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Molina Healthcare is a Fortune 500 managed care company with a storied history that dates back to 1980 and the opening of a medical clinic by Dr. C. David Molina. As an employer, M
Telephonic Complex Case Care Manager, LTSS (RN) - TEXAS Only
Location
United States
Posted
106 days ago
Salary
0
Seniority
Lead
No structured requirement data.
Job Description
Telephonic Complex Case Care Manager, LTSS (RN) - TEXAS Only
Molina Healthcare
JOB DESCRIPTION Opportunity for a TX licensed RN, residing in Texas, with experience functioning as a Care Manager working with Complex/Intensive cases. Telephonically you will complete assessments needed for determining the types of services we need to provide and managing their care until they are discharged from your service. The ideal candidate will have experience as a Case Manager within a managed care organization (MCO) like Molina, but we also consider RNs with a strong background in complex cases. Hours are Monday – Friday, 8 AM – 5 PM CST working from home. Solid experience with Microsoft Office Suite is necessary, especially with Outlook, Excel, and Teams as well as being confident in moving between different programs to complete the necessary forms and documentation. Excellent computer skills and attention to detail are very important to multitask between systems and talking with members on the phone while entering accurate contact notes. This is a fast-paced position and productivity is important. Job Summary Provides support for care management/care coordination long-term services and supports specific activities and collaborates with multidisciplinary team coordinating integrated delivery of member care across the continuum for members with high-need potential. 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 member assessments within regulated timelines, including in-person home visits as required. • Facilitates comprehensive waiver enrollment and disenrollment processes. • Develops and implements care plans, including a waiver service plan in collaboration with members, caregivers, physicians and/or other appropriate health care professionals and member support network to address the member needs and goals. • Performs ongoing monitoring of care plan to evaluate effectiveness, document interventions and goal achievement, and suggest changes accordingly. • Promotes integration of services for members including behavioral health care and long-term services and supports (LTSS) and home and community resources to enhance continuity of care. • Assesses for medical necessity and authorizes all appropriate waiver services. • Evaluates covered benefits and advises appropriately regarding funding sources. • Facilitates interdisciplinary care team (ICT) meetings for approval or denial of services 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 and provides care coordination and assistance to members to address psycho/social, financial, and medical obstacles concerns. • Identifies critical incidents and develops prevention plans to assure member health and welfare. • 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. Required Qualifications • At least 2 years experience in health care, including at least 1 year experience in care management, managed care, and/or experience in a medical or behavioral health setting, and at least 1 year of experience working with persons with disabilities, chronic conditions, substance abuse disorders, and long-term services and supports (LTSS), 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. • Ability to operate proactively and demonstrate detail-oriented work. • Demonstrated knowledge of community resources. • Ability to work within a variety of settings and adjust style as needed - working with diverse populations and various personalities and personal situations. • Ability to work independently, with minimal supervision and demonstrate 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(s) proficiency. • In some states, must have at least one year of experience working directly with individuals with substance use disorders. Preferred Qualifications • Certified Case Manager (CCM). • Experience working with populations that receive waiver services. 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
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AlimentivLearn about career opportunities, our culture, and our mission to improve human health.
