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9h ago Curated

Care Manager - Medicare STARS/Quality (MI Based)

Molina Healthcare

Job description

Provides support for care management/care coordination activities and collaborates with multidisciplinary team coordinating integrated delivery of member care across the continuum. Completes comprehensive assessments, develops care plans, conducts telephonic, face-to-face or home visits, performs ongoing monitoring, maintains caseload, promotes integration of services, facilitates ICT meetings, uses motivational interviewing, assesses barriers to care. May provide consultation and conduct medication reconciliation. 25-40% local travel required.

Key responsibilities

  • Complete comprehensive assessments of members per regulated timelines
  • Develop and implement care coordination plan in collaboration with member, caregiver, physician, and other professionals
  • Conduct telephonic, face-to-face or home visits as required
  • Perform ongoing monitoring of care plan to evaluate effectiveness and document interventions
  • Maintain ongoing member caseload for regular outreach and management
  • Promote integration of services including behavioral health, LTSS, and community resources
  • Facilitate interdisciplinary care team meetings and collaboration
  • Use motivational interviewing to educate and support members
  • Assess for barriers to care and provide coordination and assistance
  • May provide consultation and resources to peers

What you bring

  • Active and unrestricted RN license in Michigan
  • Valid driver's license, reliable transportation, and adequate auto insurance
  • Understanding of EMR and HIPAA
  • Knowledge of community resources
  • Proactive and detail-oriented
  • Ability to work independently and with diverse populations
  • Excellent time-management and prioritization skills
  • Strong verbal and written communication skills
  • Microsoft Office proficiency

Tags

Care ManagementMedicare STARSQualityMichiganTravelField-based

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