANCES - Intervene when variances occur in patient individualized treatment plan
    * RESOURCES - Coordinate and evaluate the use of resources and services in a quality-conscious, cost effective manner and collaborate with appropriate providers to ensure effective, quality outcomes
    * INTERVENTIONS - Monitor and evaluate short-term and long-term patient responses to interventions in collaboration with quality assurance and utilization review, maintaining interdependent follow-up as necessary
    * VARIANCE - Review variance from standardized protocols of care with health care team members and implement resolution strategies
    * TREATMENT CONFERENCE - Facilitate and/or participate in conferences providing ongoing evaluation of interdisciplinary dynamics, goals attainment and treatment management
    * EDUCATION - Ensure and/or provide instruction to the patient and family based on identified learning needs; assess patient/family knowledge, health status expectations, and locus of control
    * INFORMATION - Assist with development of activities and methods to ensure information is articulated and disseminated to appropriate members of the health care team
    * CONTINUITY OF CARE - Collaborate with the health care team to ensure continuity of patient care throughout all health care settings; promote effective communication among health care team members including the patient, family, and significant others
    * MEETINGS - Participate in team meetings when indicated or as directed
    * CARE PLAN - Incorporate recommendations and/or services of interdisciplinary team members in the care plan
    * COMMUNICATION - Use interpersonal communication strategies with individuals as well as groups of patients, families, significant others, and staff to achieve expected outcomes and patient/family and health care team satisfaction
    * DOCUMENTATION - Provide routine verbal and written documentation for the initial assessment and progress of the patient to other members of the health care team in a timely manner
    * ORIENTATION - Participate in orientation, continuing education of staff RN's and other health care team members as appropriate
    * QUALITY - Participate in continuous quality improvement activities by evaluating patient care systems that may include standards, protocols, and documentation
    * COMMITTEES - Attend meetings and represent department or Hospitals within Hospitals related committees or the community, as assigned by supervisor
    * DEVELOPMENT - Enhance professional growth and development through participation in educational programs, reading current literature, attending in-services, meetings and workshops
    * PATIENT SAFETY 1 - Follow patient safety-related policies, procedures and protocols
    * PATIENT SAFETY 2 - Demonstrate proactive approach to patient safety by seeking opportunities to improve patient safety through questioning of current policies and processes
    * PATIENT SAFETY 3 - Identify and report/correct environmental conditions and/or situations that may put a patient at undue risk
    * PATIENT SAFETY 4 - Report potential or actual patient safety concerns, medical errors and/or near misses in a timely manner
    * PATIENT SAFETY 5 - Encourage patients to actively participate in their own care by asking questions and reporting treatment or situations that they don't understand or may "not seem right"
    * MEDICATION - (UPC and CPC Only) Administer medication, including IV medication, via the Seven Rights; document and communicate clinical findings
    * PATIENT CARE - (UPC and CPC Only) Write treatment plans; coordinate patient drug and procedure activities; administer medication and treatment; provide and coordinate nursing care of assigned patients; may facilitate group therapy and/or education sessions

    Qualifications

    Education:
    Essential:
    * Program Graduate
    Nonessential:
    * Bachelor's Degree
    Education specialization:
    Essential:
    * Nationally Accredited Nursing Graduate
    Nonessential:
    * Nursing

    Experience:
    Essential:
    1 year directly related experience

    Nonessential:
    Bilingual English/Keres, Tewa, Tiwa, Towa, Zuni, or Navajo

    Credentials:
    Essential:
    * RN in NM or as allowed by reciprocal agreement by NM
    * CPR for Healthcare/BLS Prov or Prof Rescuers w/in 30 days

    Physical Conditions:
    Light Work: Exerting up to 20 pounds of force occasionally, and/or up to 10 pounds of force frequently, and/or a negligible amount of force constantly (Constantly: activity or condition exists 2/3 or more of the time) to move objects. Physical demand requirements are in excess of those for Sedentary Work. May require walking or standing to a significant degree or requires sitting most of the time but entails pushing and/or pulling of arm or leg controls; and/or may require working at a production rate pace entailing the constant pushing and/or pulling of materials even though the weight of materials is negligible.

    Working conditions:
    Essential:
    * Minor Hazard - physical risks, dirt, dust, fumes, noise
    * Tuberculosis testing is completed upon hire and additionally as required

    Department: Registered Nurse

    Read Less
  • U

    RN CASE MANAGER  

    - Placitas
    Sign-On Bonus AvailableRelocation Assistance AvailableReceive 17% Week... Read More

    Sign-On Bonus Available

    Relocation Assistance Available

    Receive 17% Weekday Nights, 26% Weekend Nights and 15% Weekend Day shift differentials

    Minimum Offer

    $ 35.56/hr.

    Maximum Offer

    $ 50.48/hr.

    Compensation Disclaimer

    Compensation for this role is based on a number of factors, including but not limited to experience, education, and other business and organizational considerations.

    Department: Care Management Services

    FTE: 0.50
    Part Time
    Shift: Days

    Position Summary:
    Coordinate all systems/services required for an organized, multidisciplinary, patient centered care team approach, and assure quality, cost-effective care for the identified patient population. Manage the course of treatment of patients, coordinating care with physicians, nurses and other staff ensuring quality patient outcomes are achieved within established time frames and with efficient utilization of resources. Conduct initial and ongoing assessments, initiate disease management protocols, determine and manage outcomes, ensure continuity of care through discharge planning, utilization of resources and analysis of variances. Function as a contact person for patient, family, health care team members, community resources and employees as necessary. Ensure adherence to Hospitals and departmental policies and procedures. Patient care assignment may include neonate, pediatric, adolescent, adult and geriatric age groups.

    Detailed responsibilities:
    * PATIENT CENTERED MED - Adhere to and promote the core expectations of the Patient Centered Medical Home or Patient Centered Specialty Practice as applicable
    * IDENTIFICATION - Identify appropriate patients within designated specialty area requiring patient case management interventions by utilizing established procedures including census review, risk screens, and referral
    * DATA - Perform assessment, data collection, obtain, review, and analyze information in collaboration with the patient, family, significant others, health care team members, employers, and others as appropriate
    * ASSESSMENT - Assess the patient's clinical, psychosocial status and current treatment plans
    * NEEDS - Assess the patient/family/significant others needs in relation to the medical diagnosis and treatment and resources; provide treatment options, financial resources, psychosocial needs, and discharge planning in collaboration with appropriate resources
    * ORDERS AND REFERRALS - Obtain necessary orders from physicians to initiate home health referrals, home infusion medications and supplies, oxygen and equipment; coordinate referrals for oxygen and equipment
    * REPORTS & RECORDS - Maintain computer-based tracking system and compile required reports and records
    * COLLABORATION - Develop collaborative relationships with other departments/services and community health care agencies facilitating and supporting quality care in area of clinical expertise; act as a resource on complex patient care activities
    * GOALS - Assist the patient, family, significant others to set patient-centered goals for individual patient, family, and significant others in collaboration with physicians, staff RNs and other health care team members
    * PLAN OF CARE - Develop comprehensive multidisciplinary plan of care effectively utilizing tools and resources
    * DISCHARGE PLANNING - Conduct timely discharge planning by anticipating patient needs in collaboration with physicians, staff RN's, and other health care team members
    * VARIANCES - Intervene when variances occur in patient individualized treatment plan
    * RESOURCES - Coordinate and evaluate the use of resources and services in a quality-conscious, cost effective manner and collaborate with appropriate providers to ensure effective, quality outcomes
    * INTERVENTIONS - Monitor and evaluate short-term and long-term patient responses to interventions in collaboration with quality assurance and utilization review, maintaining interdependent follow-up as necessary
    * VARIANCE - Review variance from standardized protocols of care with health care team members and implement resolution strategies
    * TREATMENT CONFERENCE - Facilitate and/or participate in conferences providing ongoing evaluation of interdisciplinary dynamics, goals attainment and treatment management
    * EDUCATION - Ensure and/or provide instruction to the patient and family based on identified learning needs; assess patient/family knowledge, health status expectations, and locus of control
    * INFORMATION - Assist with development of activities and methods to ensure information is articulated and disseminated to appropriate members of the health care team
    * CONTINUITY OF CARE - Collaborate with the health care team to ensure continuity of patient care throughout all health care settings; promote effective communication among health care team members including the patient, family, and significant others
    * MEETINGS - Participate in team meetings when indicated or as directed
    * CARE PLAN - Incorporate recommendations and/or services of interdisciplinary team members in the care plan
    * COMMUNICATION - Use interpersonal communication strategies with individuals as well as groups of patients, families, significant others, and staff to achieve expected outcomes and patient/family and health care team satisfaction
    * DOCUMENTATION - Provide routine verbal and written documentation for the initial assessment and progress of the patient to other members of the health care team in a timely manner
    * ORIENTATION - Participate in orientation, continuing education of staff RN's and other health care team members as appropriate
    * QUALITY - Participate in continuous quality improvement activities by evaluating patient care systems that may include standards, protocols, and documentation
    * COMMITTEES - Attend meetings and represent department or Hospitals within Hospitals related committees or the community, as assigned by supervisor
    * DEVELOPMENT - Enhance professional growth and development through participation in educational programs, reading current literature, attending in-services, meetings and workshops
    * PATIENT SAFETY 1 - Follow patient safety-related policies, procedures and protocols
    * PATIENT SAFETY 2 - Demonstrate proactive approach to patient safety by seeking opportunities to improve patient safety through questioning of current policies and processes
    * PATIENT SAFETY 3 - Identify and report/correct environmental conditions and/or situations that may put a patient at undue risk
    * PATIENT SAFETY 4 - Report potential or actual patient safety concerns, medical errors and/or near misses in a timely manner
    * PATIENT SAFETY 5 - Encourage patients to actively participate in their own care by asking questions and reporting treatment or situations that they don't understand or may "not seem right"
    * MEDICATION - (UPC and CPC Only) Administer medication, including IV medication, via the Seven Rights; document and communicate clinical findings
    * PATIENT CARE - (UPC and CPC Only) Write treatment plans; coordinate patient drug and procedure activities; administer medication and treatment; provide and coordinate nursing care of assigned patients; may facilitate group therapy and/or education sessions