Role Description In this role you will be providing unbiased medical guidance to clinical sites and internal and external study operations teams. You will also be providing therapeutic and compound training, medical guidance on protocol compliance, ensuring medical congruency at subject and study level and oversight of coding of medical terms. You will be responsible for supporting clinical safety, project, and data management by reviewing critical study materials at study start up stage and data listings though the study duration. You may also assist with reviewing the interim or final data sets and the writing of the final study report. Day to day you will be in regular communication with the medical team (including medical teleconferences), and interfacing with the internal cross functional teams as well as sponsor medical groups throughout the study. Medical Oversight - Provide clarity on general protocol questions, and medical guidance for protocols as required. - Serve as medical expert providing guidance on patient eligibility, and investigational product related questions. - Document contacts in accordance with Alimentiv or study specific procedures. - Consult with Alimentiv Medical Director(s), Sponsor Medical group and/or Safety about medical questions pertaining to the indication/compound under study. - Observe and identify safety issues and other trends as appropriate. - Provide consultation on the unbinding of trial participants/site staff to subject treatment allocation. - Review individual, out of range laboratory values following study-specific laboratory guidelines and alert values (as appropriate). - Review cumulative laboratory values according to the study plans. - Review protocol deviation data and recommend protocol changes as appropriate. - Create and follow a study-specific medical monitoring plan if applicable. - Provide medical review of study level data, to identify gaps and areas requiring additional safety-related follow-up. - Participate in the development, review and finalization of protocols, amendments, Clinical Study Reports, as required. - Provide medical input into data collection tools, study plans (e.g., monitoring, statistical analysis plans, etc.). - Provide medical input into study feasibility, site selection and site initiations as required. - Attend and lead medical monitoring teleconferences at regularly scheduled intervals throughout the study, if required. Knowledge - Maintain a thorough working knowledge of protocol(s) and the current Investigator Brochure(s) with particular attention to those aspects relating to safety data involving human subjects. Training - Participates in the development and maintenance of medical educational materials. - Provide internal training to Alimentiv operational teams on specific diseases, drug targets, pharmacology, protocol requirements etc., as needed to support execution of client studies or general acquisition to appropriate medical knowledge as required by the organization. - Assist with the development of investigator training and meeting support materials. - Attend and present at investigator meetings and CRA training meetings. Qualifications - The successful candidate must have a medical degree with a strong understanding of the drug development process, ICH and Good Clinical Practices. - Typically, this person will hold about 4-6 years of related experience with substantial on-going job-related training. - Strong written and verbal communication and presentation skills, enabling effective interactions with team members within Alimentiv, client company personnel and prospective sponsors. - You must have the ability to exercise sound clinical judgment in addressing protocol ambiguities and unforeseen medical scenarios that arise during trial conduct. - Strong analytical and critical thinking skills are essential for identifying safety signals, evaluating complex patient data, and recognizing emerging trends across study populations to ensure subject protection and data integrity. - Previous experience in clinical trials is preferred especially in navigating complex medical scenarios within a CRO environment. - Must be fluent in English. Stay Alert to Recruitment Scams We have been made aware of individuals posing as our recruiters and contacting candidates with fraudulent opportunities. Our hiring process always includes direct engagement with a recruiter or hiring manager, and we will never ask for sensitive personal information early in the process. Official communication will only come from our company email domains. If something doesn’t feel right, we encourage you to verify before responding. We may use artificial intelligence (AI) tools to support parts of the hiring process, such as reviewing applications, analyzing resumes, or assessing responses. These tools assist our recruitment team but do not replace human judgment. Final hiring decisions are ultimately made by humans. If you would like more information about how your data is processed, please contact us.
