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JOB DESCRIPTION
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
Oversees an integrated Care Management team responsible for case management, community connectors, health management, and / or transition of care activities to assist Molina Healthcare members with their healthcare needs.
Care Management staff work to help members achieve optimal clinical, financial and quality of life outcomes, including safely and effectively transitioning Molina members from acute or inpatient care to lower levels of care and / or home in a cost-efficient manner.
Arranges training as needed.
Oversees and / or participates in Interdisciplinary Care Team meetings.
JOB QUALIFICATIONS
Required Education
Required Experience
3 or more years in case management, disease management, managed care or medical or behavioral health settings.
Required License, Certification, Association
If licensed, license must be active, unrestricted and in good standing.
Preferred Education
Bachelor's or master’s degree in Nursing,
Preferred Experience
More than five years Case Management experience. Medicaid / Medicare Population experience with increasing responsibility.
Preferred License, Certification, Association
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.
Pay Range : $59,810.6 - $129,589.63 / ANNUAL
Actual compensation may vary from posting based on geographic location, work experience, education and / or skill level.
About Us
Molina Healthcare is a nationwide fortune 500 organization with a mission to provide quality healthcare to people receiving government assistance.
If you are seeking a meaningful opportunity in a team-oriented environment, come be a part of a highly engaged workforce dedicated to our mission.
Bring your passion and talents and together we can make a difference in the lives of others. Molina Healthcare offers a competitive benefits and compensation package.
Molina Healthcare is an Equal Opportunity Employer (EOE) M / F / D / V.
Job Type : Full Time Posting Date : 05 / 08 / 2024
Last updated : 2024-05-12
Full Time
Insurance
$83k-100k (estimate)
05/10/2024
05/16/2024
molinahealthcare.com
ALBUQUERQUE, NM
7,500 - 15,000
1980
Public
MARIO MOLINA
$10B - $50B
Insurance
Molina is a managed care organization providing health care to individuals and families in 13 states & Puerto Rico via Medicaid & Medicare programs.