Remote RN Case Manager II

**Must have a valid RN License** Pay Rate: $42.00 - 44.00 hourly Shift: Monday-Friday, 8am-5pm PST **This role is fully remote, but candidates must work PST hours** Summary: Case Managers work with members, providers and multidisciplinary team members to assess, facilitate, plan and coordinate an integrated delivery of care across the continuum. This is a clinical role performing care management responsibilities. This individual will have responsibility for a caseload of members. This will mean completing health risk assessments (and other assessments if warranted based on the member’s situation), completing individual care plans, helping members connect with resources, coordinating care with member and providers, etc.

Completes comprehensive assessments of members per regulated timelines and determines who may qualify for case management based on clinical judgment, changes in member's health or psychosocial wellness, and triggers identified in the assessment. Develops and implements a case management plan in collaboration with the member, caregiver, physician and/or other appropriate healthcare professionals and member's support network to address the member needs and goals. Performs ongoing monitoring of the care plan to evaluate effectiveness, document interventions and goal achievement, and suggest changes accordingly. Maintains ongoing member case load for regular outreach and management. Promotes integration of services for members including behavioral health care and long term services and supports/home and community to enhance the continuity of care for Molina members. Facilitates interdisciplinary care team 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.