Care Manager (RN)

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 comprehensive assessments of members per regulated timelines and determines who may qualify for care management based on clinical judgment, changes in member health or psychosocial wellness and triggers identified in assessments.
• Develops and implements care coordination plan in collaboration with member, caregiver, physician and/or other appropriate health care professionals and member support network to address member needs and goals.
• Conducts telephonic, face-to-face or home 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.
• May provide consultation, resources and recommendations to peers as needed.
• Care manager RNs may be assigned complex member cases and medication regimens.
• Care manager RNs may conduct medication reconciliation as needed.
• 25-40% estimated local travel may be required (based upon state/contractual requirements). Required Qualifications
• At least 2 years experience in health care, preferably in care management, or experience in a medical and/or behavioral health setting, or equivalent combination of relevant education and experience.
• Registered Nurse (RN). License must be active and unrestricted in state of practice.
• Valid and unrestricted driver's license, reliable transportation, and adequate auto insurance for job related travel requirements, unless otherwise required by law.
• Understanding of the electronic medical record (EMR) and Health Insurance Portability and Accountability Act (HIPAA).
• 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.
• Responsiveness in all forms of communication, and ability to 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.

Preferred Qualifications
• Certified Case Manager (CCM).

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: $26.41 - $59.21 / HOURLY
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

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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 comprehensive assessments of members per regulated timelines and determines who may qualify for care management based on clinical judgment, changes in member health or psychosocial wellness and triggers identified in assessments. • Develops and implements care coordination plan in collaboration with member, caregiver, physician and/or other appropriate health care professionals and member support network to address member needs and goals. • Conducts telephonic, face-to-face or home 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. • May provide consultation, resources and recommendations to peers as needed. • Care manager RNs may be assigned complex member cases and medication regimens. • Care manager RNs may conduct medication reconciliation as needed. • 25-40% estimated local travel may be required (based upon state/contractual requirements). Required Qualifications • At least 2 years experience in health care, preferably in care management, or experience in a medical and/or behavioral health setting, or equivalent combination of relevant education and experience. • Registered Nurse (RN). License must be active and unrestricted in state of practice. • Valid and unrestricted driver's license, reliable transportation, and adequate auto insurance for job related travel requirements, unless otherwise required by law. • Understanding of the electronic medical record (EMR) and Health Insurance Portability and Accountability Act (HIPAA). • 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. • Responsiveness in all forms of communication, and ability to 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. Preferred Qualifications • Certified Case Manager (CCM). 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: $26.41 - $59.21 / HOURLY *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