    Qualifications

    Education:
    Essential:
    * Program Graduate
    Nonessential:
    * Bachelor's Degree
    Education specialization:
    Essential:
    * Nationally Accredited Nursing Graduate
    Nonessential:
    * Nursing

    Experience:
    Essential:
    1 year directly related experience

    Nonessential:
    Bilingual English/Keres, Tewa, Tiwa, Towa, Zuni, or Navajo

    Credentials:
    Essential:
    * RN in NM or as allowed by reciprocal agreement by NM
    * CPR for Healthcare/BLS Prov or Prof Rescuers w/in 30 days

    Physical Conditions:
    Light Work: Exerting up to 20 pounds of force occasionally, and/or up to 10 pounds of force frequently, and/or a negligible amount of force constantly (Constantly: activity or condition exists 2/3 or more of the time) to move objects. Physical demand requirements are in excess of those for Sedentary Work. May require walking or standing to a significant degree or requires sitting most of the time but entails pushing and/or pulling of arm or leg controls; and/or may require working at a production rate pace entailing the constant pushing and/or pulling of materials even though the weight of materials is negligible.

    Working conditions:
    Essential:
    * Minor Hazard - physical risks, dirt, dust, fumes, noise
    * Tuberculosis testing is completed upon hire and additionally as required

    Department: Registered Nurse

    Read Less
  • U

    RN CASE MANAGER  

    - Peralta
    Sign-On Bonus AvailableRelocation Assistance AvailableReceive 17% Week... Read More

    Sign-On Bonus Available

    Relocation Assistance Available

    Receive 17% Weekday Nights, 26% Weekend Nights and 15% Weekend Day shift differentials

    Minimum Offer

    $ 35.56/hr.

    Maximum Offer

    $ 50.48/hr.

    Compensation Disclaimer

    Compensation for this role is based on a number of factors, including but not limited to experience, education, and other business and organizational considerations.

    Department: OP Care Management Svcs

    FTE: 1.00
    Full Time
    Shift: Days

    Position Summary:
    Coordinate all systems/services required for an organized, multidisciplinary, patient centered care team approach, and assure quality, cost-effective care for the identified patient population. Manage the course of treatment of patients, coordinating care with physicians, nurses and other staff ensuring quality patient outcomes are achieved within established time frames and with efficient utilization of resources. Conduct initial and ongoing assessments, initiate disease management protocols, determine and manage outcomes, ensure continuity of care through discharge planning, utilization of resources and analysis of variances. Function as a contact person for patient, family, health care team members, community resources and employees as necessary. Ensure adherence to Hospitals and departmental policies and procedures. Patient care assignment may include neonate, pediatric, adolescent, adult and geriatric age groups.

    Detailed responsibilities:
    * PATIENT CENTERED MED - Adhere to and promote the core expectations of the Patient Centered Medical Home or Patient Centered Specialty Practice as applicable
    * IDENTIFICATION - Identify appropriate patients within designated specialty area requiring patient case management interventions by utilizing established procedures including census review, risk screens, and referral
    * DATA - Perform assessment, data collection, obtain, review, and analyze information in collaboration with the patient, family, significant others, health care team members, employers, and others as appropriate
    * ASSESSMENT - Assess the patient's clinical, psychosocial status and current treatment plans
    * NEEDS - Assess the patient/family/significant others needs in relation to the medical diagnosis and treatment and resources; provide treatment options, financial resources, psychosocial needs, and discharge planning in collaboration with appropriate resources
    * ORDERS AND REFERRALS - Obtain necessary orders from physicians to initiate home health referrals, home infusion medications and supplies, oxygen and equipment; coordinate referrals for oxygen and equipment
    * REPORTS & RECORDS - Maintain computer-based tracking system and compile required reports and records
    * COLLABORATION - Develop collaborative relationships with other departments/services and community health care agencies facilitating and supporting quality care in area of clinical expertise; act as a resource on complex patient care activities
    * GOALS - Assist the patient, family, significant others to set patient-centered goals for individual patient, family, and significant others in collaboration with physicians, staff RNs and other health care team members
    * PLAN OF CARE - Develop comprehensive multidisciplinary plan of care effectively utilizing tools and resources
    * DISCHARGE PLANNING - Conduct timely discharge planning by anticipating patient needs in collaboration with physicians, staff RN's, and other health care team members
    * VARIANCES - Intervene when variances occur in patient individualized treatment plan
    * RESOURCES - Coordinate and evaluate the use of resources and services in a quality-conscious, cost effective manner and collaborate with appropriate providers to ensure effective, quality outcomes
    * INTERVENTIONS - Monitor and evaluate short-term and long-term patient responses to interventions in collaboration with quality assurance and utilization review, maintaining interdependent follow-up as necessary
    * VARIANCE - Review variance from standardized protocols of care with health care team members and implement resolution strategies
    * TREATMENT CONFERENCE - Facilitate and/or participate in conferences providing ongoing evaluation of interdisciplinary dynamics, goals attainment and treatment management
    * EDUCATION - Ensure and/or provide instruction to the patient and family based on identified learning needs; assess patient/family knowledge, health status expectations, and locus of control
    * INFORMATION - Assist with development of activities and methods to ensure information is articulated and disseminated to appropriate members of the health care team
    * CONTINUITY OF CARE - Collaborate with the health care team to ensure continuity of patient care throughout all health care settings; promote effective communication among health care team members including the patient, family, and significant others
    * MEETINGS - Participate in team meetings when indicated or as directed
    * CARE PLAN - Incorporate recommendations and/or services of interdisciplinary team members in the care plan
    * COMMUNICATION - Use interpersonal communication strategies with individuals as well as groups of patients, families, significant others, and staff to achieve expected outcomes and patient/family and health care team satisfaction
    * DOCUMENTATION - Provide routine verbal and written documentation for the initial assessment and progress of the patient to other members of the health care team in a timely manner
    * ORIENTATION - Participate in orientation, continuing education of staff RN's and other health care team members as appropriate
    * QUALITY - Participate in continuous quality improvement activities by evaluating patient care systems that may include standards, protocols, and documentation
    * COMMITTEES - Attend meetings and represent department or Hospitals within Hospitals related committees or the community, as assigned by supervisor
    * DEVELOPMENT - Enhance professional growth and development through participation in educational programs, reading current literature, attending in-services, meetings and workshops
    * PATIENT SAFETY 1 - Follow patient safety-related policies, procedures and protocols
    * PATIENT SAFETY 2 - Demonstrate proactive approach to patient safety by seeking opportunities to improve patient safety through questioning of current policies and processes
    * PATIENT SAFETY 3 - Identify and report/correct environmental conditions and/or situations that may put a patient at undue risk
    * PATIENT SAFETY 4 - Report potential or actual patient safety concerns, medical errors and/or near misses in a timely manner
    * PATIENT SAFETY 5 - Encourage patients to actively participate in their own care by asking questions and reporting treatment or situations that they don't understand or may "not seem right"
    * MEDICATION - (UPC and CPC Only) Administer medication, including IV medication, via the Seven Rights; document and communicate clinical findings
    * PATIENT CARE - (UPC and CPC Only) Write treatment plans; coordinate patient drug and procedure activities; administer medication and treatment; provide and coordinate nursing care of assigned patients; may facilitate group therapy and/or education sessions

    Qualifications

    Education:
    Essential:
    * Program Graduate
    Nonessential:
    * Bachelor's Degree
    Education specialization:
    Essential:
    * Nationally Accredited Nursing Graduate
    Nonessential:
    * Nursing

    Experience:
    Essential:
    1 year directly related experience

    Nonessential:
    Bilingual English/Keres, Tewa, Tiwa, Towa, Zuni, or Navajo

    Credentials:
    Essential:
    * RN in NM or as allowed by reciprocal agreement by NM
    * CPR for Healthcare/BLS Prov or Prof Rescuers w/in 30 days

    Physical Conditions:
    Light Work: Exerting up to 20 pounds of force occasionally, and/or up to 10 pounds of force frequently, and/or a negligible amount of force constantly (Constantly: activity or condition exists 2/3 or more of the time) to move objects. Physical demand requirements are in excess of those for Sedentary Work. May require walking or standing to a significant degree or requires sitting most of the time but entails pushing and/or pulling of arm or leg controls; and/or may require working at a production rate pace entailing the constant pushing and/or pulling of materials even though the weight of materials is negligible.

