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Molina Healthcare
Sacramento
**_We are looking for a RN Care Transitions Case Manager who must reside in CALIFORNIA and be able to drive within one of the following county locations: Los Angeles County, San Diego County, San Bernardino County, Riverside County or Sacramento County._** **_We are seeking a RN with a minimum of 1 year hospital experience. Discharge planning and C
Job Source: Molina HealthcareMolina Healthcare
Sacramento
**_This Program Manager supports Medicaid and Medicare Healthcare Services Programs for our CALIFORNIA Health Plan. Candidate who are interested in this position need to be mindful to attend meetings that are based within_** **_PACIFIC TIME ZONE hours. Knowledge of California state Medicaid and Medicare Programs will be important to be successful i
Job Source: Molina HealthcareKaiser Permanente
Sacramento, CA, United States
Description: Job Summary: Please be aware that this position is currently under review as part of the jurisdictional process with the California Nurses Association to determine whether such position should be assigned to the CNA bargaining unit. This review is on a position-by-position basis and includes an analysis of the actual duties performe
Job Source: Kaiser PermanenteHealthCare Support
Sacramento, CA, United States
RN Case Manager HealthCare Support is actively seeking a RN Case Manager for a 13-week contract located in Sacramento, California. Benefits of this RN Case Manager with HealthCare Support: Immediate enrollment in Health Insurance Dental Insurance Life Insurance Employee Assistance Program (EAP) Access to open investment accounts Licensure a
Job Source: HealthCare SupportUC Davis Health System
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Job Summary The purpose of the Clinical Case Manager is to support the interdisciplinary team in facilitating patient care, with the underlying objective of enhancing the quality of clinical outcomes and patient satisfaction while managing the cost of care and providing timely and accurate information to payors. The role integrates and coordinates
Job Source: UC Davis Health SystemKaiser Permanente
Roseville, CA, United States
Please be aware that this position is currently under review as part of the jurisdictional process with the California Nurses Association to determine whether such position should be assigned to the CNA bargaining unit. This review is on a position-by-position basis and includes an analysis of the actual duties performed in each position under revi
Job Source: Kaiser PermanenteMolina Healthcare
Sacramento
**JOB TITLE: CARE REVIEW CLINICIAN INPATIENT REVIEW : REGISTERED NURSE** **For this position we are seeking a (RN) Registered Nurse with previous experience in Acute Care, Concurrent Review/ Utilization Review / Utilization Management and knowledge of Interqual / MCG guidelines. CALIFORNIA LICENSURE IS REQUIRED FOR THIS ROLE IMMEDIATELY UPON HIRE.
Job Source: Molina HealthcareInsight Housing LLC
Sacramento, CA, United States
Description Compensation: $28.32/hour Free Dental & Vision 19 Paid Holidays- Including 4 Mental Health Days (guaranteed paid holiday each month and most months a 3-day weekend! Retirement Plan with a match Paid Training 10-year anniversary sabbatical Flexible Spending Accounts Professional Development Allowance Paid Parental Leave benefit Discount
Job Source: Insight Housing LLCSacramento
**CASE MANAGER REGISTERED NURSE for our CALIFORNIA Health Plan.** **Candidates must live in the state of California in Sacramento County, LA COUNTY, San Diego County, San Bernardino or Riverside COUNTY.** **Bilingual Spanish preferred.**
**We are looking for an RN with at least 1 year of relevant Case Management experience. Ambulatory Case Management, OB GYN Case Management or Disease Management preferred.**
**Case Manager RN will work in remote and field settings our Medicaid Population assisting with transition from inpatient admission to next steps. This role will allow you to work as a case manager to ensure our members have a successful discharge from the hospital to home. Excellent computer skills and attention to detail are very important to multitask between systems, talk with members on the phone, and enter accurate contact notes. This is a fast-paced position and productivity is important. Excellent skillset working with EMR's and Microsoft Office.**
**Travel may be required in the future to do member visits in the surrounding areas. Travel will be within a 1- 2-hour radius in the county that you live in. A clean DMV driving record, proof of auto insurance, and reliable transportation is required. Must be able to do your own driving. Please consider this requirement before you apply to this role. We do provide Mileage reimbursement.**
**Home office with internet connectivity of high speed required. You must provide your own home office including desk and chair.**
**Work Schedule: Monday thru Friday 8:30AM to 5:30PM Pacific.**
**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**
+ 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.
+ Conducts face-to-face or home visits as required.
+ 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.
+ 25- 40% local travel required.
+ 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 conduct medication reconciliation when needed.
**JOB QUALIFICATIONS**
**Required Education**
Graduate from an Accredited School of Nursing. Bachelor's Degree in Nursing preferred.
**Required Experience**
1-3 years in case management, disease management, managed care or medical or behavioral health settings.
**Required License, Certification, Association**
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.
**Preferred Education**
Bachelor's Degree in Nursing
**Preferred Experience**
3-5 years in case management, disease management, managed care or medical or behavioral health settings.
Preferred License, Certification, Association
Active, unrestricted 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.
Pay Range: $23.76 - $51.49 / HOURLY
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
Email Alert for Case Manager (RN) California_ jobs in Sacramento
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Please refresh the page and try again.
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You can always manage your preferences and update your interests to ensure you receive the most relevant opportunities.
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