RN Travel Home Health Full-time
Molina Healthcare

Care Manager, LTSS (RN) - Field travel in Dodge County, WI

Molina Healthcare Beaver Dam, WI 53916, US
$26.41 - $51.49 / hour

JOB DESCRIPTION Job Summary

Provides support for care management/care coordination long-term services and supports (LTSS)-specific activities. 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.

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

• Registered Nurse (RN). 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.

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

• Demonstrated knowledge of community resources.

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

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

• Responsiveness in all forms of communication, and ability to remain calm in high-pressure situations.

• Ability to develop and maintain professional relationships.

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

• Problem-solving skills.

• Strong verbal and written communication skills.

• Microsoft Office suite/applicable software program(s) proficiency.

• In some states, must have at least one year of experience working directly with individuals with substance use disorders.

 

Preferred Qualifications

• Certified Case Manager (CCM).

• 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

Pay Range: $26.41 - $51.49 / 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

RN ICU
ScionHealth

ICU RN (PT/Days)

ScionHealth Watertown, WI
Description WATERTOWN REGIONAL MEDICAL CENTER IS NOW HIRING FOR A FULL-TIME REGISTERED NURSE - RN TO JOIN OUR ICU TEAM! Shift is 24 hours per week working weekends 0700 to 1900. Be part of Watertown Regional Medical Center , an acute-care hospital in southeastern Wisconsin that consistently earns national awards for its high-quality care from the likes of Becker's Hospital Review, Chartis, Healthgrades, The Leapfrog Group, and parent company ScionHealth. Watertown Regional's exceptional care across multiple specialty services is also reflected in its numerous accreditations and certifications. Join our team and grow your career in a hospital where everyday excellence meets or exceeds expectations. Job Summary The Registered Nurse (RN) - ICU provides comprehensive nursing care to critically ill patients in the Intensive Care Unit The RN monitors hemodynamic status, administers medications, performs assessments, and collaborates with the interdisciplinary care team The RN ensures optimal patient outcomes through adherence to clinical protocols, safety guidelines, and effective communication with patients and families Essential Functions Provides direct and indirect patient care in a critical care setting, including hemodynamic monitoring and management of critically ill patients Administers medications, monitors for side effects, and responds to adverse events Performs comprehensive assessments, including head-to-toe assessments, pain assessments, and reassessments Develops and implements individualized care plans based on patient condition and response to treatment Collaborates with physicians, respiratory therapists, and other healthcare providers to optimize patient care Educates patients and families on treatment plans, medication regimens, and discharge instructions Participates in emergency response and crisis management, including code blue and rapid response situations Assists in invasive procedures, including central line insertions and arterial line placements Adheres to infection control protocols and maintains a safe environment for patients and staff Documents patient care activities, assessments, and interventions accurately and timely in the electronic medical record (EMR) Knowledge/Skills/Abilities/Expectations Advanced clinical knowledge in critical care nursing and emergency response Strong communication and interpersonal skills Ability to prioritize tasks and manage multiple responsibilities effectively Proficiency in electronic medical records (EMR) and medical equipment operation Demonstrates professionalism, integrity, and a commitment to patient-centered care Ability to lift up to 50 lbs and perform extended periods of standing, walking, and physical activity Qualifications Education Associate Degree in Nursing (ADN) required Bachelor of Science in Nursing (BSN) preferred License/Certification Current RN license in the state of practice or compact state required Basic Life Support (BLS) Certification within timeframe specified by facility policy Advanced Cardiovascular Life Support (ACLS) Certification within timeframe specified by facility policy Pediatric Advanced Life Support (PALS) Certification preferred De-escalation Training required Experience Minimum of six (6) months of experience in an acute care setting preferred
RN
ScionHealth

RN-Surgery/OR (FT/Day)