    Working conditions:
    Essential:
    * Minor Hazard - physical risks, dirt, dust, fumes, noise
    * Tuberculosis testing is completed upon hire and additionally as required

    Department: Registered Nurse

    Read Less
  • U

    RN CASE MANAGER  

    - ALBUQUERQUE
    Sign-On Bonus AvailableRelocation Assistance AvailableReceive 17% Week... Read More

    Sign-On Bonus Available

    Relocation Assistance Available

    Receive 17% Weekday Nights, 26% Weekend Nights and 15% Weekend Day shift differentials

    Minimum Offer

    $ 35.56/hr.

    Maximum Offer

    $ 50.48/hr.

    Compensation Disclaimer

    Compensation for this role is based on a number of factors, including but not limited to experience, education, and other business and organizational considerations.

    Department: Care Management Services

    FTE: 0.50
    Part Time
    Shift: Days

    Position Summary:
    Coordinate all systems/services required for an organized, multidisciplinary, patient centered care team approach, and assure quality, cost-effective care for the identified patient population. Manage the course of treatment of patients, coordinating care with physicians, nurses and other staff ensuring quality patient outcomes are achieved within established time frames and with efficient utilization of resources. Conduct initial and ongoing assessments, initiate disease management protocols, determine and manage outcomes, ensure continuity of care through discharge planning, utilization of resources and analysis of variances. Function as a contact person for patient, family, health care team members, community resources and employees as necessary. Ensure adherence to Hospitals and departmental policies and procedures. Patient care assignment may include neonate, pediatric, adolescent, adult and geriatric age groups.

    Detailed responsibilities:
    * PATIENT CENTERED MED - Adhere to and promote the core expectations of the Patient Centered Medical Home or Patient Centered Specialty Practice as applicable
    * IDENTIFICATION - Identify appropriate patients within designated specialty area requiring patient case management interventions by utilizing established procedures including census review, risk screens, and referral
    * DATA - Perform assessment, data collection, obtain, review, and analyze information in collaboration with the patient, family, significant others, health care team members, employers, and others as appropriate
    * ASSESSMENT - Assess the patient's clinical, psychosocial status and current treatment plans
    * NEEDS - Assess the patient/family/significant others needs in relation to the medical diagnosis and treatment and resources; provide treatment options, financial resources, psychosocial needs, and discharge planning in collaboration with appropriate resources
    * ORDERS AND REFERRALS - Obtain necessary orders from physicians to initiate home health referrals, home infusion medications and supplies, oxygen and equipment; coordinate referrals for oxygen and equipment
    * REPORTS & RECORDS - Maintain computer-based tracking system and compile required reports and records
    * COLLABORATION - Develop collaborative relationships with other departments/services and community health care agencies facilitating and supporting quality care in area of clinical expertise; act as a resource on complex patient care activities
    * GOALS - Assist the patient, family, significant others to set patient-centered goals for individual patient, family, and significant others in collaboration with physicians, staff RNs and other health care team members
    * PLAN OF CARE - Develop comprehensive multidisciplinary plan of care effectively utilizing tools and resources
    * DISCHARGE PLANNING - Conduct timely discharge planning by anticipating patient needs in collaboration with physicians, staff RN's, and other health care team members
    * VARIANCES - Intervene when variances occur in patient individualized treatment plan
    * RESOURCES - Coordinate and evaluate the use of resources and services in a quality-conscious, cost effective manner and collaborate with appropriate providers to ensure effective, quality outcomes
    * INTERVENTIONS - Monitor and evaluate short-term and long-term patient responses to interventions in collaboration with quality assurance and utilization review, maintaining interdependent follow-up as necessary
    * VARIANCE - Review variance from standardized protocols of care with health care team members and implement resolution strategies
    * TREATMENT CONFERENCE - Facilitate and/or participate in conferences providing ongoing evaluation of interdisciplinary dynamics, goals attainment and treatment management
    * EDUCATION - Ensure and/or provide instruction to the patient and family based on identified learning needs; assess patient/family knowledge, health status expectations, and locus of control
    * INFORMATION - Assist with development of activities and methods to ensure information is articulated and disseminated to appropriate members of the health care team
    * CONTINUITY OF CARE - Collaborate with the health care team to ensure continuity of patient care throughout all health care settings; promote effective communication among health care team members including the patient, family, and significant others
    * MEETINGS - Participate in team meetings when indicated or as directed
    * CARE PLAN - Incorporate recommendations and/or services of interdisciplinary team members in the care plan
    * COMMUNICATION - Use interpersonal communication strategies with individuals as well as groups of patients, families, significant others, and staff to achieve expected outcomes and patient/family and health care team satisfaction
    * DOCUMENTATION - Provide routine verbal and written documentation for the initial assessment and progress of the patient to other members of the health care team in a timely manner
    * ORIENTATION - Participate in orientation, continuing education of staff RN's and other health care team members as appropriate
    * QUALITY - Participate in continuous quality improvement activities by evaluating patient care systems that may include standards, protocols, and documentation
    * COMMITTEES - Attend meetings and represent department or Hospitals within Hospitals related committees or the community, as assigned by supervisor
    * DEVELOPMENT - Enhance professional growth and development through participation in educational programs, reading current literature, attending in-services, meetings and workshops
    * PATIENT SAFETY 1 - Follow patient safety-related policies, procedures and protocols
    * PATIENT SAFETY 2 - Demonstrate proactive approach to patient safety by seeking opportunities to improve patient safety through questioning of current policies and processes
    * PATIENT SAFETY 3 - Identify and report/correct environmental conditions and/or situations that may put a patient at undue risk
    * PATIENT SAFETY 4 - Report potential or actual patient safety concerns, medical errors and/or near misses in a timely manner
    * PATIENT SAFETY 5 - Encourage patients to actively participate in their own care by asking questions and reporting treatment or situations that they don't understand or may "not seem right"
    * MEDICATION - (UPC and CPC Only) Administer medication, including IV medication, via the Seven Rights; document and communicate clinical findings
    * PATIENT CARE - (UPC and CPC Only) Write treatment plans; coordinate patient drug and procedure activities; administer medication and treatment; provide and coordinate nursing care of assigned patients; may facilitate group therapy and/or education sessions

    Qualifications

    Education:
    Essential:
    * Program Graduate
    Nonessential:
    * Bachelor's Degree
    Education specialization:
    Essential:
    * Nationally Accredited Nursing Graduate
    Nonessential:
    * Nursing

    Experience:
    Essential:
    1 year directly related experience

    Nonessential:
    Bilingual English/Keres, Tewa, Tiwa, Towa, Zuni, or Navajo

    Credentials:
    Essential:
    * RN in NM or as allowed by reciprocal agreement by NM
    * CPR for Healthcare/BLS Prov or Prof Rescuers w/in 30 days

    Physical Conditions:
    Light Work: Exerting up to 20 pounds of force occasionally, and/or up to 10 pounds of force frequently, and/or a negligible amount of force constantly (Constantly: activity or condition exists 2/3 or more of the time) to move objects. Physical demand requirements are in excess of those for Sedentary Work. May require walking or standing to a significant degree or requires sitting most of the time but entails pushing and/or pulling of arm or leg controls; and/or may require working at a production rate pace entailing the constant pushing and/or pulling of materials even though the weight of materials is negligible.

    Working conditions:
    Essential:
    * Minor Hazard - physical risks, dirt, dust, fumes, noise
    * Tuberculosis testing is completed upon hire and additionally as required

    Department: Registered Nurse

    Read Less
  • U

    RN CASE MANAGER  

    - ALBUQUERQUE
    Sign-On Bonus AvailableRelocation Assistance AvailableReceive 17% Week... Read More

    Sign-On Bonus Available

    Relocation Assistance Available

    Receive 17% Weekday Nights, 26% Weekend Nights and 15% Weekend Day shift differentials

    Minimum Offer

    $ 35.56/hr.

    Maximum Offer

    $ 50.48/hr.

    Compensation Disclaimer

    Compensation for this role is based on a number of factors, including but not limited to experience, education, and other business and organizational considerations.

    Department: OP Care Management Svcs

    FTE: 1.00
    Full Time
    Shift: Days

    Position Summary:
    Coordinate all systems/services required for an organized, multidisciplinary, patient centered care team approach, and assure quality, cost-effective care for the identified patient population. Manage the course of treatment of patients, coordinating care with physicians, nurses and other staff ensuring quality patient outcomes are achieved within established time frames and with efficient utilization of resources. Conduct initial and ongoing assessments, initiate disease management protocols, determine and manage outcomes, ensure continuity of care through discharge planning, utilization of resources and analysis of variances. Function as a contact person for patient, family, health care team members, community resources and employees as necessary. Ensure adherence to Hospitals and departmental policies and procedures. Patient care assignment may include neonate, pediatric, adolescent, adult and geriatric age groups.

