Nursing Jobs in Nebraska City, NE

Molina Healthcare

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: $25.08 - $51.49 / HOURLY *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
Children's Nebraska

Children's Physicians - Plattsmouth - RN - Part Time

Job Description Monday, Thursday, Friday with rotating Saturday mornings. At Children’s, the region’s only full-service pediatric healthcare center, our people make us the very best for kids. Come cultivate your passion, purpose and professional development in an environment of excellence and inclusion, where team members are supported and deeply valued. Opportunities for career growth abound as we grow our services and spaces, including the cutting-edge Hubbard Center for Children. Join our highly engaged, caring team—and join us in providing brighter, healthier tomorrows for the children we serve. Children's is committed to diversity and inclusion. We are an equal opportunity employer including veterans and people with disabilities. A Brief Overview Provides direct and indirect nursing care based on established patient care protocol and the nursing process. Coordinates with team members to provide a team-based approached to care. Hours and location may vary based on patient needs. Essential Functions Performs treatments, procedures, and medication / immunization administration in a professional and compassionate manner according to organization policy and procedures. Completes an accurate assessment of physical, mental, emotional, developmental and social conditions when interviewing all patients and families in the office and on the telephone. Coordinates the scheduling of diagnostic tests and procedures with the patient /family, other physicians/hospitals and insurance providers as determined by the needs of the patient. Coordinates, provides, and appropriately documents patient and family education. Demonstrates knowledge of and provides care based on age-specific or developmental milestones for infants, toddlers, preschool, school age, and adolescents according to organization protocols Completes all required patient care documentation in an accurate and timely manner within the electronic medical record according to organization's policy and procedures. Responds appropriately in crisis situations or life-threatening emergencies Directs other team members in the delivery of nursing care as determined by the needs of the office and the direction of the office manager or physicians. Demonstrates proficiency and use of critical thinking skills when performing phone triage. Fulfills expectation of complete and accurate phone documentation by utilizing EMR workflows as directed. Returns phone calls within determined response time ranges. Maintain up to date knowledge and compliance with laboratory standards and guidelines as directed. Promotes and encourages use of Children’s Connect by communicating with parents via online portal whenever feasible. Takes ownership of quality metrics as a reflection of our commitment to continuously improving the quality of care for all patients. Works quality reports as directed, utilizing appropriate established workflows. Maintains clean and professional appearance of exam rooms at all times. Maintains supply and linen levels appropriately. Attends required meetings and educational sessions as directed. Regular attendance at work is an essential function of the job. Perform physical requirements as described in the Physical Requirements section Education Qualifications Graduate from an accredited school of nursing Required and Bachelor's Degree from an accredited college or university in nursing Preferred Experience Qualifications Minimum 1 year of RN experience. If incumbent has less than 1 year of RN experience, must commit to work full time in a Nurse Residency Program. Required and Previous pediatric nursing experience Preferred and Previous experience with EPIC Preferred Skills And Abilities Excellent skills in communication, listening, customer service, organization. Excellent clinical skills providing direct and indirect nursing care in an office setting. Intermediate to advanced computer skills. Ability to type, navigate an electronic system, and adapt to changes in workflows as they occur. Licenses and Certifications RN - Registered Nurse - State Licensure and/or Compact State Licensure in the state of Nebraska Upon Hire Required or RN - Registered Nurse - State Licensure and/or Compact State Licensure in the state of Iowa (if the incumbent works in Iowa) Upon Hire Required and BLS - Basic Life Support through the American Heart Association Upon Hire Required Bilingual (English-Spanish) preferred based on clinic location Required and Travel to other Children’s Physician clinics, may be Required Children’s is the very best for kids and the very best for your career! At Children’s, we put YOU first so together, we can improve the life of every child! Show more Show less