RN Behavioral Health - Transition of Care Coach Job at Molina Healthcare, Charleston, SC

U3M1RmpJckl0TWZoNStHZDdVd1VwbTVRZGc9PQ==
  • Molina Healthcare
  • Charleston, SC

Job Description

For this position we are seeking a (RN) Registered Nurse who lives in South Carolina and must be licensed for the state of Carolina. Transition of Care RN will work with Medicaid Severe Mental Illness population assisting with transition from hospital to next level of care. Excellent computer skills and attention to detail are very important to multitask between systems, talk with members and providers on the phone, and enter accurate contact notes. This is a fast-paced position and productivity is important.

Home office with internet connectivity of high speed required. This is a remote position but must be willing to come into local office for Team Meetings and/or Training Sessions.

Schedule:

Monday thru Friday 8:00AM to 5:00PM EST. (No Weekends or Holidays)

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

Follows member throughout a 30-day program that starts at hospital admission and continues through transitions from the acute setting to other settings, including nursing facility placement and private home, with the goal of reduced readmissions.

Ensures safe and appropriate transitions by collaborating with hospital discharge planners, as well as with hospitalists, outpatient providers, facility staff, and family/support network, as needed or at the request of member.

Ensures member transitions to a setting with adequate caregiving and functional support, as well as medical and medication oversight as required.

Works with participating ancillary providers, public agencies, or other service providers to make sure necessary services and equipment are in place for a safe transition.

Conducts face-to-face visits of all members while in the hospital and home visits of high-risk members post-discharge.

Coordinates care and reassesses member's needs using the Coleman Care Transitions Model recommended post-discharge timeline.

Educates and supports member focusing on seven primary areas (ToC Pillars): medication management, use of personal health record, follow up care, signs and symptoms of worsening condition, nutrition, functional needs and or Home and Community-based Services, and advance directives.

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.

Facilitates interdisciplinary care team meetings and informal ICT collaboration.

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 will conduct medication reconciliation when needed. 40-50% local travel required.

Job Qualifications

Required Education

Graduate from an Accredited School of Nursing. Bachelor's Degree in Nursing preferred.

Required Experience

1-3 years hospital discharge planning or home health.

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 hospital discharge planning or home health.

Preferred License, Certification, Association

Active, unrestricted Transitions of Care Sub-Specialty Certification and/or Certified Case Manager (CCM)

Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.

Job Tags

Holiday work, Local area, Remote job, Home office, Monday to Friday,

Similar Jobs

Remarkable Talent Incorporated

Public Relations Assistant - Entry Level Job at Remarkable Talent Incorporated

 ...Job Description Job Description Join our fast-growing event marketing company, where we lead marketing, advertising, and consulting services for prominent national corporations. As a Public Relations Assistant, you'll play a crucial role in ensuring our brand's consistent... 

APR

Commercial Lines Marketing Manager | Insurance Brokerage Job at APR

 ...Job Description Job Description Title: Commercial Lines Insurance | Marketing Specialist Location: Phoenix, AZ areas Base Salary...  ..., capable of effectively collaborating with team members and managing relationships at all organizational levels. Commitment to... 

TransForce Inc.

Diesel Technician - $31 - $37 Per Hour - 3+ Years Experience Required Job at TransForce Inc.

 ...31 - $37 Per Hour Schedule: Monday - Friday 07:00 am - 03:00 pm Overview: Join our team as a diesel tech 3, for Carvana in Colonial Heights, VA Key Responsibilities: Diagnose (using diagnostic equipment) and perform general preventative maintenance... 

American Eagle Outfitters

Offline - Stock Associate - Early Morning (Off-Hours) Job at American Eagle Outfitters

 ...product if it's not on the floor, right?! As a part-time stock brand Ambassador, you're an expert...  ...morning, late in the evening and on the weekends. You've worked in a stock-related...  ...advancement. They receive 40% off product at both AE & Aerie year-round (plus... 

Environment Control of Wisconsin, Inc.

Janitorial Cleaning Job at Environment Control of Wisconsin, Inc.

 ...deal with inconsistent scheduling? Join our team at Environment Control! We clean buildings and we do it with pride and passion. For over 40 years we have provided top-notch janitorial services to a steadily growing number of clients and their facilities throughout the...