    Detailed responsibilities:
    * PATIENT CENTERED MED - Adhere to and promote the core expectations of the Patient Centered Medical Home or Patient Centered Specialty Practice as applicable
    * IDENTIFICATION - Identify appropriate patients within designated specialty area requiring patient case management interventions by utilizing established procedures including census review, risk screens, and referral
    * DATA - Perform assessment, data collection, obtain, review, and analyze information in collaboration with the patient, family, significant others, health care team members, employers, and others as appropriate
    * ASSESSMENT - Assess the patient's clinical, psychosocial status and current treatment plans
    * NEEDS - Assess the patient/family/significant others needs in relation to the medical diagnosis and treatment and resources; provide treatment options, financial resources, psychosocial needs, and discharge planning in collaboration with appropriate resources
    * ORDERS AND REFERRALS - Obtain necessary orders from physicians to initiate home health referrals, home infusion medications and supplies, oxygen and equipment; coordinate referrals for oxygen and equipment
    * REPORTS & RECORDS - Maintain computer-based tracking system and compile required reports and records
    * COLLABORATION - Develop collaborative relationships with other departments/services and community health care agencies facilitating and supporting quality care in area of clinical expertise; act as a resource on complex patient care activities
    * GOALS - Assist the patient, family, significant others to set patient-centered goals for individual patient, family, and significant others in collaboration with physicians, staff RNs and other health care team members
    * PLAN OF CARE - Develop comprehensive multidisciplinary plan of care effectively utilizing tools and resources
    * DISCHARGE PLANNING - Conduct timely discharge planning by anticipating patient needs in collaboration with physicians, staff RN's, and other health care team members
    * VARIANCES - Intervene when variances occur in patient individualized treatment plan
    * RESOURCES - Coordinate and evaluate the use of resources and services in a quality-conscious, cost effective manner and collaborate with appropriate providers to ensure effective, quality outcomes
    * INTERVENTIONS - Monitor and evaluate short-term and long-term patient responses to interventions in collaboration with quality assurance and utilization review, maintaining interdependent follow-up as necessary
    * VARIANCE - Review variance from standardized protocols of care with health care team members and implement resolution strategies
    * TREATMENT CONFERENCE - Facilitate and/or participate in conferences providing ongoing evaluation of interdisciplinary dynamics, goals attainment and treatment management
    * EDUCATION - Ensure and/or provide instruction to the patient and family based on identified learning needs; assess patient/family knowledge, health status expectations, and locus of control
    * INFORMATION - Assist with development of activities and methods to ensure information is articulated and disseminated to appropriate members of the health care team
    * CONTINUITY OF CARE - Collaborate with the health care team to ensure continuity of patient care throughout all health care settings; promote effective communication among health care team members including the patient, family, and significant others
    * MEETINGS - Participate in team meetings when indicated or as directed
    * CARE PLAN - Incorporate recommendations and/or services of interdisciplinary team members in the care plan
    * COMMUNICATION - Use interpersonal communication strategies with individuals as well as groups of patients, families, significant others, and staff to achieve expected outcomes and patient/family and health care team satisfaction
    * DOCUMENTATION - Provide routine verbal and written documentation for the initial assessment and progress of the patient to other members of the health care team in a timely manner
    * ORIENTATION - Participate in orientation, continuing education of staff RN's and other health care team members as appropriate
    * QUALITY - Participate in continuous quality improvement activities by evaluating patient care systems that may include standards, protocols, and documentation
    * COMMITTEES - Attend meetings and represent department or Hospitals within Hospitals related committees or the community, as assigned by supervisor
    * DEVELOPMENT - Enhance professional growth and development through participation in educational programs, reading current literature, attending in-services, meetings and workshops
    * PATIENT SAFETY 1 - Follow patient safety-related policies, procedures and protocols
    * PATIENT SAFETY 2 - Demonstrate proactive approach to patient safety by seeking opportunities to improve patient safety through questioning of current policies and processes
    * PATIENT SAFETY 3 - Identify and report/correct environmental conditions and/or situations that may put a patient at undue risk
    * PATIENT SAFETY 4 - Report potential or actual patient safety concerns, medical errors and/or near misses in a timely manner
    * PATIENT SAFETY 5 - Encourage patients to actively participate in their own care by asking questions and reporting treatment or situations that they don't understand or may "not seem right"
    * MEDICATION - (UPC and CPC Only) Administer medication, including IV medication, via the Seven Rights; document and communicate clinical findings
    * PATIENT CARE - (UPC and CPC Only) Write treatment plans; coordinate patient drug and procedure activities; administer medication and treatment; provide and coordinate nursing care of assigned patients; may facilitate group therapy and/or education sessions

    Qualifications

    Education:
    Essential:
    * Program Graduate
    Nonessential:
    * Bachelor's Degree
    Education specialization:
    Essential:
    * Nationally Accredited Nursing Graduate
    Nonessential:
    * Nursing

    Experience:
    Essential:
    1 year directly related experience

    Nonessential:
    Bilingual English/Keres, Tewa, Tiwa, Towa, Zuni, or Navajo

    Credentials:
    Essential:
    * RN in NM or as allowed by reciprocal agreement by NM
    * CPR for Healthcare/BLS Prov or Prof Rescuers w/in 30 days

    Physical Conditions:
    Light Work: Exerting up to 20 pounds of force occasionally, and/or up to 10 pounds of force frequently, and/or a negligible amount of force constantly (Constantly: activity or condition exists 2/3 or more of the time) to move objects. Physical demand requirements are in excess of those for Sedentary Work. May require walking or standing to a significant degree or requires sitting most of the time but entails pushing and/or pulling of arm or leg controls; and/or may require working at a production rate pace entailing the constant pushing and/or pulling of materials even though the weight of materials is negligible.

    Working conditions:
    Essential:
    * Minor Hazard - physical risks, dirt, dust, fumes, noise
    * Tuberculosis testing is completed upon hire and additionally as required

    Department: Registered Nurse

    Read Less
  • H

    Manager, Workforce Management  

    - EDISON
    Description: Our team members are the heart of what makes us better.  ... Read More
    Description:

    Our team members are the heart of what makes us better.

     

    At Hackensack Meridian Health we help our patients live better, healthier lives — and we help one another to succeed. With a culture rooted in connection and collaboration, our employees are team members. Here, competitive benefits are just the beginning. It’s also about how we support one another and how we show up for our community.

     

    Together, we keep getting better - advancing our mission to transform healthcare and serve as a leader of positive change.

     

    The Manager, Workforce Management & Data Analytics is responsible for developing the strategy for workforce planning, healthcare technology, and performance analytics across both internal teams and vendor partners. Owns the reporting and analytics process, from ensuring data accuracy to creating executive-level dashboards and translating data into clear insights that guide business strategy to improve the patient experience. Uses advanced analytics, workforce management tools, and current industry best practices to ensure effective staff planning to deliver a high-quality, efficient service experience to patients within the PAC environment for the Hackensack Meridian Health (HMH) network. Balances daily operational leadership--which includes taking decisive action based on a deep understanding of how staffing and scheduling impact service levels and ensuring all service level agreements (SLAs) are met--with providing strategic, data-driven recommendations to senior leaders to inform long-term business decisions. Leads a team of analysts, oversees all data and reporting systems, and fosters a culture of data-driven improvement.


    Responsibilties:

    A day in the life of a Manager, Workforce Management & Data Analytics at Hackensack Meridian Health includes:

     

    Lead the overall strategy for workforce planning and analytics, designing call flows, managing Interactive Voice Response (IVR)/Intelligent Virtual Assistant/Agent (IVA) tools, and advising senior leadership on long-term capacity planning while overseeing vendor performance. Manage the complete data analytics function by setting data governance standards and overseeing all reporting, while using advanced analytics and Artificial Intelligence (AI) to analyze data from key systems--including WFM software, EMRs (i.e., EPIC), and Knowledge Management--as well as patient surveys to drive performance improvements. Monitor and react to SLAs by managing and performing recovery actions to ensure a high level of service. Continuously review existing processes and research new ones for possible automation improvements/enhancements.Provide real-time escalation, recovery, and restore capabilities for any failure of service. Provide key performance indicator (KPI) reporting compared to goals. Manage business activities such as root cause analysis, staff skills, and profile management. Forecast call volumes with a high degree of accuracy: interval, daily/monthly call volumes, handle times, and SLAs, applying knowledge of AI-powered forecasting models.Utilize workforce management tools/software (i.e., Calabrio WFM, Verint, Genesys) to determine staff requirements. Create, modify, and maintain forecast models that accurately predict events given changes in operating assumptions.Perform various ad hoc analyses, formulate conclusions, and present to management.Maintain correct schedule information, such as Family and Medical Leave Act (FMLA), days off/vacations, team meetings, etc. Ensure schedule integrity by maintaining accurate agent information, including but not limited to multiple status levels such as hours available to work. Provide feedback to the management team regarding agent scheduling concerns.Manage and oversee team performance through performance planning, coaching, and performance appraisals. Hold direct reports accountable for managing and developing their assignments to ensure goals are achieved. Mentor and develop a high-performing team of analysts with technical skills in data analysis, statistical modeling, and WFM principles. Maintain a working knowledge of applicable Federal, State, and local laws and regulations, HMH Compliance Program, Standards of Conduct, as well as other policies to ensure adherence. Understand and adhere to confidentiality requirements in relation to team member information. Support and participate in a collaborative team-oriented environment. Provide regular coaching and feedback to direct reports to help grow functional skills and leadership capabilities. Demonstrated understanding of performance and leadership bar and effectively apply to hiring decisions. Understand and communicate the department's vision to team members. Set clear expectations and build robust onboarding plans for new team members. Understand team member engagement and motivation, working to retain team members. Set objectives with team members that enable the achievement of department and functional goals. Identify and actively drive team changes and staffing and training needed to support capacity needs. Other duties and/or projects as assigned. Adheres to HMH Organizational competencies and standards of behavior.
    Qualifications:

    Education, Knowledge, Skills and Abilities Required:

    Bachelor's degree in Business Analytics, Data Science, statistics, applied mathematics, computer science, Healthcare Administration, or a closely related field.Minimum of 5 years of experience in a role combining Workforce Management and Data Analytics within a high-volume contact center. Minimum of 3 years of experience in people management, preferably leading a team of analysts.Demonstrated expertise in data visualization tools (i.e., Google Looker, Tableau, Power BI) to create insightful dashboards and reports for executive audiences.Experience with extensive call center telephony systems, including but not limited to Interactive Voice Response (IVR), Customer Relationship Management (CRM), Workforce Management (WFM), speech analytics, call recording, etc.Excellent verbal and written communication skills, with the ability to present complex data and strategic recommendations clearly to senior leadership. Problem-solving skills, including but not limited to the ability to approach problems logically and troubleshoot.Time management skills, including but not limited to the ability to manage and prioritize multiple priorities in a dynamic, fast-paced environment. Experience managing personnel directly and/or indirectly. A manner that reflects honest, ethical, and professional behavior. Operations management skills that include a proven ability to identify, collect, and analyze operations performance data and other related data to improve performance.Proficient computer skills that include but are not limited to Google Suite and/or Microsoft Office platforms. Advanced proficiency in SQL for data extraction, manipulation, and analysis.

