- Follows member throughout a 30-day program that starts at hospital admission and continues through transitions from the acute setting to other settings, including nursing facility placement and private home, with the goal of reduced readmissions.
- Ensures safe and appropriate transitions by collaborating with hospital discharge planners, as well as with hospitalists, outpatient providers, facility staff, and family/support network, as needed or at the request of member.
- Ensures member transitions to a setting with adequate caregiving and functional support, as well as medical and medication oversight as required.
- Works with participating ancillary providers, public agencies, or other service providers to make sure necessary services and equipment are in place for a safe transition.
- Conducts face-to-face visits of all members while in the hospital and home visits of high-risk members post-discharge.
- Coordinates care and reassesses member's needs using the Coleman Care Transitions Model recommended post-discharge timeline.
- Educates and supports member focusing on seven primary areas (ToC Pillars): medication management, use of personal health record, follow up care, signs and symptoms of worsening condition, nutrition, functional needs and or Home and Community-based Services, and advance directives.
- 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.
- Facilitates interdisciplinary care team meetings and informal ICT collaboration.
- RNs provide consultation, recommendations, and education as appropriate to non-RN case managers.
- RNs are assigned cases with members who have complex medical conditions and medication regimens.
- RNs will conduct medication reconciliation when needed.
- 40-50% local travel required.
- Active, unrestricted State Registered Nursing (RN) license in good standing.
- Must have valid driver's license with good driving record and be able to drive within applicable state or locality with reliable transportation.
-
Atrium Health Shelby, United States Full timeOverview · If it's possible, you will find it at Atrium Health-the leading community-focused academic healthcare system serving North Carolina, South Carolina, and Georgia. We invite experienced Nurse Practitioners and Physician Assistants to discover all that we can do when we ...
-
Licensed Mental Health Professional
3 days ago
Wellpath Brickeys, AR, United States Full timeCompensation Range: $36 - $44 / hour You Matter: · • Make a difference every day in the lives of the underserved · • Join a mission driven organization with a people first culture · • Excellent career growth opportunities Join us and find a career that supports: · • Caring f ...
-
Licensed Mental Health Professional $2,000
3 days ago
Wellpath Brickeys, AR, United States Full timeCompensation Range: $36 - $44 / hour You Matter: · • Make a difference every day in the lives of the underserved · • Join a mission driven organization with a people first culture · • Excellent career growth opportunities Join us and find a career that supports: · • Caring f ...
-
Director of Case Management
4 weeks ago
MSH Memphis, United StatesSummary: · The individual in this position has overall responsibility for hospital utilization management, transition management and operational management of the Case Management Department in order to promote effective utilization of hospital resources, timely and accurate reven ...
-
LocumJobsOnline Memphis, United States Full timeLocumJobsOnline is working with CompHealth to find a qualified Obstetrics and Gynecology MD in Union City, Tennessee, 38261 · About The Position · A group in Tennessee is searching for an OB/GYN. Join 3 physicians and 4 midwives in a group that has been serving the citizens of Un ...
-
Locum Physician
4 days ago
LocumJobsOnline Memphis, United States Full timeLocumJobsOnline is working with All Star Healthcare Solutions to find a qualified Neurosurgery MD in Tennessee · About The Position · All Star Healthcare Solutions is contracted with a Tennessee based Hospital seeking weekend Neurosurgery locums coverage starting in 2019. · 1 to ...
-
Locum Physician
1 week ago
LocumJobsOnline Memphis, United States Full timeLocumJobsOnline is working with CompHealth to find a qualified Anesthesiology MD in Tennessee · About The Position · Interested in this assignment? Or maybe you still haven't found what you're looking for? Contact one of our specialty-specific recruiters to get access to our vast ...
-
Locum Physician
1 week ago
LocumJobsOnline Memphis, United States Full timeLocumJobsOnline is working with to find a qualified Radiology MD in Memphis, Tennessee, 38138 · About The Position · A Children's Hospital is seeking a Pediatric Radiologist for locum tenens coverage. · No matter when your assignment is in Memphis, Tennessee there is a high prob ...
-
LocumJobsOnline Memphis, United States Full timeLocumJobsOnline is working with to find a qualified Anesthesiology CRNA in Memphis, Tennessee, 38138 · About The Position · A Level 1 Trauma facility is seeking a CRNA for locum tenens coverage. · The opportunities are endless in Bartlett, Tennessee. The Old Millington Winery is ...
-
Locum Physician
1 week ago
LocumJobsOnline Memphis, United States Full timeLocumJobsOnline is working with CompHealth to find a qualified Pediatrics MD in Lawrenceburg, Tennessee, 38464 · About The Position · Some locum assignments can be as short as a day, others, years. Some are far from home, others are local. Whatever it is you're looking for, we of ...
-
Case Manager
2 weeks ago
Core Civic Shelby, United States Full time$26.91 perhour · At CoreCivic, our employees aredriven by a deep sense of service, high standards ofprofessionalism and a responsibility to better the publicgood. We are currently seeking a CaseManager who has a passion for providing the highestquality care in an institutional, s ...