ScionHealth Watertown, WI
Description Sign On Bonus Eligible: $10,000 At ScionHealth , we empower our caregivers to do what they do best. We value every voice by caring deeply for every patient and each other. We show courage by running toward the challenge and we lean into new ideas by embracing curiosity and question asking. Together, we create our culture by living our values in our day-to-day interactions with our patients and teammates. Job Summary The Registered Nurse - Surgery (RN-Surgery) provides direct and comprehensive nursing care to surgical patients within an acute care hospital setting. Utilizing the nursing process, the RN-Surgery assesses, plans, implements, and evaluates patient care in collaboration with the interdisciplinary team to achieve optimal outcomes. This role supports surgical interventions across all age groups and ensures patient safety, comfort, and education throughout the perioperative process. Essential Functions Delivers patient-centered nursing care based on established standards of care and the nursing process Administers medications and treatments as prescribed and in accordance with policy Documents all aspects of patient care clearly and accurately Monitors, evaluates, and communicates patient condition to healthcare team, patient, and family Coordinates and collaborates with surgical and interdisciplinary teams to ensure optimal patient care Participates in patient transfer, discharge, and referrals as needed Educates patients and families on surgical procedures, recovery expectations, and post-operative care Advocates for the physical and emotional well-being of patients throughout the surgical experience Knowledge/Skills/Abilities/Expectations Demonstrated critical thinking, clinical judgment, and decision-making skills Ability to function effectively in high-stress, fast-paced environments Effective communication and interpersonal skills with patients, families, and team members Competency in the use of electronic medical records (EMR) and other healthcare technologies Commitment to continuous learning and professional development Ability to maintain patient confidentiality and comply with HIPAA guidelines Physical ability to perform required duties, including lifting, bending, standing, and walking for extended periods Willingness to comply with all organizational and departmental policies and procedures Attends required staff meetings and maintains required certifications and competencies Qualifications Education Graduate of an accredited School of Nursing. Bachelor of Science in Nursing (BSN) preferred. Licenses/Certifications Current and valid Registered Nurse (RN) license in the state of practice Basic Life Support (BLS) certification (required within time frame specified in facility policy) Advanced Cardiovascular Life Support (ACLS) certification (required within time frame specified in facility policy) Pediatric Advanced Life Support (PALS) certification (required within timeframe specified in facility policy) Experience Minimum of one year of clinical nursing experience preferred Previous perioperative or surgical services experience strongly preferred
RN
ScionHealth

RN-Surgery/OR (FT/Day) Sign on Bonus

ScionHealth Watertown, WI
Description Sign On Bonus Eligible: $10,000 At ScionHealth , we empower our caregivers to do what they do best. We value every voice by caring deeply for every patient and each other. We show courage by running toward the challenge and we lean into new ideas by embracing curiosity and question asking. Together, we create our culture by living our values in our day-to-day interactions with our patients and teammates. Job Summary The Registered Nurse - Surgery (RN-Surgery) provides direct and comprehensive nursing care to surgical patients within an acute care hospital setting. Utilizing the nursing process, the RN-Surgery assesses, plans, implements, and evaluates patient care in collaboration with the interdisciplinary team to achieve optimal outcomes. This role supports surgical interventions across all age groups and ensures patient safety, comfort, and education throughout the perioperative process. Essential Functions Delivers patient-centered nursing care based on established standards of care and the nursing process Administers medications and treatments as prescribed and in accordance with policy Documents all aspects of patient care clearly and accurately Monitors, evaluates, and communicates patient condition to healthcare team, patient, and family Coordinates and collaborates with surgical and interdisciplinary teams to ensure optimal patient care Participates in patient transfer, discharge, and referrals as needed Educates patients and families on surgical procedures, recovery expectations, and post-operative care Advocates for the physical and emotional well-being of patients throughout the surgical experience Knowledge/Skills/Abilities/Expectations Demonstrated critical thinking, clinical judgment, and decision-making skills Ability to function effectively in high-stress, fast-paced environments Effective communication and interpersonal skills with patients, families, and team members Competency in the use of electronic medical records (EMR) and other healthcare technologies Commitment to continuous learning and professional development Ability to maintain patient confidentiality and comply with HIPAA guidelines Physical ability to perform required duties, including lifting, bending, standing, and walking for extended periods Willingness to comply with all organizational and departmental policies and procedures Attends required staff meetings and maintains required certifications and competencies Qualifications Education Graduate of an accredited School of Nursing. Bachelor of Science in Nursing (BSN) preferred. Licenses/Certifications Current and valid Registered Nurse (RN) license in the state of practice Basic Life Support (BLS) certification (required within time frame specified in facility policy) Advanced Cardiovascular Life Support (ACLS) certification (required within time frame specified in facility policy) Pediatric Advanced Life Support (PALS) certification (required within timeframe specified in facility policy) Experience Minimum of one year of clinical nursing experience preferred Previous perioperative or surgical services experience strongly preferred
RN ICU
ScionHealth