    Education, Knowledge, Skills and Abilities Preferred:

    Proven expertise and knowledge with Cisco.Proficient in Google and/or Microsoft Advanced Sheets/Excel, Access, and/or SQL. Experience in a healthcare Patient Access Center or a similar healthcare environment.Direct experience managing or reporting on Knowledge Management, Intelligent Virtual Assistant/Agent (IVA), and Electronic Medical Record (EMR) systems (i.e., EPIC). Experience managing vendor relationships and performance.

     

    If you feel that the above description speaks directly to your strengths and capabilities, then please apply today!

    Read Less
  • M
    JOB DESCRIPTION Job Summary Provides support for care management/care... Read More

    JOB DESCRIPTION Job Summary

    Provides support for care management/care coordination long-term services and supports specific activities and collaborates with multidisciplinary team coordinating integrated delivery of member care across the continuum for members with high-need potential. Strives to ensure member progress toward desired outcomes and contributes to overarching strategy to provide quality and cost-effective member care.

     

    Essential Job Duties


    • Completes comprehensive member assessments within regulated timelines, including in-person home visits as required.
    • Facilitates comprehensive waiver enrollment and disenrollment processes.
    • Develops and implements care plans, including a waiver service plan in collaboration with members, caregivers, physicians and/or other appropriate health care professionals and member support network to address the member needs and goals.
    • Performs ongoing monitoring of 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 (LTSS) and home and community resources to enhance continuity of care.
    • Assesses for medical necessity and authorizes all appropriate waiver services.
    • Evaluates covered benefits and advises appropriately regarding funding sources.
    • Facilitates interdisciplinary care team (ICT) 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 and provides care coordination and assistance to members to address psycho/social, financial, and medical obstacles concerns.
    • Identifies critical incidents and develops prevention plans to assure member health and welfare.
    • Collaborates with licensed care managers/leadership as needed or required.
    • 25-40% estimated local travel may be required (based upon state/contractual requirements).

     

    Required Qualifications

    • At least 2 years health care experience, including at least 1 year of experience working with persons with disabilities/chronic conditions long-term services and supports (LTSS), and 1 year of experience in care management, or experience in a medical and/or behavioral health setting, or equivalent combination of relevant education and experience. 

    •Licensed Practical Nurse (LPN) or Licensed Vocational Nurse (LVN). Clinical licensure and/or certification required ONLY if required by state contract, regulation, business operating model, or state board licensing mandates. If licensed, license must be active and unrestricted in state of practice.

    • In some states, a bachelor's degree in a health care related field may be required (dependent upon state/contractual requirements).

    • Valid and unrestricted driver's license, reliable transportation, and adequate auto insurance for job related travel requirements, unless otherwise required by law.

    • Demonstrated knowledge of community resources.

    • Ability to work within a variety of settings and adjust style as needed - working with diverse populations, various personalities and personal situations.

    • Ability to operate proactively and demonstrate detail-oriented work.

    • Ability to work independently, with minimal supervision and self-motivation.

    • Ability to demonstrate responsiveness in all forms of communication, and remain calm in high-pressure situations.

    • Ability to develop and maintain professional relationships.

    • Excellent time-management and prioritization skills, and ability to focus on multiple projects simultaneously and adapt to change.

    • Excellent problem-solving, and critical-thinking skills.

    • Strong verbal and written communication skills.

    • Microsoft Office suite/applicable software program proficiency, and ability to navigate online portals and databases.

    • In some states, a bachelor's degree in a health care related field may be required (dependent upon state/contractual requirements).


    Preferred Qualifications

    • Certified Case Manager (CCM), Licensed Vocational Nurse (LVN) or Licensed Practical Nurse (LPN). License must be active and unrestricted in state of practice.
    • Experience working with populations that receive waiver services.

     

     

    To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board.

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

    #PJHS

    #HTF

    Pay Range: $24 - $46.81 / HOURLY
    *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

    Read Less
  • M
    JOB DESCRIPTION Job Summary Provides support for care management/care... Read More

    JOB DESCRIPTION Job Summary

    Provides support for care management/care coordination long-term services and supports specific activities and collaborates with multidisciplinary team coordinating integrated delivery of member care across the continuum for members with high-need potential. Strives to ensure member progress toward desired outcomes and contributes to overarching strategy to provide quality and cost-effective member care.

     

    Essential Job Duties


    • Completes comprehensive member assessments within regulated timelines, including in-person home visits as required.
    • Facilitates comprehensive waiver enrollment and disenrollment processes.
    • Develops and implements care plans, including a waiver service plan in collaboration with members, caregivers, physicians and/or other appropriate health care professionals and member support network to address the member needs and goals.
    • Performs ongoing monitoring of 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 (LTSS) and home and community resources to enhance continuity of care.
    • Assesses for medical necessity and authorizes all appropriate waiver services.
    • Evaluates covered benefits and advises appropriately regarding funding sources.
    • Facilitates interdisciplinary care team (ICT) 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 and provides care coordination and assistance to members to address psycho/social, financial, and medical obstacles concerns.
    • Identifies critical incidents and develops prevention plans to assure member health and welfare.
    • Collaborates with licensed care managers/leadership as needed or required.
    • 25-40% estimated local travel may be required (based upon state/contractual requirements).

     

    Required Qualifications

    • At least 2 years health care experience, including at least 1 year of experience working with persons with disabilities/chronic conditions long-term services and supports (LTSS), and 1 year of experience in care management, or experience in a medical and/or behavioral health setting, or equivalent combination of relevant education and experience. 

    •Licensed Practical Nurse (LPN) or Licensed Vocational Nurse (LVN). Clinical licensure and/or certification required ONLY if required by state contract, regulation, business operating model, or state board licensing mandates. If licensed, license must be active and unrestricted in state of practice.

    • In some states, a bachelor's degree in a health care related field may be required (dependent upon state/contractual requirements).

    • Valid and unrestricted driver's license, reliable transportation, and adequate auto insurance for job related travel requirements, unless otherwise required by law.

    • Demonstrated knowledge of community resources.

    • Ability to work within a variety of settings and adjust style as needed - working with diverse populations, various personalities and personal situations.

    • Ability to operate proactively and demonstrate detail-oriented work.

    • Ability to work independently, with minimal supervision and self-motivation.

    • Ability to demonstrate responsiveness in all forms of communication, and remain calm in high-pressure situations.

    • Ability to develop and maintain professional relationships.

    • Excellent time-management and prioritization skills, and ability to focus on multiple projects simultaneously and adapt to change.

    • Excellent problem-solving, and critical-thinking skills.

    • Strong verbal and written communication skills.

    • Microsoft Office suite/applicable software program proficiency, and ability to navigate online portals and databases.

    • In some states, a bachelor's degree in a health care related field may be required (dependent upon state/contractual requirements).


    Preferred Qualifications

    • Certified Case Manager (CCM), Licensed Vocational Nurse (LVN) or Licensed Practical Nurse (LPN). License must be active and unrestricted in state of practice.
    • Experience working with populations that receive waiver services.

     

     

    To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board.

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

    #PJHS

    #HTF

    Pay Range: $24 - $46.81 / HOURLY
    *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

    Read Less
  • M
    JOB DESCRIPTION Job Summary Provides support for care management/care... Read More

    JOB DESCRIPTION Job Summary

    Provides support for care management/care coordination long-term services and supports specific activities and collaborates with multidisciplinary team coordinating integrated delivery of member care across the continuum for members with high-need potential. Strives to ensure member progress toward desired outcomes and contributes to overarching strategy to provide quality and cost-effective member care.

     

    Essential Job Duties


    • Completes comprehensive member assessments within regulated timelines, including in-person home visits as required.
    • Facilitates comprehensive waiver enrollment and disenrollment processes.
    • Develops and implements care plans, including a waiver service plan in collaboration with members, caregivers, physicians and/or other appropriate health care professionals and member support network to address the member needs and goals.
    • Performs ongoing monitoring of 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 (LTSS) and home and community resources to enhance continuity of care.
    • Assesses for medical necessity and authorizes all appropriate waiver services.
    • Evaluates covered benefits and advises appropriately regarding funding sources.
    • Facilitates interdisciplinary care team (ICT) 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 and provides care coordination and assistance to members to address psycho/social, financial, and medical obstacles concerns.
    • Identifies critical incidents and develops prevention plans to assure member health and welfare.
    • Collaborates with licensed care managers/leadership as needed or required.
    • 25-40% estimated local travel may be required (based upon state/contractual requirements).

