Registered Nurse Case Manager DSNP, LTSS Remote in NY, NJ or CT

Job Description

Job Summary reputed company 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 reputed company toward desired outcomes with quality care that is medically appropriate and cost-effective based on the severity of illness and the site of service. This position will be supporting our Senior Whole Health NY DSNP program. We are seeking a Registered Nurse with previous Case Management, DSNP, or LTSS experience. The candidate must be empathetic, provide great service to our member, and must be able to work independently in a high-volume environment. Further details to be discussed during our interview process. Bilingual candidates are encouraged to apply. Work hours: Monday through Friday 8:00am- 5:00PM EST Remote position reputed company the tri-state area with field travel possible in 2026. NY RN licensure required 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 reputed company 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 reputed company 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 reputed company medical conditions and medication regimens • RNs conduct medication reconciliation reputed company 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 reputed company 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 reputed company reputed company Molina employees: If you are interested in applying for this position, please apply through the intranet job listing. reputed company offers a competitive benefits and compensation package. reputed company is an Equal Opportunity Employer (EOE) M/F/D/V. Pay Range: $26.41 - $61.79 / HOURLY • Actual compensation may vary from posting based on geographic location, work experience, education and/or reputed company level. Apply Job!