RN Telehealth
Molina Healthcare

Care Manager - (RN, BH Licensed LCSW, LMHC, LMFT, LMSW) Multiple Openings in FL

$26 - $42 / hour

JOB DESCRIPTION Job Summary

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

 

Essential Job Duties


• Completes assessments of members per regulated timelines and determines who may qualify for care coordination/care management based on triggers identified in assessments. 
• Develops and implements care plan in collaboration with member, caregiver, physician and/or other appropriate health care professionals and member support network to address member needs and goals. 
• Conducts telephonic, face-to-face or home visits as required. 
• Performs ongoing monitoring of care plan to evaluate effectiveness, document interventions and goal achievement, and suggest changes accordingly. 
• Maintains ongoing member caseload for regular outreach and management. 
• Promotes integration of services for members including behavioral health, long-term services and supports (LTSS), and home and community resources to enhance continuity of care. 
• Facilitates interdisciplinary care team (ICT) meetings and informal ICT collaboration. 
• Uses motivational interviewing and Molina clinical guideposts to educate, support and motivate change during member contacts. 
• Assesses for barriers to care, provides care coordination and assistance to member to address concerns. 
• 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 experience in health care, preferably in care management, or experience in a medical and/or behavioral health setting, or equivalent combination of relevant education and experience.

• Clinical licensure and/or certification required ONLY if required by state contract, regulation, business operating model, or state board licensing mandates.

• 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 operate proactively and demonstrate detail-oriented work.

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

.• 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(s) proficiency.

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

#PJCorp

#LI-AC1

 



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

Pay Range: $26 - $42 / HOURLY
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

Share this job

Share to FB Share to LinkedIn Share to Twitter

Related Jobs

American Addiction Centers

Admissions Registered Nurse (RN) - 8a-8:30p FT

Overview Company Summary If you are searching for a fulfilling place to develop your career and an opportunity to make a difference in helping others, then keep reading on. Here at AAC, we have a progressive culture; we listen to your ideas, value a work/life balance, invest in education, and we foster trust and respect for all individuals. Our exceptional comp and strong benefits include 401K, medical, dental, vision and life insurance. We are looking for our future leaders, who are not only going to fill the qualifications for this job description, but who are going to exceed expectations. Be a part of a team whose mission is to provide quality, compassionate, and innovative care to adults struggling with addiction and co-occurring mental health disorders. Our purpose and passion are to empower patients, their families, and our communities by helping individuals achieve recovery and optimal wellness of the mind, body, and spirit. Responsibilities Job Summary This position requires a thorough understanding of the facility’s treatment program and philosophy, admission process and criteria, support and administrative services, medical knowledge of various aspects of substance abuse and dual diagnosis patient care. The Admissions Nurse is a member of the treatment team providing professional level of nursing care to patients under minimum supervision and consultation. This is a complex position which directs and guides activities on the unit and assignments of ancillary personnel assigned to unit and shift. Duties and Responsibilities: To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Complete the nursing admissions process, including but not limited to: explaining services and related costs, and conducting telephonic/in person intake screenings to assess the client’s situation. Deliver the highest quality customer service standards of care and productivity for internal and external clients. Review admission referrals and coordinate with navigators to ensure proper placement. Triage all incoming clients for intended level of care. Call the appropriate team member (e.g. Medical Director) to provide all non-life threatening medical and medication concerns to obtain guidance regarding their plan of action for the client. (In the event of a life-threatening emergency, all staff members are authorized to contact emergency services by dialing 911). Identify client care requirements by establishing personal rapport with potential and actual clients and in partnership with other persons in a position to understand care requirements. Establish a compassionate environment by providing emotional, psychological and spiritual support to clients and families. Promote client's independence by establishing client care goals, teaching client to understand condition, medications and self-care requirements, and answering questions. Assure quality of care by adhering to therapeutic standards; measuring health outcomes against client care goals and standards; making or recommending necessary adjustments; following philosophies and standards of care set by state board of nursing, state nurse act, and other governing agency regulations. Maintain safe and clean working environment in compliance with procedures, rules, and regulations; calling for assistance from health care support personnel as needed. Protect clients and employees by adhering to infection-control policies and protocols, medication administration and storage procedures, and controlled substance regulations. Document patient care services by charting in client and department records. Maintain interdepartmental continuity of care by documenting and communicating actions, irregularities, and continuing needs. Maintain client confidence and protect operations by keeping information confidential. Maintain nursing supplies inventory by checking stock to determine inventory level; anticipating needed supplies; placing orders for supplies. Maintain professional and technical knowledge by attending educational workshops; reviewing professional publications. Maintain a cooperative relationship among health care team by communicating information; responding to requests; building rapport; participating in team problem solving methods. Follow incident reporting policy and procedure, reporting any potential safety issues in a timely fashion. Demonstrate skills of delegation, organization and coordination of assigned services, delegating responsibilities to designated staff as appropriate. Function as a role model for nursing staff. Provides pertinent communication to the Director of Nursing regarding levels of staff performance. Effectively prioritize communication issues pertaining to all departments and provide collaborative intervention as needed. Exercise good judgment and discretion in deviating from policy in circumstances where strict adherence would pose a risk to the patient, visitor, staff or facility. Participates in Performance Improvement data collection, analysis, reporting and staff education. Assist in providing essential training to the new staff. Coordinate with providers and nurses regarding the plan of care to provide the individual treatment needed. Regular and consistent attendance is required. Other duties as assigned within scope of the position. Qualifications Education/Experience: Associate’s degree in Nursing required, Bachelor’s degree preferred. Active Nursing License in the State the treatment center is located. Knowledge of mental health, addiction, and addiction treatment preferred. Detail oriented and able to work in a fast paced environment. Able to handle confidential information, and manage time wisely. Working knowledge of Google Products, GMail, Google Sheets, Google Docs, etc. Physical Requirements AAC is committed to principles of equal opportunities for all employees. The Company will provide reasonable accommodations that are necessary to comply with State and Federal disability discrimination laws Prolonged sitting at a desk Must be able to lift and carry 25 pounds at a time Certifications and Licenses: Active RN license in state of operation is required. Active BLS certification directly from American Heart Association or American Red Cross, or ability to attain certification within 60 days of hire, and maintain active certification at all times. American Addiction Centers is an equal opportunity employer. American Addiction Centers prohibits employment practices that discriminate against individuals or groups of employees on the basis of age, color disability, national origin, race, religion, sex, sexual orientation, pregnancy, veteran or military status, genetic information or any other category deemed protected by state and/or federal law.
Lake Wales Wellness and Rehabilitation Center

