RN Case Manager

Provides case management services to members with chronic or complex conditions including:

o Proactively identifies members that may qualify for potential case management services. 

o Conducts assessment of member needs by collecting in-depth information from Molina’s information system, the member, member’s family/caregiver, hospital staff, physicians and other providers. 

o Identifies, assesses and manages members per established criteria. 

o Develops and implements a case management plan in collaboration with the member, caregiver, physician and/or other appropriate healthcare professionals to address the member needs. 

o Performs ongoing monitoring of the plan of care to evaluate effectiveness. 

o Documents care plan progress in information system.