Advertising Summary: The Department of Radiology at VCU Health in Richmond, Virginia, is recruiting two neuroradiologists to provide daytime, remote teleradiology, subspecialized all neuroradiology interpretation of CT, CTA, CT Perfusion, MR, perfusion imaging in support of a high-volume academic health system. This position is primarily clinical and is structured around a 7 days on / 7 days off daytime schedule, offering predictable coverage with no overnight shifts. Remote work arrangements are available from Florida, North Carolina, Virginia, and Talbot County, Maryland. The teleradiologist will deliver expert diagnostic interpretations of neuroimaging studies involving the brain, face, head, neck, peripheral nerves, and spine using a fully digitized, state-of-the-art PACS and voice recognition environment. The role emphasizes efficiency, accuracy, and high-quality communication with referring providers during daytime hours, supporting patient care across inpatient, outpatient, and emergency settings. Unit: School Of Medicine MBU Department: Radiology Department Summary: The mission of the Department of Radiology is to create a world-class department by providing optimal care in a patient-centered environment, providing sub-specialty expertise, providing top quality imaging and therapeutic procedures, and to advance medical education and research, with a vision to create a department that is recognized as top tier nationally and internationally. Duties & Responsibilities: Clinical (Primary Responsibility) • Provide high-quality, subspecialized neuroradiology interpretations during daytime shifts on a 7-days-on / 7-days-off schedule • Interpret CT, CTA, CT perfusion, MR, perfusion imaging, and MR spectroscopy studies in a fully remote environment • Support daytime imaging needs for inpatient, outpatient, and emergency department services • 24-hour IT support • Communicate critical and actionable findings promptly and directly to referring providers • Utilize a seamless system for closed loop communication for critical results. • Participate in real-time virtual consultations and multidisciplinary discussions as clinically appropriate • Meet established turnaround time, quality, documentation standards and productivity standards Teaching (Optional and Limited) • Optional participation in limited remote teaching activities, such as virtual readouts or case discussions, as scheduling permits Research and Service (Minimal) • Optional involvement in clinically relevant quality improvement or imaging-based initiatives • Minimal non-clinical obligations, with participation primarily limited to virtual clinical activities Qualifications: Minimum Qualifications • Demonstrated ability to work in and foster an environment of respect, professionalism and civility with a population of faculty, staff, and students from all backgrounds and experiences, or a commitment to do so as a faculty member at VCU • ABR certified or successful completion of the ABR Core Examination • Fellowship training in Neuroradiology • Strong communication skills for effective collaboration in a virtual clinical environment • Current license to practice medicine in Virginia or the ability to qualify for licensure as well as an out-of-state license where the candidate will practice. • Eligibility for permanent employment in the United States Preferred Qualifications • Experience providing daytime neuroradiology coverage in a high-volume tertiary care setting • Demonstrated experience in remote daytime neuroradiology practice • Expertise in supporting acute neuroimaging, including stroke and trauma, and outpatient neuroradiology during daytime workflows • Interest in clinical consultation with referring providers within a teleradiology model Salary Range: Commensurate FLSA Exemption Status: Exempt Flexible Work Arrangement: Other Rank: Open Tenure: Ineligible Months: 12 months Contact Information: Contact Name: Melissa Kang, MD Contact Email: melissa.kang@vcuhealth.org
1099 Telemedicine Gynecologist | Flexible Schedule
AllaraThe first collaborative care platform for women with chronic health conditions
Allara is a comprehensive women’s health provider that specializes in expert, longitudinal care that supports women through every life stage. Trusted by over 60,000 women nationwide, Allara makes expert healthcare accessible by connecting patients with multidisciplinary care teams that have a deep understanding of hormonal, metabolic, and reproductive care. Allara provides ongoing support for hormonal conditions like PCOS, chronic conditions like insulin resistance, and life stages like perimenopause, helping patients see improved health outcomes. As one of the fastest-growing women’s health platforms in the U.S., Allara is bridging long-overlooked gaps in healthcare for women. Allara is a comprehensive women’s health provider that specializes in expert, longitudinal care that supports women through every life stage. Trusted by over 60,000 women nationwide, Allara makes expert healthcare accessible by connecting patients with multidisciplinary