     

    Required Qualifications

    • At least 2 years health care experience, including at least 1 year of experience working with persons with disabilities/chronic conditions long-term services and supports (LTSS), and 1 year of experience in care management, or experience in a medical and/or behavioral health setting, or equivalent combination of relevant education and experience. 

    •Licensed Practical Nurse (LPN) or Licensed Vocational Nurse (LVN). Clinical licensure and/or certification required ONLY if required by state contract, regulation, business operating model, or state board licensing mandates. If licensed, license must be active and unrestricted in state of practice.

    • In some states, a bachelor's degree in a health care related field may be required (dependent upon state/contractual requirements).

    • Valid and unrestricted driver's license, reliable transportation, and adequate auto insurance for job related travel requirements, unless otherwise required by law.

    • Demonstrated knowledge of community resources.

    • Ability to work within a variety of settings and adjust style as needed - working with diverse populations, various personalities and personal situations.

    • Ability to operate proactively and demonstrate detail-oriented work.

    • Ability to work independently, with minimal supervision and self-motivation.

    • Ability to demonstrate responsiveness in all forms of communication, and remain calm in high-pressure situations.

    • Ability to develop and maintain professional relationships.

    • Excellent time-management and prioritization skills, and ability to focus on multiple projects simultaneously and adapt to change.

    • Excellent problem-solving, and critical-thinking skills.

    • Strong verbal and written communication skills.

    • Microsoft Office suite/applicable software program proficiency, and ability to navigate online portals and databases.

    • In some states, a bachelor's degree in a health care related field may be required (dependent upon state/contractual requirements).


    Preferred Qualifications

    • Certified Case Manager (CCM), Licensed Vocational Nurse (LVN) or Licensed Practical Nurse (LPN). License must be active and unrestricted in state of practice.
    • Experience working with populations that receive waiver services.

     

     

    To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board.

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

    #PJHS

    #HTF

    Pay Range: $24 - $46.81 / HOURLY
    *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

    Read Less
  • M
    JOB DESCRIPTION Job Summary Provides support for care management/care... Read More

    JOB DESCRIPTION Job Summary

    Provides support for care management/care coordination long-term services and supports specific activities and collaborates with multidisciplinary team coordinating integrated delivery of member care across the continuum for members with high-need potential. Strives to ensure member progress toward desired outcomes and contributes to overarching strategy to provide quality and cost-effective member care.

     

    Essential Job Duties


    • Completes comprehensive member assessments within regulated timelines, including in-person home visits as required.
    • Facilitates comprehensive waiver enrollment and disenrollment processes.
    • Develops and implements care plans, including a waiver service plan in collaboration with members, caregivers, physicians and/or other appropriate health care professionals and member support network to address the member needs and goals.
    • Performs ongoing monitoring of 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 (LTSS) and home and community resources to enhance continuity of care.
    • Assesses for medical necessity and authorizes all appropriate waiver services.
    • Evaluates covered benefits and advises appropriately regarding funding sources.
    • Facilitates interdisciplinary care team (ICT) 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 and provides care coordination and assistance to members to address psycho/social, financial, and medical obstacles concerns.
    • Identifies critical incidents and develops prevention plans to assure member health and welfare.
    • Collaborates with licensed care managers/leadership as needed or required.
    • 25-40% estimated local travel may be required (based upon state/contractual requirements).

     

    Required Qualifications

    • At least 2 years health care experience, including at least 1 year of experience working with persons with disabilities/chronic conditions long-term services and supports (LTSS), and 1 year of experience in care management, or experience in a medical and/or behavioral health setting, or equivalent combination of relevant education and experience. 

    •Licensed Practical Nurse (LPN) or Licensed Vocational Nurse (LVN). Clinical licensure and/or certification required ONLY if required by state contract, regulation, business operating model, or state board licensing mandates. If licensed, license must be active and unrestricted in state of practice.

    • In some states, a bachelor's degree in a health care related field may be required (dependent upon state/contractual requirements).

    • Valid and unrestricted driver's license, reliable transportation, and adequate auto insurance for job related travel requirements, unless otherwise required by law.

    • Demonstrated knowledge of community resources.

    • Ability to work within a variety of settings and adjust style as needed - working with diverse populations, various personalities and personal situations.

    • Ability to operate proactively and demonstrate detail-oriented work.

    • Ability to work independently, with minimal supervision and self-motivation.

    • Ability to demonstrate responsiveness in all forms of communication, and remain calm in high-pressure situations.

    • Ability to develop and maintain professional relationships.

    • Excellent time-management and prioritization skills, and ability to focus on multiple projects simultaneously and adapt to change.

    • Excellent problem-solving, and critical-thinking skills.

    • Strong verbal and written communication skills.

    • Microsoft Office suite/applicable software program proficiency, and ability to navigate online portals and databases.

    • In some states, a bachelor's degree in a health care related field may be required (dependent upon state/contractual requirements).


    Preferred Qualifications

    • Certified Case Manager (CCM), Licensed Vocational Nurse (LVN) or Licensed Practical Nurse (LPN). License must be active and unrestricted in state of practice.
    • Experience working with populations that receive waiver services.

     

     

    To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board.

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

    #PJHS

    #HTF

    Pay Range: $24 - $46.81 / HOURLY
    *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

    Read Less
  • M
    JOB DESCRIPTION Job Summary Provides support for care management/care... Read More

    JOB DESCRIPTION Job Summary

    Provides support for care management/care coordination long-term services and supports specific activities and collaborates with multidisciplinary team coordinating integrated delivery of member care across the continuum for members with high-need potential. Strives to ensure member progress toward desired outcomes and contributes to overarching strategy to provide quality and cost-effective member care.

     

    Essential Job Duties


    • Completes comprehensive member assessments within regulated timelines, including in-person home visits as required.
    • Facilitates comprehensive waiver enrollment and disenrollment processes.
    • Develops and implements care plans, including a waiver service plan in collaboration with members, caregivers, physicians and/or other appropriate health care professionals and member support network to address the member needs and goals.
    • Performs ongoing monitoring of 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 (LTSS) and home and community resources to enhance continuity of care.
    • Assesses for medical necessity and authorizes all appropriate waiver services.
    • Evaluates covered benefits and advises appropriately regarding funding sources.
    • Facilitates interdisciplinary care team (ICT) 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 and provides care coordination and assistance to members to address psycho/social, financial, and medical obstacles concerns.
    • Identifies critical incidents and develops prevention plans to assure member health and welfare.
    • Collaborates with licensed care managers/leadership as needed or required.
    • 25-40% estimated local travel may be required (based upon state/contractual requirements).

     

    Required Qualifications

    • At least 2 years health care experience, including at least 1 year of experience working with persons with disabilities/chronic conditions long-term services and supports (LTSS), and 1 year of experience in care management, or experience in a medical and/or behavioral health setting, or equivalent combination of relevant education and experience. 

    •Licensed Practical Nurse (LPN) or Licensed Vocational Nurse (LVN). Clinical licensure and/or certification required ONLY if required by state contract, regulation, business operating model, or state board licensing mandates. If licensed, license must be active and unrestricted in state of practice.

    • In some states, a bachelor's degree in a health care related field may be required (dependent upon state/contractual requirements).

    • Valid and unrestricted driver's license, reliable transportation, and adequate auto insurance for job related travel requirements, unless otherwise required by law.

    • Demonstrated knowledge of community resources.

    • Ability to work within a variety of settings and adjust style as needed - working with diverse populations, various personalities and personal situations.

    • Ability to operate proactively and demonstrate detail-oriented work.

    • Ability to work independently, with minimal supervision and self-motivation.

    • Ability to demonstrate responsiveness in all forms of communication, and remain calm in high-pressure situations.

    • Ability to develop and maintain professional relationships.

    • Excellent time-management and prioritization skills, and ability to focus on multiple projects simultaneously and adapt to change.

    • Excellent problem-solving, and critical-thinking skills.

    • Strong verbal and written communication skills.

    • Microsoft Office suite/applicable software program proficiency, and ability to navigate online portals and databases.

    • In some states, a bachelor's degree in a health care related field may be required (dependent upon state/contractual requirements).


    Preferred Qualifications

    • Certified Case Manager (CCM), Licensed Vocational Nurse (LVN) or Licensed Practical Nurse (LPN). License must be active and unrestricted in state of practice.
    • Experience working with populations that receive waiver services.

     

     

    To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board.

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

    #PJHS

    #HTF

    Pay Range: $24 - $46.81 / HOURLY
    *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

    Read Less
  • M
    JOB DESCRIPTION Job Summary Provides support for care management/care... Read More

    JOB DESCRIPTION Job Summary

    Provides support for care management/care coordination long-term services and supports specific activities and collaborates with multidisciplinary team coordinating integrated delivery of member care across the continuum for members with high-need potential. Strives to ensure member progress toward desired outcomes and contributes to overarching strategy to provide quality and cost-effective member care.