Registered Nurse ICU Nights

ScionHealth Watertown, WI
Description $15,000 Sign-on Bonus!! At ScionHealth , we empower our caregivers to do what they do best. We value every voice by caring deeply for every patient and each other. We show courage by running toward the challenge and we lean into new ideas by embracing curiosity and question asking. Together, we create our culture by living our values in our day-to-day interactions with our patients and teammates. Job Summary The Registered Nurse (RN) - ICU provides comprehensive nursing care to critically ill patients in the Intensive Care Unit. The RN monitors hemodynamic status, administers medications, performs assessments, and collaborates with the interdisciplinary care team. The RN ensures optimal patient outcomes through adherence to clinical protocols, safety guidelines, and effective communication with patients and families. Essential Functions Provides direct and indirect patient care in a critical care setting, including hemodynamic monitoring and management of critically ill patients Administers medications, monitors for side effects, and responds to adverse events Performs comprehensive assessments, including head-to-toe assessments, pain assessments, and reassessments Develops and implements individualized care plans based on patient condition and response to treatment Collaborates with physicians, respiratory therapists, and other healthcare providers to optimize patient care Educates patients and families on treatment plans, medication regimens, and discharge instructions Participates in emergency response and crisis management, including code blue and rapid response situations Assists in invasive procedures, including central line insertions and arterial line placements Adheres to infection control protocols and maintains a safe environment for patients and staff Documents patient care activities, assessments, and interventions accurately and timely in the electronic medical record (EMR) Knowledge/Skills/Abilities/Expectations Advanced clinical knowledge in critical care nursing and emergency response Strong communication and interpersonal skills Ability to prioritize tasks and manage multiple responsibilities effectively Proficiency in electronic medical records (EMR) and medical equipment operation Demonstrates professionalism, integrity, and a commitment to patient-centered care Ability to lift up to 50 lbs and perform extended periods of standing, walking, and physical activity Qualifications Education Associate Degree in Nursing (ADN) required Bachelor of Science in Nursing (BSN) preferred License/Certification Current RN license in the state of practice or compact state required Basic Life Support (BLS) Certification within timeframe specified by facility policy Advanced Cardiovascular Life Support (ACLS) Certification within timeframe specified by facility policy Pediatric Advanced Life Support (PALS) Certification preferred De-escalation Training required Experience Minimum of six (6) months of experience in an acute care setting preferred
RN OR Per Diem
ScionHealth

Surgical Circulating Registered Nurse, PRN Days

ScionHealth Watertown, WI
Description Sign On Bonus Eligible: $10,000 Be part of Watertown Regional Medical Center , an acute-care hospital in southeastern Wisconsin that consistently earns national awards for its high-quality care from the likes of Becker's Hospital Review, Chartis, Healthgrades, The Leapfrog Group, and parent company ScionHealth. Watertown Regional's exceptional care across multiple specialty services is also reflected in its numerous accreditations and certifications. Join our team and grow your career in a hospital where everyday excellence meets or exceeds expectations. Job Summary The Registered Nurse - Surgery (RN-Surgery) provides direct and comprehensive nursing care to surgical patients within an acute care hospital setting Utilizing the nursing process, the RN-Surgery assesses, plans, implements, and evaluates patient care in collaboration with the interdisciplinary team to achieve optimal outcomes This role supports surgical interventions across all age groups and ensures patient safety, comfort, and education throughout the perioperative process Essential Functions Delivers patient-centered nursing care based on established standards of care and the nursing process Administers medications and treatments as prescribed and in accordance with policy Documents all aspects of patient care clearly and accurately Monitors, evaluates, and communicates patient condition to healthcare team, patient, and family Coordinates and collaborates with surgical and interdisciplinary teams to ensure optimal patient care Participates in patient transfer, discharge, and referrals as needed Educates patients and families on surgical procedures, recovery expectations, and post-operative care Advocates for the physical and emotional well-being of patients throughout the surgical experience Knowledge/Skills/Abilities/Expectations Demonstrated critical thinking, clinical judgment, and decision-making skills Ability to function effectively in high-stress, fast-paced environments Effective communication and interpersonal skills with patients, families, and team members Competency in the use of electronic medical records (EMR) and other healthcare technologies Commitment to continuous learning and professional development Ability to maintain patient confidentiality and comply with HIPAA guidelines Physical ability to perform required duties, including lifting, bending, standing, and walking for extended periods Willingness to comply with all organizational and departmental policies and procedures Attends required staff meetings and maintains required certifications and competencies Qualifications Education Graduate of an accredited School of Nursing Bachelor of Science in Nursing (BSN) preferred Licenses/Certifications Current and valid Registered Nurse (RN) license in the state of practice Basic Life Support (BLS) certification (required within time frame specified in facility policy) Advanced Cardiovascular Life Support (ACLS) certification (required within time frame specified in facility policy) Pediatric Advanced Life Support (PALS) certification (required within timeframe specified in facility policy) Experience Minimum of one year of clinical nursing experience preferred Previous perioperative or surgical services experience strongly preferred