RN MDS Coordinator

MDS Coordinator RN – Registered Nurse Shift Type | | Lake Wales, Florida Join Lake Wales Wellness & Rehabilitation Center - where compassion feels like family. Lake Wales Wellness & Rehab is seeking a compassionate, reliable MDS Coordinator (LPN or RN) to join our care team. If you're looking for a rewarding role in a team-driven environment, we want to meet you! MDS Coordinator Position Summary As a MDS Coordinator (LPN or RN) at Lake Wales Wellness & Rehab, you'll be an essential part of our residents' care. Responsibilities include: Attend weekly educations meetings to stay updated on MDS changes. Coordinate the facility’s Resident Assessment Instrument (RAI) process in accordance with state and federal guidelines. Accurately complete all MDS assessments and any supporting assessments or clinical documentation. Evaluation of resident’s comprehensive plan of care, auditing medical records for supporting documentation, collaborating with the interdisciplinary team. Perform any other additional tasks as assigned by the Regional MDS Consultants, Administrator, and Director of Nursing. Maintain confidentiality of protected health information, including verbal, written and electronic communications. MDS Coordinator Requirements Active RN license for the state of Florida 3 years nursing experience including supervisory experience MDS training must be completed within 6 months of hire RAC Certification preferred Full-Time Employee Benefits and Incentives PTO Medical, Dental & Vision – Comprehensive Coverage Life Insurance & 401(k) Supportive Team Employee Recognition – We celebrate YOU! Equal Opportunity Employer Lake Wales Wellness & Rehabilitation Center does not discriminate based on race, creed, ethnic background, national origin, sex, or disability. https://info.flclearinghouse.com IND789
Lake Wales Wellness and Rehabilitation Center

Registered Nurse

RN – Registered Nurse Lake Wales, Florida Join Lake Wales Wellness & Rehabilitation Center - where compassion feels like family. Lake Wales Wellness & Rehab is seeking compassionate, reliable RNs to join our care team. If you're looking for a rewarding role in a team-driven environment, we want to meet you! RN Position Summary As a RN at Lake Wales Wellness & Rehab, you'll be an essential part of our residents' care. Responsibilities include: Manage the nursing care for all residents and delegate shift tasks to nurses. Supervise nurse aides as they complete their assignments. Observe residents’ conditions, oversee, and respond as necessary. Inform physicians of any changes in resident conditions. Communicate with patients, family members, and the interdisciplinary team about care plan changes. Maintain confidentiality of protected health information, including verbal, written and electronic communications. RN Requirements Current unrestricted RN License for the state of Florida Current CPR/BLS Certification Full-Time Employee Benefits and Incentives PTO Medical, Dental & Vision – Comprehensive Coverage Free Life Insurance & 401(k) with company match Supportive Team Employee Recognition – We celebrate YOU! Equal Opportunity Employer Lake Wales Wellness & Rehabilitation Center does not discriminate based on race, creed, ethnic background, national origin, sex, or disability. https://info.flclearinghouse.com
AdventHealth

