jobs in Windsor Heights, IA

Nursing Jobs in Windsor Heights, IA

Care Manager - RN/Licensed BH Professionals - Travel Required

$21.60 - $46.81 / hour

JOB DESCRIPTION Opportunity for either an experienced Care Manager who is Bachelors or Masters trained in a social services field OR an Iowa licensed RN to join the LTSS team with our Iowa Health Plan. Responsibilities include conducting face-to-face and telephonic visits with our Medicaid members, completing assessments to determine the types of services we need to provide, and managing their care until they are discharged from your service. The ideal candidate will have experience as a Care Manager within a managed care organization (MCO) like Molina or have experience working with IHH assessments. Hours are Monday – Friday, 8 AM – 5 PM CST; 75% of your time will be spent in the field and the remainder you will work from your home office. Mileage is reimbursed as part of our benefit package. Solid experience with Microsoft Office Suite is necessary, especially with Outlook, Excel, and Teams as well as being confident in moving between different programs to complete the necessary forms and documentation. Due to contractual requirements with Iowa, we are unable to hire LPN/LVNs for this role. 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. • Registered Nurse (RN). License must be active and unrestricted in state of practice. 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), 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 Pay Range: $21.6 - $46.81 / HOURLY *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

Psych

Full-time

1 month ago

Assistant Professor, PMHNP - MCHS

MercyOne Des Moines, IA

Employment Type: Full time Shift: Day Shift Description: GENERAL SUMMARY : The Joyce E. Lillis School of Nursing invites applications for a full-time, 12-month faculty position at the rank of Assistant Professor whose teaching and scholarship is focused on Psychiatric Mental Health Nursing. Reporting to the pathway/program chair, this role involves curriculum development, clinical/lab/simulation instruction, scholarly engagement, and service to the school and community. The successful candidate will be committed to excellence in nursing education and student success, with a focus on preparing practice-ready graduates. The candidate we seek is a dedicated, student-centered educator broad disciplinary knowledge and recent college or university teaching experience (preferred). Initially, the candidate will teach primarily in the pre-licensure pathways (ASN, BSN, and ABSN), guiding students in building essential knowledge, skills, and professional competencies for entry to practice. This is an on-campus position, with the potential for limited hybrid flexibility. ESSENTIAL FUNCTIONS : Prepares and delivers didactic, lab, simulation, and clinical instruction, setting high and challenging academic standards, to students utilizing a variety of delivery formats (e.g., synchronous, asynchronous, and hybrid, etc.) Uses various learning assessments to evaluate student mastery of course and program outcomes. Provides feedback on student's progress, in a timely manner, to facilitate academic success. Prepares and submits required documentation including course syllabi, student attendance, final course grades and other information as requested or required by the school. Maintains professional development/growth according to personal needs and requirements for licensure and certification. Participates in school and college committees and task forces as assigned; may be assigned duties including faculty advisor to a student club or organization; and/or mentoring other faculty. Performs other job-related duties and projects as assigned in support of the school's mission, core values and goals. MINIMUM KNOWLEDGE, SKILLS AND ABILITIES REQUIRED : Master’s degree in nursing, doctorate preferred. Psychiatric Mental Health Nurse Practitioner (PMHNP) certification ideal. Minimum of three years of clinical experience providing direct patient care. Academic teaching experience preferred . Valid and current Iowa Nursing License. Demonstrated ability in managing, leading or training others. Demonstrated ability to utilize appropriate, varied, and innovative classroom/clinical/experiential learning teaching strategies. Demonstrated experience in project development and management. Excellent relationship building skills. Our Commitment Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.

CMA

Full-time

1 month ago

Certified Medical Assistant

MercyOne Pleasant Hill, IA

Employment Type: Full time Shift: Description: ESSENTIAL FUNCTIONS: · Demonstrates ability to recognize and assess emergency needs of patients and initiate appropriate emergency procedures as needed. · Demonstrates current level of knowledge of various payor regulations by functioning within those guidelines. · Acts to facilitate interdisciplinary communication. Utilizes other members of the health care team in assessing the patient and analyzes patient data. Assesses learning needs of the patient and significant others. Gives accurate and complete information to patient and family. · Evaluates patient and family understanding of treatment plan and/or instructions. · Assists with a variety of procedures, exams and/or operation of diagnostic equipment as assigned · Maintains appropriate aseptic technique for preparation, procedures and medications administered. · Accurately and legibly documents all patient interactions in patient record · Reports results and pertinent information to patients and health care team members. · Functions according to limitations or scope of license or certification. · Performs basic nursing functions (vitals, rooming, assist with procedures, etc), under direction and supervision of physician. · Maintains professional appearance of patient exam and procedure rooms. MARGINAL FUNCTIONS: · Maintains supply inventory and stocks supplies in various work areas. · Responsible for following equipment maintenance protocol, identifying problems, and coordinating appropriate repairs. · Misc. office duties (i.e. copying, filing, retrieval of films/medical records) · Assists with nursing chart audits. MINIMUM KNOWLEDGE, SKILLS AND ABILITIES REQUIRED: · Certified Medical Assistant (CMA) or Registered Medical Assistant (RMA) certification must be obtained within first year of employment and maintained thereafter. · Clinic/physician office experience preferred. · Basic Life Support (BLS) certified or obtained within three (3) months of hire. Acceptable credentialing bodies and certifications include American Heart Association Basic Life Support. · Proof of completion of Mandatory Reporter abuse training specific to population serve within three (3) months of hire. Our Commitment Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.