     

    Essential Job Duties


    • Completes comprehensive member assessments within regulated timelines, including in-person home visits as required.
    • Facilitates comprehensive waiver enrollment and disenrollment processes.
    • Develops and implements care plans, including a waiver service plan in collaboration with members, caregivers, physicians and/or other appropriate health care professionals and member support network to address the member needs and goals.
    • Performs ongoing monitoring of 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 (LTSS) and home and community resources to enhance continuity of care.
    • Assesses for medical necessity and authorizes all appropriate waiver services.
    • Evaluates covered benefits and advises appropriately regarding funding sources.
    • Facilitates interdisciplinary care team (ICT) 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 and provides care coordination and assistance to members to address psycho/social, financial, and medical obstacles concerns.
    • Identifies critical incidents and develops prevention plans to assure member health and welfare.
    • Collaborates with licensed care managers/leadership as needed or required.
    • 25-40% estimated local travel may be required (based upon state/contractual requirements).

     

    Required Qualifications

    • At least 2 years health care experience, including at least 1 year of experience working with persons with disabilities/chronic conditions long-term services and supports (LTSS), and 1 year of experience in care management, or experience in a medical and/or behavioral health setting, or equivalent combination of relevant education and experience. 

    •Licensed Practical Nurse (LPN) or Licensed Vocational Nurse (LVN). Clinical licensure and/or certification required ONLY if required by state contract, regulation, business operating model, or state board licensing mandates. If licensed, license must be active and unrestricted in state of practice.

    • In some states, a bachelor's degree in a health care related field may be required (dependent upon state/contractual requirements).

    • Valid and unrestricted driver's license, reliable transportation, and adequate auto insurance for job related travel requirements, unless otherwise required by law.

    • Demonstrated knowledge of community resources.

    • Ability to work within a variety of settings and adjust style as needed - working with diverse populations, various personalities and personal situations.

    • Ability to operate proactively and demonstrate detail-oriented work.

    • Ability to work independently, with minimal supervision and self-motivation.

    • Ability to demonstrate responsiveness in all forms of communication, and remain calm in high-pressure situations.

    • Ability to develop and maintain professional relationships.

    • Excellent time-management and prioritization skills, and ability to focus on multiple projects simultaneously and adapt to change.

    • Excellent problem-solving, and critical-thinking skills.

    • Strong verbal and written communication skills.

    • Microsoft Office suite/applicable software program proficiency, and ability to navigate online portals and databases.

    • In some states, a bachelor's degree in a health care related field may be required (dependent upon state/contractual requirements).


    Preferred Qualifications

    • Certified Case Manager (CCM), Licensed Vocational Nurse (LVN) or Licensed Practical Nurse (LPN). License must be active and unrestricted in state of practice.
    • Experience working with populations that receive waiver services.

     

     

    To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board.

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

    #PJHS

    #HTF

    Pay Range: $24 - $46.81 / HOURLY
    *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

    Read Less
  • M
    JOB DESCRIPTION Job Summary Provides support for care management/care... Read More

    JOB DESCRIPTION Job Summary

    Provides support for care management/care coordination long-term services and supports specific activities and collaborates with multidisciplinary team coordinating integrated delivery of member care across the continuum for members with high-need potential. Strives to ensure member progress toward desired outcomes and contributes to overarching strategy to provide quality and cost-effective member care.

     

    Essential Job Duties


    • Completes comprehensive member assessments within regulated timelines, including in-person home visits as required.
    • Facilitates comprehensive waiver enrollment and disenrollment processes.
    • Develops and implements care plans, including a waiver service plan in collaboration with members, caregivers, physicians and/or other appropriate health care professionals and member support network to address the member needs and goals.
    • Performs ongoing monitoring of 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 (LTSS) and home and community resources to enhance continuity of care.
    • Assesses for medical necessity and authorizes all appropriate waiver services.
    • Evaluates covered benefits and advises appropriately regarding funding sources.
    • Facilitates interdisciplinary care team (ICT) 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 and provides care coordination and assistance to members to address psycho/social, financial, and medical obstacles concerns.
    • Identifies critical incidents and develops prevention plans to assure member health and welfare.
    • Collaborates with licensed care managers/leadership as needed or required.
    • 25-40% estimated local travel may be required (based upon state/contractual requirements).

     

    Required Qualifications

    • At least 2 years health care experience, including at least 1 year of experience working with persons with disabilities/chronic conditions long-term services and supports (LTSS), and 1 year of experience in care management, or experience in a medical and/or behavioral health setting, or equivalent combination of relevant education and experience. 

    •Licensed Practical Nurse (LPN) or Licensed Vocational Nurse (LVN). Clinical licensure and/or certification required ONLY if required by state contract, regulation, business operating model, or state board licensing mandates. If licensed, license must be active and unrestricted in state of practice.

    • In some states, a bachelor's degree in a health care related field may be required (dependent upon state/contractual requirements).

    • Valid and unrestricted driver's license, reliable transportation, and adequate auto insurance for job related travel requirements, unless otherwise required by law.

    • Demonstrated knowledge of community resources.

    • Ability to work within a variety of settings and adjust style as needed - working with diverse populations, various personalities and personal situations.

    • Ability to operate proactively and demonstrate detail-oriented work.

    • Ability to work independently, with minimal supervision and self-motivation.

    • Ability to demonstrate responsiveness in all forms of communication, and remain calm in high-pressure situations.

    • Ability to develop and maintain professional relationships.

    • Excellent time-management and prioritization skills, and ability to focus on multiple projects simultaneously and adapt to change.

    • Excellent problem-solving, and critical-thinking skills.

    • Strong verbal and written communication skills.

    • Microsoft Office suite/applicable software program proficiency, and ability to navigate online portals and databases.

    • In some states, a bachelor's degree in a health care related field may be required (dependent upon state/contractual requirements).


    Preferred Qualifications

    • Certified Case Manager (CCM), Licensed Vocational Nurse (LVN) or Licensed Practical Nurse (LPN). License must be active and unrestricted in state of practice.
    • Experience working with populations that receive waiver services.

     

     

    To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board.

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

    #PJHS

    #HTF

    Pay Range: $24 - $46.81 / HOURLY
    *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

    Read Less
  • M
    JOB DESCRIPTION Job Summary Provides support for care management/care... Read More

    JOB DESCRIPTION Job Summary

    Provides support for care management/care coordination long-term services and supports specific activities and collaborates with multidisciplinary team coordinating integrated delivery of member care across the continuum for members with high-need potential. Strives to ensure member progress toward desired outcomes and contributes to overarching strategy to provide quality and cost-effective member care.

     

    Essential Job Duties


    • Completes comprehensive member assessments within regulated timelines, including in-person home visits as required.
    • Facilitates comprehensive waiver enrollment and disenrollment processes.
    • Develops and implements care plans, including a waiver service plan in collaboration with members, caregivers, physicians and/or other appropriate health care professionals and member support network to address the member needs and goals.
    • Performs ongoing monitoring of 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 (LTSS) and home and community resources to enhance continuity of care.
    • Assesses for medical necessity and authorizes all appropriate waiver services.
    • Evaluates covered benefits and advises appropriately regarding funding sources.
    • Facilitates interdisciplinary care team (ICT) 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 and provides care coordination and assistance to members to address psycho/social, financial, and medical obstacles concerns.
    • Identifies critical incidents and develops prevention plans to assure member health and welfare.
    • Collaborates with licensed care managers/leadership as needed or required.
    • 25-40% estimated local travel may be required (based upon state/contractual requirements).

     

    Required Qualifications

    • At least 2 years health care experience, including at least 1 year of experience working with persons with disabilities/chronic conditions long-term services and supports (LTSS), and 1 year of experience in care management, or experience in a medical and/or behavioral health setting, or equivalent combination of relevant education and experience. 

    •Licensed Practical Nurse (LPN) or Licensed Vocational Nurse (LVN). Clinical licensure and/or certification required ONLY if required by state contract, regulation, business operating model, or state board licensing mandates. If licensed, license must be active and unrestricted in state of practice.

    • In some states, a bachelor's degree in a health care related field may be required (dependent upon state/contractual requirements).

    • Valid and unrestricted driver's license, reliable transportation, and adequate auto insurance for job related travel requirements, unless otherwise required by law.

    • Demonstrated knowledge of community resources.

    • Ability to work within a variety of settings and adjust style as needed - working with diverse populations, various personalities and personal situations.

    • Ability to operate proactively and demonstrate detail-oriented work.

    • Ability to work independently, with minimal supervision and self-motivation.

    • Ability to demonstrate responsiveness in all forms of communication, and remain calm in high-pressure situations.

    • Ability to develop and maintain professional relationships.

    • Excellent time-management and prioritization skills, and ability to focus on multiple projects simultaneously and adapt to change.

    • Excellent problem-solving, and critical-thinking skills.

    • Strong verbal and written communication skills.

    • Microsoft Office suite/applicable software program proficiency, and ability to navigate online portals and databases.

    • In some states, a bachelor's degree in a health care related field may be required (dependent upon state/contractual requirements).


    Preferred Qualifications

    • Certified Case Manager (CCM), Licensed Vocational Nurse (LVN) or Licensed Practical Nurse (LPN). License must be active and unrestricted in state of practice.
    • Experience working with populations that receive waiver services.

     

     

    To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board.

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

    #PJHS

    #HTF

    Pay Range: $24 - $46.81 / HOURLY
    *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

    Read Less
  • M
    JOB DESCRIPTION Job Summary Provides support for care management/care... Read More

    JOB DESCRIPTION Job Summary

    Provides support for care management/care coordination long-term services and supports specific activities and collaborates with multidisciplinary team coordinating integrated delivery of member care across the continuum for members with high-need potential. Strives to ensure member progress toward desired outcomes and contributes to overarching strategy to provide quality and cost-effective member care.