care teams that have a deep understanding of hormonal, metabolic, and reproductive care. Allara provides ongoing support for hormonal conditions like PCOS, chronic conditions like insulin resistance, and life stages like perimenopause, helping patients see improved health outcomes. As one of the fastest-growing women’s health platforms in the U.S., Allara is bridging long-overlooked gaps in healthcare for women. The Opportunity We're seeking board-certified Gynecologists to provide comprehensive, empathetic, and collaborative care to women-including diagnosis, treatment, and management of chronic and acute conditions. Location: Fully remote within the U.S. Your Impact - Conduct thorough patient assessments and develop personalized treatment plans via video visits - Collaborate with a multidisciplinary team to deliver the highest standards of care - Complete required training and adhere to company policies and best practices - Promote preventative care and overall well-being through education and evidence-based strategies - Maintain accurate and up-to-date patient records - Dedicate a minimum of 10 patient-facing hours per week, including consults, prescribing medications when appropriate, and providing necessary medical guidance - Charting, addressing patient questions, and responding to administrative tasks and messages Required Qualifications - Required Medical License: MD or DO degree from an accredited institution - Required Certification: Active national board certification in Gynecology - Required Experience: Minimum of 2 years of consecutive experience as a Gynecologist specializing in women's health and treating chronic conditions such as PCOS, Endometriosis, Hypothyroidism, Hashimoto’s, Metabolic Syndrome, Menopause, Fertility, Postpartum, PMDD, and Obesity - Independence: Ability to operate effectively as an independent provider with strong diagnostic and problem-solving abilities - Communication Skills: Exceptional written and verbal communication with a focus on clarity and compassion - Webside Manner: Strong ability to connect with patients virtually and provide empathetic care - Commitment to Evidence-Based Care: Dedication to delivering treatments grounded in the latest research - Technical Proficiency: Highly skilled in navigating multiple computer screens and proficient in tools such as EMR, text expanders, Gmail, Google Calendar, Zoom, and scheduling platforms - Telemedicine: Experience is a plus! - Licensure Requirements & Hiring Considerations: An active, unrestricted, and unencumbered professional license in at least one U.S. state is required. Please note: All active and pending state licenses held at the time of application are collected and reviewed. Hiring decisions are based on current state hiring needs, which may change over time, and applicants may not move forward if there is no immediate need for their specific license(s). We often revisit opportunities in the future as hiring needs evolve and when licensure, experience, and other role requirements align. What Allara Offers - Compensation: We offer competitive per-visit rates, plus additional pay for charting, administrative tasks, and other patient-related tasks - Fully Remote Role: Work from anywhere in the US - 1099 Contract Agreement: Enjoy the flexibility and independence of a contractor role. - Flexible Schedules: Set the hours that best fit your lifestyle and availability - Malpractice Insurance: Comprehensive coverage provided - Mission-Driven Impact: Join us in transforming healthcare for women, making a meaningful difference every day - Collaborative Community: Engage with and learn from a network of dedicated Allara providers - Inclusive Work Environment: Be part of a supportive, diverse, and collaborative team that values innovation and inclusion At Allara, we believe in celebrating everything that makes us human and are proud to be an equal-opportunity workplace. We embrace diversity and are committed to building a team that represents a variety of backgrounds, perspectives, and skills. We believe that the more inclusive we are, the better we can serve our members. We’re an Equal Opportunity Employer and do not discriminate against candidates or patients based on race, color, gender, sexual orientation, gender identity or expression, age, religion, disability, national origin, protected veteran status, or any other status protected by applicable federal, state, or local law. At Allara, we believe in celebrating everything that makes us human and are proud to be an equal-opportunity workplace. We embrace diversity and are committed to building a team that represents a variety of backgrounds, perspectives, and skills. We believe that the more inclusive we are, the better we can serve our members. We’re an Equal Opportunity Employer and do not discriminate against candidates or patients based on race, color, gender, sexual orientation, gender identity or expression, age, religion, disability, national origin, protected veteran status, or any other status protected by applicable federal, state, or local law.
