Top 12 Registered nurse rn case manager Jobs in Yakima, Wa

RN Care Manager - STARS
Molina Healthcare —Yakima, WA
- $26.41 - $59.21 an hour
- Full-time
- Nursing
- RN License
- HIPAA
- Health insurance
Registered Nurse - RN Case Manager
Professional Case Management (PCM) —Yakima, WA
- $47 an hour
- Choose your own hours
- CPR Certification
- Nursing
- Vital signs
- Health savings account
- Disability insurance
Quick Apply
11d
Registered Nurse (RN) Case Manager
Yakima Memorial Hospital —Yakima, WA
- $20.46 - $27.63 an hour
- Part-time
- Nursing
- RN License
- PALS Certification
- Health insurance
- Dental insurance
Quick Apply

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RN Care Manager - STARS

Molina Healthcare -
Yakima, WA

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Job Details

Full-time
$26.41 - $59.21 an hour

Benefits

Health insurance

Qualifications

Resource identification in social services
HIPAA compliance
Electronic health records (EHR) management
RN License
HIPAA
Patient management software
Employee relationship building
Community resource coordination in health services social work
Driver's License
Productivity software

Full Job Description

JOB DESCRIPTION Job Summary

Provides support for care management/care coordination activities and collaborates with multidisciplinary team coordinating integrated delivery of member care across the continuum. 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 assessments of members per regulated timelines and determines who may qualify for care management based on clinical judgment, changes in member health or psychosocial wellness and triggers identified in assessments.
Develops and implements care coordination plan in collaboration with member, caregiver, physician and/or other appropriate health care professionals and member support network to address member needs and goals.
Conducts telephonic, face-to-face or home visits as required.
Performs ongoing monitoring of care plan to evaluate effectiveness, document interventions and goal achievement, and suggest changes accordingly.
Maintains ongoing member caseload for regular outreach and management.
Promotes integration of services for members including behavioral health, long-term services and supports (LTSS), and home and community resources to enhance continuity of care.
Facilitates interdisciplinary care team (ICT) 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.
May provide consultation, resources and recommendations to peers as needed.
Care manager RNs may be assigned complex member cases and medication regimens.
Care manager RNs may conduct medication reconciliation as needed.
25-40% estimated local travel may be required (based upon state/contractual requirements). Required Qualifications
At least 2 years experience in health care, preferably 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.
Valid and unrestricted driver's license, reliable transportation, and adequate auto insurance for job related travel requirements, unless otherwise required by law.
Understanding of the electronic medical record (EMR) and Health Insurance Portability and Accountability Act (HIPAA).
Demonstrated knowledge of community resources.
Ability to operate proactively and demonstrate detail-oriented work.
Ability to work within a variety of settings and adjust style as needed - working with diverse populations, various personalities and personal situations.
Ability to work independently, with minimal supervision and self-motivation.
Responsiveness in all forms of communication, and ability to 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.

Preferred Qualifications

Experience closing care gaps (HEDIS measures, medication adherence, HOS surveys).

Comfort using care management platforms and population health tools.

Track record of successful member engagement and outreach.

Understanding of CMS Star Ratings methodology and quality bonus payments.

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: $26.41 - $59.21 / HOURLY
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

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registered nurse rn case manager jobs in yakima, wa

RN Care Manager - STARS

Registered Nurse - RN Case Manager

Registered Nurse (RN) Case Manager

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