     

    Essential Job Duties


    • Completes comprehensive member assessments within regulated timelines, including in-person home visits as required.
    • Facilitates comprehensive waiver enrollment and disenrollment processes.
    • Develops and implements care plans, including a waiver service plan in collaboration with members, caregivers, physicians and/or other appropriate health care professionals and member support network to address the member needs and goals.
    • Performs ongoing monitoring of 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 (LTSS) and home and community resources to enhance continuity of care.
    • Assesses for medical necessity and authorizes all appropriate waiver services.
    • Evaluates covered benefits and advises appropriately regarding funding sources.
    • Facilitates interdisciplinary care team (ICT) 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 and provides care coordination and assistance to members to address psycho/social, financial, and medical obstacles concerns.
    • Identifies critical incidents and develops prevention plans to assure member health and welfare.
    • Collaborates with licensed care managers/leadership as needed or required.
    • 25-40% estimated local travel may be required (based upon state/contractual requirements).

     

    Required Qualifications

    • At least 2 years health care experience, including at least 1 year of experience working with persons with disabilities/chronic conditions long-term services and supports (LTSS), and 1 year of experience in care management, or experience in a medical and/or behavioral health setting, or equivalent combination of relevant education and experience. 

    •Licensed Practical Nurse (LPN) or Licensed Vocational Nurse (LVN). Clinical licensure and/or certification required ONLY if required by state contract, regulation, business operating model, or state board licensing mandates. If licensed, license must be active and unrestricted in state of practice.

    • In some states, a bachelor's degree in a health care related field may be required (dependent upon state/contractual requirements).

    • Valid and unrestricted driver's license, reliable transportation, and adequate auto insurance for job related travel requirements, unless otherwise required by law.

    • Demonstrated knowledge of community resources.

    • Ability to work within a variety of settings and adjust style as needed - working with diverse populations, various personalities and personal situations.

    • Ability to operate proactively and demonstrate detail-oriented work.

    • Ability to work independently, with minimal supervision and self-motivation.

    • Ability to demonstrate responsiveness in all forms of communication, and remain calm in high-pressure situations.

    • Ability to develop and maintain professional relationships.

    • Excellent time-management and prioritization skills, and ability to focus on multiple projects simultaneously and adapt to change.

    • Excellent problem-solving, and critical-thinking skills.

    • Strong verbal and written communication skills.

    • Microsoft Office suite/applicable software program proficiency, and ability to navigate online portals and databases.

    • In some states, a bachelor's degree in a health care related field may be required (dependent upon state/contractual requirements).


    Preferred Qualifications

    • Certified Case Manager (CCM), Licensed Vocational Nurse (LVN) or Licensed Practical Nurse (LPN). License must be active and unrestricted in state of practice.
    • Experience working with populations that receive waiver services.

     

     

    To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board.

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

    #PJHS

    #HTF

    Pay Range: $24 - $46.81 / HOURLY
    *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

    Read Less
  • M
    JOB DESCRIPTION Job Summary Provides support for care management/care... Read More

    JOB DESCRIPTION Job Summary

    Provides support for care management/care coordination long-term services and supports specific activities and collaborates with multidisciplinary team coordinating integrated delivery of member care across the continuum for members with high-need potential. Strives to ensure member progress toward desired outcomes and contributes to overarching strategy to provide quality and cost-effective member care.

     

    Essential Job Duties


    • Completes comprehensive member assessments within regulated timelines, including in-person home visits as required.
    • Facilitates comprehensive waiver enrollment and disenrollment processes.
    • Develops and implements care plans, including a waiver service plan in collaboration with members, caregivers, physicians and/or other appropriate health care professionals and member support network to address the member needs and goals.
    • Performs ongoing monitoring of 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 (LTSS) and home and community resources to enhance continuity of care.
    • Assesses for medical necessity and authorizes all appropriate waiver services.
    • Evaluates covered benefits and advises appropriately regarding funding sources.
    • Facilitates interdisciplinary care team (ICT) 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 and provides care coordination and assistance to members to address psycho/social, financial, and medical obstacles concerns.
    • Identifies critical incidents and develops prevention plans to assure member health and welfare.
    • Collaborates with licensed care managers/leadership as needed or required.
    • 25-40% estimated local travel may be required (based upon state/contractual requirements).

     

    Required Qualifications

    • At least 2 years health care experience, including at least 1 year of experience working with persons with disabilities/chronic conditions long-term services and supports (LTSS), and 1 year of experience in care management, or experience in a medical and/or behavioral health setting, or equivalent combination of relevant education and experience. 

    •Licensed Practical Nurse (LPN) or Licensed Vocational Nurse (LVN). Clinical licensure and/or certification required ONLY if required by state contract, regulation, business operating model, or state board licensing mandates. If licensed, license must be active and unrestricted in state of practice.

    • In some states, a bachelor's degree in a health care related field may be required (dependent upon state/contractual requirements).

    • Valid and unrestricted driver's license, reliable transportation, and adequate auto insurance for job related travel requirements, unless otherwise required by law.

    • Demonstrated knowledge of community resources.

    • Ability to work within a variety of settings and adjust style as needed - working with diverse populations, various personalities and personal situations.

    • Ability to operate proactively and demonstrate detail-oriented work.

    • Ability to work independently, with minimal supervision and self-motivation.

    • Ability to demonstrate responsiveness in all forms of communication, and remain calm in high-pressure situations.

    • Ability to develop and maintain professional relationships.

    • Excellent time-management and prioritization skills, and ability to focus on multiple projects simultaneously and adapt to change.

    • Excellent problem-solving, and critical-thinking skills.

    • Strong verbal and written communication skills.

    • Microsoft Office suite/applicable software program proficiency, and ability to navigate online portals and databases.

    • In some states, a bachelor's degree in a health care related field may be required (dependent upon state/contractual requirements).


    Preferred Qualifications

    • Certified Case Manager (CCM), Licensed Vocational Nurse (LVN) or Licensed Practical Nurse (LPN). License must be active and unrestricted in state of practice.
    • Experience working with populations that receive waiver services.

     

     

    To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board.

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

    #PJHS

    #HTF

    Pay Range: $24 - $46.81 / HOURLY
    *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

    Read Less
  • M
    JOB DESCRIPTION Job Summary Provides support for care management/care... Read More

    JOB DESCRIPTION Job Summary

    Provides support for care management/care coordination long-term services and supports specific activities and collaborates with multidisciplinary team coordinating integrated delivery of member care across the continuum for members with high-need potential. Strives to ensure member progress toward desired outcomes and contributes to overarching strategy to provide quality and cost-effective member care.

     

    Essential Job Duties


    • Completes comprehensive member assessments within regulated timelines, including in-person home visits as required.
    • Facilitates comprehensive waiver enrollment and disenrollment processes.
    • Develops and implements care plans, including a waiver service plan in collaboration with members, caregivers, physicians and/or other appropriate health care professionals and member support network to address the member needs and goals.
    • Performs ongoing monitoring of 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 (LTSS) and home and community resources to enhance continuity of care.
    • Assesses for medical necessity and authorizes all appropriate waiver services.
    • Evaluates covered benefits and advises appropriately regarding funding sources.
    • Facilitates interdisciplinary care team (ICT) 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 and provides care coordination and assistance to members to address psycho/social, financial, and medical obstacles concerns.
    • Identifies critical incidents and develops prevention plans to assure member health and welfare.
    • Collaborates with licensed care managers/leadership as needed or required.
    • 25-40% estimated local travel may be required (based upon state/contractual requirements).

     

    Required Qualifications

    • At least 2 years health care experience, including at least 1 year of experience working with persons with disabilities/chronic conditions long-term services and supports (LTSS), and 1 year of experience in care management, or experience in a medical and/or behavioral health setting, or equivalent combination of relevant education and experience. 

    •Licensed Practical Nurse (LPN) or Licensed Vocational Nurse (LVN). Clinical licensure and/or certification required ONLY if required by state contract, regulation, business operating model, or state board licensing mandates. If licensed, license must be active and unrestricted in state of practice.

    • In some states, a bachelor's degree in a health care related field may be required (dependent upon state/contractual requirements).

    • Valid and unrestricted driver's license, reliable transportation, and adequate auto insurance for job related travel requirements, unless otherwise required by law.

    • Demonstrated knowledge of community resources.

    • Ability to work within a variety of settings and adjust style as needed - working with diverse populations, various personalities and personal situations.

    • Ability to operate proactively and demonstrate detail-oriented work.

    • Ability to work independently, with minimal supervision and self-motivation.

    • Ability to demonstrate responsiveness in all forms of communication, and remain calm in high-pressure situations.

    • Ability to develop and maintain professional relationships.

    • Excellent time-management and prioritization skills, and ability to focus on multiple projects simultaneously and adapt to change.

    • Excellent problem-solving, and critical-thinking skills.

    • Strong verbal and written communication skills.

    • Microsoft Office suite/applicable software program proficiency, and ability to navigate online portals and databases.

    • In some states, a bachelor's degree in a health care related field may be required (dependent upon state/contractual requirements).


    Preferred Qualifications

    • Certified Case Manager (CCM), Licensed Vocational Nurse (LVN) or Licensed Practical Nurse (LPN). License must be active and unrestricted in state of practice.
    • Experience working with populations that receive waiver services.

     

     

    To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board.

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

    #PJHS

    #HTF

    Pay Range: $24 - $46.81 / HOURLY
    *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

    Read Less

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