1099 Telemedicine Gynecologist | Flexible Schedule
AllaraThe first collaborative care platform for women with chronic health conditions
Allara is a comprehensive women’s health provider that specializes in expert, longitudinal care that supports women through every life stage. Trusted by over 60,000 women nationwide, Allara makes expert healthcare accessible by connecting patients with multidisciplinary care teams that have a deep understanding of hormonal, metabolic, and reproductive care. Allara provides ongoing support for hormonal conditions like PCOS, chronic conditions like insulin resistance, and life stages like perimenopause, helping patients see improved health outcomes. As one of the fastest-growing women’s health platforms in the U.S., Allara is bridging long-overlooked gaps in healthcare for women. Allara is a comprehensive women’s health provider that specializes in expert, longitudinal care that supports women through every life stage. Trusted by over 60,000 women nationwide, Allara makes expert healthcare accessible by connecting patients with multidisciplinary care teams that have a deep understanding of hormonal, metabolic, and reproductive care. Allara provides ongoing support for hormonal conditions like PCOS, chronic conditions like insulin resistance, and life stages like perimenopause, helping patients see improved health outcomes. As one of the fastest-growing women’s health platforms in the U.S., Allara is bridging long-overlooked gaps in healthcare for women. The Opportunity We're seeking board-certified Gynecologists to provide comprehensive, empathetic, and collaborative care to women-including diagnosis, treatment, and management of chronic and acute conditions. Location: Fully remote within the U.S. Your Impact - Conduct thorough patient assessments and develop personalized treatment plans via video visits - Collaborate with a multidisciplinary team to deliver the highest standards of care - Complete required training and adhere to company policies and best practices - Promote preventative care and overall well-being through education and evidence-based strategies - Maintain accurate and up-to-date patient records - Dedicate a minimum of 10 patient-facing hours per week, including consults, prescribing medications when appropriate, and providing necessary medical guidance - Charting, addressing patient questions, and responding to administrative tasks and messages Required Qualifications - Required Medical License: MD or DO degree from an accredited institution - Required Certification: Active national board certification in Gynecology - Required Experience: Minimum of 2 years of consecutive experience as a Gynecologist specializing in women's health and treating chronic conditions such as PCOS, Endometriosis, Hypothyroidism, Hashimoto’s, Metabolic Syndrome, Menopause, Fertility, Postpartum, PMDD, and Obesity - Independence: Ability to operate effectively as an independent provider with strong diagnostic and problem-solving abilities - Communication Skills: Exceptional written and verbal communication with a focus on clarity and compassion - Webside Manner: Strong ability to connect with patients virtually and provide empathetic care - Commitment to Evidence-Based Care: Dedication to delivering treatments grounded in the latest research - Technical Proficiency: Highly skilled in navigating multiple computer screens and proficient in tools such as EMR, text expanders, Gmail, Google Calendar, Zoom, and scheduling platforms - Telemedicine: Experience is a plus! - Licensure Requirements & Hiring Considerations: An active, unrestricted, and unencumbered professional license in at least one U.S. state is required. Please note: All active and pending state licenses held at the time of application are collected and reviewed. Hiring decisions are based on current state hiring needs, which may change over time, and applicants may not move forward if there is no immediate need for their specific license(s). We often revisit opportunities in the future as hiring needs evolve and when licensure, experience, and other role requirements align. What Allara Offers - Compensation: We offer competitive per-visit rates, plus additional pay for charting, administrative tasks, and other patient-related tasks - Fully Remote Role: Work from anywhere in the US - 1099 Contract Agreement: Enjoy the flexibility and independence of a contractor role. - Flexible Schedules: Set the hours that best fit your lifestyle and availability - Malpractice Insurance: Comprehensive coverage provided - Mission-Driven Impact: Join us in transforming healthcare for women, making a meaningful difference every day - Collaborative Community: Engage with and learn from a network of dedicated Allara providers - Inclusive Work Environment: Be part of a supportive, diverse, and collaborative team that values innovation and inclusion At Allara, we believe in celebrating everything that makes us human and are proud to be an equal-opportunity workplace. We embrace diversity and are committed to building a team that represents a variety of backgrounds, perspectives, and skills. We believe that the more inclusive we are, the better we can serve our members. We’re an Equal Opportunity Employer and do not discriminate against candidates or patients based on race, color, gender, sexual orientation, gender identity or expression, age, religion, disability, national origin, protected veteran status, or any other status protected by applicable federal, state, or local law. At Allara, we believe in celebrating everything that makes us human and are proud to be an equal-opportunity workplace. We embrace diversity and are committed to building a team that represents a variety of backgrounds, perspectives, and skills. We believe that the more inclusive we are, the better we can serve our members. We’re an Equal Opportunity Employer and do not discriminate against candidates or patients based on race, color, gender, sexual orientation, gender identity or expression, age, religion, disability, national origin, protected veteran status, or any other status protected by applicable federal, state, or local law.