Med-Surg RN- Nights

$31.85 - $52.76 / hour
Our promise to you: Joining AdventHealth is about being part of something bigger. It’s about belonging to a community that believes in the wholeness of each person, and serves to uplift others in body, mind and spirit. AdventHealth is a place where you can thrive professionally, and grow spiritually, by Extending the Healing Ministry of Christ. Where you will be valued for who you are and the unique experiences you bring to our purpose-minded team. All while understanding that together we are even better. All the benefits and perks you need for you and your family: Benefits from Day One: Medical, Dental, Vision Insurance, Life Insurance, Disability Insurance Paid Time Off from Day One 403-B Retirement Plan 4 Weeks 100% Paid Parental Leave Career Development Whole Person Well-being Resources Mental Health Resources and Support Pet Benefits Schedule: Full time Shift: Night (United States of America) Address: 410 S 11th St City: Lake Wales State: Florida Postal Code: 33853 Job Description: Conduct comprehensive assessments to evaluate the physiological, psychological, developmental, sociocultural, spiritual, and lifestyle factors of patients. Develop and implement individualized care plans based on patient needs and standards of care, regularly evaluating and revising these plans as necessary. Administer medications and treatments accurately and safely, following physician orders and hospital protocols, and monitor for adverse reactions. Educate patients and families about health conditions, treatments, medications, and self-care strategies to promote understanding and compliance. Collaborate with medical staff and ancillary departments to coordinate and optimize patient care, ensuring effective communication and teamwork. Maintain accurate and timely documentation of patient information, care activities, interventions, and outcomes in the medical record. Evaluate the effectiveness of care plans and interventions continuously, making necessary adjustments to improve patient health and achieve positive outcomes. Ensure compliance with infection control protocols, safety standards, and regulatory requirements to maintain a safe healthcare environment. Provide emotional support and therapeutic communication to patients and their families, addressing their emotional and psychological needs. Supervise and delegate care provided by members of the healthcare team to ensure quality and efficiency. Engage in continuous professional development and participate in performance improvement activities to enhance patient care and operational efficiency. Respond to code situations promptly and effectively, providing necessary interventions to stabilize patients. Knowledge, Skills, and Abilities: Organizational and multi-tasking skills Knowledge of nursing care methods and procedures Ability to work as a Team player within a unit Effective verbal and oral communication and problem-solving skills EKG (based on patient ; see document EKG and Advanced Life Support Requirements) Must be fluent in English (read, verbal and written skills) Basic computer skills – must be able to navigate Microsoft windows based programs Must be able to use a high level of abstract reasoning to assess patient, evaluate interventions, and revise plan of care according to patient outcomes Education: Associate's of Nursing [Required] Bachelor's of Nursing [Preferred] Work Experience: 1+ acute care hospital setting [Preferred] Additional Information: Additional Licensure or certification requirements may apply depending on the specific unit or state in which this position is located. Please consult the relevant credential grid for detailed information regarding these requirements Licenses and Certifications: Registered Nurse (RN) [Required] Basic Life Support - CPR Cert (BLS) [Required] Acute/Critical Care Clinical Nurse Specialist (CCNS) [Preferred] Neonatal Med Certification (NEONATAL MED) [Preferred] Neonatal Resuscitation Program (NRP) [Preferred] Pediatric ER Assess, Recog & Stabilization (PEARS) [Preferred] Registered Diagnostic Medical Sonographer w/ OB/GYN Spec (RDMS-OBGYN) [Preferred] NonViolent Crisis Intervention Program [Preferred] S.T.A.B.L.E. Certification [Preferred] Trauma Nurse Course Certified (TNCC) [Preferred] Advanced Burn Life Support (ABLS) [Preferred] Critical Care Registered Nurse - Tele-ICU (CCRN-E) [Preferred] Certified Lactation Counselor (CLC) [Preferred] Oncology Nurse Society (ONS) [Preferred] American Board of Pediatrics (ABP) [Preferred] Stroke Certified Registered Nurse (SCRN) [Preferred] Gerontological Nurse (GERO-BC) [Preferred] Physical Requirements: (Please click the link below to view work requirements) Physical Requirements - https://tinyurl.com/49cf4xnf Pay Range: $31.85 - $52.76 Background Screening Requirement (Florida Law) Certain positions are subject to Florida Level 2 background screening , including fingerprinting, as required by state law. Applicants may review general information about Florida’s background screening requirements at the Florida Care Provider Background Screening Clearinghouse : https://info.flclearinghouse.com/ This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances.
AdventHealth