-
LocumJobsOnline Memphis, United States Full timeLocumJobsOnline is working with CompHealth to find a qualified Emergency Medicine MD in Dyersburg, Tennessee, 38024 · About The Position · Whether you are searching for a position in your area or in another state, we have professionals to help you achieve your goals through our r ...
-
Gastroenterologist | Mid-South Gastroenterology
2 weeks ago
Covenant Physician Partners Memphis, United StatesMid-South Gastroenterology is seeking a full-time Gastroenterologist to join their established practice in Memphis, Tennessee. · Competitive Compensation: $500k Base salaryPartnership opportunity with practice and ASCSign on bonus potential · Procedures: General GI with opportun ...
-
DSP (Direct Support Personnel)
22 hours ago
Turning Point Home Health Memphis, United States Full time, Part timeYouth Mental Health Technician · Previous experience working with children or people with special needs and an interest in behavioral health · Must have own reliable transportation, and valid driver's license, · Proof of TB & CPR certification (can obtain upon hire) · Ability to ...
-
Locum Physician
1 week ago
LocumJobsOnline Memphis, United States Full timeLocumJobsOnline is working with Weatherby Healthcare to find a qualified Emergency Medicine MD in Memphis, Tennessee, 38116 · About The Position · Enjoy the locum tenens lifestyle knowing Weatherby is here to support you every step of the way. Call and speak to one of our consult ...
-
Locum Physician
1 week ago
LocumJobsOnline Memphis, United States Full timeLocumJobsOnline is working with Weatherby Healthcare to find a qualified Urgent Care MD in Nashville, Tennessee, 37203 · About The Position · If you are seeking a new opportunity or would simply like to learn more about locum tenens, give Weatherby a call today for details.Must h ...
-
Locum Physician
3 days ago
LocumJobsOnline Memphis, United States Full timeLocumJobsOnline is working with All Star Healthcare Solutions to find a qualified Hospitalist MD in Tennessee · About The Position · All-Star Healthcare Solutions is contracted with a facility in Tennessee seeking a BC/BE Physician for Hospitalist Locum coverage starting upon cre ...
-
LocumJobsOnline Southaven, United States Full timeLocumJobsOnline is working with CompHealth to find a qualified Pediatrics MD in Columbus, Mississippi, 39702 · About The Position · A new pediatrician opportunity is now available in Mississippi at an established and growing practice. This position is for an outpatient clinic wit ...
-
Teller Delta
2 weeks ago
WELLS FARGO BANK Delta, United States Full timeWhy Wells Fargo: · Are you ready for the next step in your career? This is where it begins - at a company known for our "Well Life" approach to supporting employees' career aspirations, work-life balance, and mental and physical health. We ranked #2 on the 2023 LinkedIn Top Compa ...
-
Licensed Practical Nurse
6 days ago
Consulate Health Care Marianna, United StatesKings Daughers Community and Health Rehab is seeking full-time LPN's to join our team. · We are now operating under a "New Administrative and Clinical Management Team · Are you a dedicated and compassionate Licensed Practical Nurse - LPN looking for an exciting new opportunity? L ...
Case Manager RN- Transition of Care - Tunica Resorts, United States - Molina Healthcare
Description
Job Description
JOB DESCRIPTION
For this position we are seeking a (RN) Registered Nurse who lives in MISSISSIPPI and must be licensed for the state of MISSISSIPPI. We are seeking RN's, who must live in either Northern or Southern Mississippi and must be licensed for the state of MS. Transition of Care RN will work with Medicaid population assisting with transition from hospital to next level of care. Excellent computer skills and attention to detail are very important to multitask between systems, talk with members and providers on the phone, and enter accurate contact notes. This is a fast-paced position and productivity is important.
Home office with internet connectivity of high speed required.
Field Travel in the field to local hospitals, homes, and clinics. minimum of 35 Field visits a month. Mileage will be reimbursed.
(North- West MS - Grenada,Desoto, Tunica, Tate, Marshall, Lafayette, Panola, or surrounding area)
Schedule: Monday thru Friday 8:00AM to 5:00PM. (No Weekends or Holidays)
Job Summary
Molina Healthcare Services (HCS) works with members, providers and multidisciplinary team members to assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long-term care, for members with high need potential. HCS staff work to ensure that patients progress toward desired outcomes with quality care that is medically appropriate and cost-effective based on the severity of illness and the site of service.
KNOWLEDGE/SKILLS/ABILITIES
JOB QUALIFICATIONS
Required Education
Graduate from an Accredited School of Nursing. Bachelor's Degree in Nursing preferred.
Required Experience
1-3 years hospital discharge planning or home health.
Required License, Certification, Association
Preferred Education
Bachelor's Degree in Nursing
Preferred Experience
3-5 years hospital discharge planning or home health.
Preferred License, Certification, Association
Active, unrestricted Transitions of Care Sub-Specialty Certification and/or Certified Case Manager (CCM)
To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
#PJHS
Pay Range: $ $51.49 / HOURLY
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