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Registered Nurse - PICU (0.9FTE, Nights) Up to $15,000 sign-on bonus and relocation assistance available for experienced pediatric ICU RNs that meet eligibility requirements. No pediatrics experience? No problem! If you have experience working with adult populations, we will provide training on working with pediatric patients and their families while leveraging the adult RN experience you already have. We will personalize an orientation just for you to set you up for success in the pediatric specialty you are hired for. The PICU has 40 beds with 8 additional expansion beds specifically dedicated to pediatric critical care for tracheotomy, CRRT, vents, organ transplant, and bone marrow transplant with research and ECMO services. There is a strong team of clinical educators and preceptors to ensure your successful training and support whether you are experienced or new to pediatrics. 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For personnel trained outside of the U.S., records of diploma/transcript must provide documented equivalency evaluation by a foreign credentialing agency. Apheresis Services, Cardiac Intensive Care Unit, Cath Lab & Special Procedures, Critical Care Float, Emergency Room, Endocrinology/Diabetes Clinic, Home Care Services, Neonatal Intensive Care Unit, Pediatric Intensive Care Unit, Pediatric Transport Control, Radiology (including Interventional and Administration Preferred Bachelor’s degree in Nursing. Pediatric health care nursing experience. Compensation Range $51.60 - $91.30 per hour Salary Information This compensation range was calculated based on full-time employment (2080 hours worked per calendar year). Offers are determined by multiple factors including equity, skills, experience, and expertise, and may vary within the range provided. 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Nurses working in the following areas are required to successfully obtain PALS within 3 months of employment, and subsequently maintain at all times: Neonatal Intensive Care Unit As per the College of American Pathologists (CAP) and the Centers for Medicare and Medicaid Services (CMS), for nurses performing moderately complex point of care testing, a copy of a diploma or transcript of the highest level of academic achievement to be on record with Human Resources upon hire. For personnel trained outside of the U.S., records of diploma/transcript must provide documented equivalency evaluation by a foreign credentialing agency. Neonatal Intensive Care Unit Preferred Bachelor’s degree in Nursing. Pediatric health care nursing experience. Pediatric acute care or Adult ICU experience Compensation Range $51.60 - $91.30 per hour Salary Information This compensation range was calculated based on full-time employment (2080 hours worked per calendar year). Offers are determined by multiple factors including equity, skills, experience, and expertise, and may vary within the range provided. Disclaimer for Out of State Applicants This compensation range is specific to Seattle, positions located outside of Seattle may be compensated differently depending on various factors . Benefits Information Seattle Children’s offers a generous benefit package, including medical, dental, and vision plans, 403(b), life insurance, paid time off, tuition reimbursement, and more. Additional details on our benefits can be found on our website www.seattlechildrens.org/careers/benefits . About Us Hope. Care. Cure. These three simple words capture what we do at Seattle Children’s – to help every child live the healthiest and most fulfilling life possible. 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The Transport Nurse must also be familiar with ambulance and aircraft operating procedures and safety practices. Assists in meeting Seattle Children's strategic goals by incorporating the initiatives to support the strategic plans into the daily work, i.e. Continuous Improvement and Innovation (CII), ART, etc. The Transport RN serves as a team lead within the mobile transport team and may be required to provide supervision and delegation to other Registered Nurses, Respiratory Therapists, or Emergency Medical Technicians who are members of the mobile transport team. Must be available for call. This position may be based at Main Campus or at one of the off campus bases. Off campus bases may be at Seattle Children's locations, or at another site that is decided based on volume and efficiency. Required Education and Experience Graduate of an accredited school of nursing; BSN preferred. Minimum of three (3) years recent Critical Care Transport, pediatric critical care (PICU, CICU or other relevant unit), Emergency Department (ED) or neonatal intensive care unit (NICU) experience, at a 6.FTE or greater. Required Credentials Current Washington State RN License. Advanced Cardiac Life Support (ACLS). Those without ACLS will be required to obtain ACLS during the orientation, but no later than three months from the start date within the position. BLS for Healthcare Providers is required for all positions prior to start date. Pediatric Emergency Assessment, Recognition, and Stabilization (PEARS), and/or Pediatric Advanced Life Support (PALS) will be accepted in lieu of BLS for Healthcare Providers. Pediatric Advanced Life Support (PALS). Those without PALS will be required to obtain PALS during the orientation, but no later than three months from the start date within the position. Neonatal Resuscitation Provider (NRP). Those without NRP will be required to obtain NRP during the orientation, but no later than six months from the start date within the position. Completion of an approved trauma course no later than six months from the start date within the position. As per the College of American Pathologists (CAP) and the Centers for Medicare and Medicaid Services (CMS), for RN's performing moderately complex point of care testing, a copy of a diploma or transcript of the highest level of academic achievement to be on record with Human Resources upon hire. For personnel trained outside of the U.S., records of diploma/transcript must provide documented equivalency evaluation by a foreign credentialing agency. Acceptable government documents that allow travel to and from the US or WA Enhanced ID is a prerequisite to hiring. Must maintain current documentation at all times, and have these documents available during all shifts. Must carry these documents on all transports. Preferred Bachelor’s Degree in Nursing. Neonatal CCRN or RNC certification. Specialty certification - This can include C-PNT, CTRN or CFRN certification. Compensation Range $51.60 - $91.30 per hour Salary Information This compensation range was calculated based on full-time employment (2080 hours worked per calendar year). Offers are determined by multiple factors including equity, skills, experience, and expertise, and may vary within the range provided. Disclaimer for Out of State Applicants This compensation range is specific to Seattle, positions located outside of Seattle may be compensated differently depending on various factors . Benefits Information Seattle Children’s offers a generous benefit package, including medical, dental, and vision plans, 403(b), life insurance, paid time off, tuition reimbursement, and more. Additional details on our benefits can be found on our website www.seattlechildrens.org/careers/benefits . About Us Hope. Care. Cure. These three simple words capture what we do at Seattle Children’s – to help every child live the healthiest and most fulfilling life possible. Are you ready to engage with a mission-driven organization that is life-changing to many, and touches the hearts of all? #HOPECARECURE Our founding promise to the community is as valid today as it was over a century ago: we will care for all children in our region, regardless of the families’ ability to pay. Together, we deliver superior patient care, advance new discoveries and treatments through pediatric research, and serve as the pediatric and adolescent, academic medical center for Washington, Alaska, Montana and Idaho – the largest region of any children’s hospital in the country. U.S. News & World Report consistently ranks Seattle Children’s among the nation’s best children’s hospitals. For more than a decade, Seattle Children’s has been nationally recognized in key specialty areas. We are honored to be one of the nation’s very best places to care for children and the top-ranked pediatric hospital in Washington and the Pacific Northwest. As a Magnet designated institution, we recognize the importance of hiring and developing great talent to provide best-in-class care to the patients and families we serve. Our organizational DNA takes form in our core values: Compassion, Excellence, Integrity, Collaboration, Equity and Innovation. Whether it’s delivering frontline care to our patients in a kind and caring manner, practicing the highest standards of quality and safety, or being relentlessly curious as we work towards eradicating childhood diseases, these values are the fabric of our culture and community. The future starts here. Our Commitment Seattle Children’s welcomes people of all experiences, backgrounds, and thoughts as this is what drives our spirit of inquiry and allows us to better connect with our patients and families. Our organization recruits, employs, trains, compensates, and promotes based on merit without regard to race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity, gender expression, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics. The people who work at Seattle Children’s are members of a community that seeks to respect and celebrate all the qualities that make each of us unique. Each of us is empowered to be ourselves. Seattle Children’s is proud to be an Equal Opportunity Workplace and Affirmative Action Employer.