Registered Nurse- Med Surg

$31.85 - $50.90 / hour
Our promise to you: Joining AdventHealth is about being part of something bigger. It’s about belonging to a community that believes in the wholeness of each person, and serves to uplift others in body, mind and spirit. AdventHealth is a place where you can thrive professionally, and grow spiritually, by Extending the Healing Ministry of Christ. Where you will be valued for who you are and the unique experiences you bring to our purpose-minded team. All while understanding that together we are even better. All the benefits and perks you need for you and your family: Benefits from Day One: Medical, Dental, Vision Insurance, Life Insurance, Disability Insurance Paid Time Off from Day One 403-B Retirement Plan 4 Weeks 100% Paid Parental Leave Career Development Whole Person Well-being Resources Mental Health Resources and Support Pet Benefits Schedule: Full time Shift: Night (United States of America) Address: 410 S 11TH ST City: LAKE WALES State: Florida Postal Code: 33853 Job Description: Conduct comprehensive assessments to evaluate the physiological, psychological, developmental, sociocultural, spiritual, and lifestyle factors of patients. Develop and implement individualized care plans based on patient needs and standards of care, regularly evaluating and revising these plans as necessary. Administer medications and treatments accurately and safely, following physician orders and hospital protocols, and monitor for adverse reactions. Educate patients and families about health conditions, treatments, medications, and self-care strategies to promote understanding and compliance. Collaborate with medical staff and ancillary departments to coordinate and optimize patient care, ensuring effective communication and teamwork. Maintain accurate and timely documentation of patient information, care activities, interventions, and outcomes in the medical record. Evaluate the effectiveness of care plans and interventions continuously, making necessary adjustments to improve patient health and achieve positive outcomes. Ensure compliance with infection control protocols, safety standards, and regulatory requirements to maintain a safe healthcare environment. Provide emotional support and therapeutic communication to patients and their families, addressing their emotional and psychological needs. Supervise and delegate care provided by members of the healthcare team to ensure quality and efficiency. Engage in continuous professional development and participate in performance improvement activities to enhance patient care and operational efficiency. Respond to code situations promptly and effectively, providing necessary interventions to stabilize patients. Knowledge, Skills, and Abilities: Organizational and multi-tasking skills Knowledge of nursing care methods and procedures Ability to work as a Team player within a unit Effective verbal and oral communication and problem-solving skills EKG (based on patient ; see document EKG and Advanced Life Support Requirements) Must be fluent in English (read, verbal and written skills) Basic computer skills – must be able to navigate Microsoft windows based programs Must be able to use a high level of abstract reasoning to assess patient, evaluate interventions, and revise plan of care according to patient outcomes Education: Associate's of Nursing [Required] Bachelor's of Nursing [Preferred] Work Experience: 1+ acute care hospital setting [Preferred] Licenses and Certifications: Registered Nurse (RN) [Required] Basic Life Support - CPR Cert (BLS) [Required] Acute/Critical Care Clinical Nurse Specialist (CCNS) [Preferred] Neonatal Med Certification (NEONATAL MED) [Preferred] Neonatal Resuscitation Program (NRP) [Preferred] Pediatric ER Assess, Recog & Stabilization (PEARS) [Preferred] Registered Diagnostic Medical Sonographer w/ OB/GYN Spec (RDMS-OBGYN) [Preferred] NonViolent Crisis Intervention Program [Preferred] S.T.A.B.L.E. Certification [Preferred] Trauma Nurse Course Certified (TNCC) [Preferred] Advanced Burn Life Support (ABLS) [Preferred] Critical Care Registered Nurse - Tele-ICU (CCRN-E) [Preferred] Certified Lactation Counselor (CLC) [Preferred] Oncology Nurse Society (ONS) [Preferred] American Board of Pediatrics (ABP) [Preferred] Stroke Certified Registered Nurse (SCRN) [Preferred] Gerontological Nurse (GERO-BC) [Preferred] Physical Requirements: (Please click the link below to view work requirements) Physical Requirements - https://tinyurl.com/49cf4xnf Pay Range: $31.85 - $50.90 Background Screening Requirement (Florida Law) Certain positions are subject to Florida Level 2 background screening , including fingerprinting, as required by state law. Applicants may review general information about Florida’s background screening requirements at the Florida Care Provider Background Screening Clearinghouse : https://info.flclearinghouse.com/ This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances.