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Molina Healthcare

Runs health plans for government programs

Self-Directed Personal Care - RN

Nursing & Frontline Patient CareConfirmed live in the last 24 hours
Full-timeAppleton, WI, USA$26.41 - $51.49 /hr

About the Job

Requirements

  • At least 2 years of nursing experience and at least 1 year serving the IRIS program's target groups (adults with physical or intellectual disabilities or older adults), or an equivalent combination of relevant education and experience.
  • Hold an active and unrestricted Registered Nurse license in Wisconsin.
  • Hold an associate's degree in nursing.
  • Have a valid and unrestricted driver's license, reliable transportation, and adequate auto insurance for job-related travel, unless otherwise required by law.
  • Have database operation and maintenance skills and data-entry experience.
  • Have teaching and mentoring skills.
  • Have analytical and problem-solving skills.
  • Have strong organizational and time-management skills and the ability to manage tasks independently.
  • Be flexible in the work environment and willing and able to adapt to changing organizational needs.
  • Have strong written and verbal communication skills.
  • Be proficient with the Microsoft Office suite or applicable software programs.

Responsibilities

  • Provide personal care assessments and oversight to My Cares Groups by administering the Wisconsin Personal Care Screening Tool and required addendums.
  • Document assessments as required by the individual tool and Department of Health Services policies, and complete required oversight visits and calls.
  • Oversee a My Cares Group of participants, develop individual plans of care, ensure physician orders for care are obtained, and review and revise plans of care as needed.
  • Submit prior authorizations for personal care services.
  • Comply with Department of Health Services policies, SDPC guidelines, procedures, practices, documentation requirements, and program regulations.
  • Provide personal care training to participants or care providers as requested and provide educational materials as needed.
  • Complete collateral contacts with IRIS consultants, Long-Term Care Functional Screeners, and physicians to ensure care needs are met.
  • Complete other duties as assigned.
  • Work overtime when required.
  • Drive for member home visits, potentially up to 50% of a given day.

Desired Qualifications

  • Experience providing care through the Wisconsin Medical Assistance Personal Care program (MPAC).
  • Home care or home health experience.

About the Company

Molina Healthcare

Runs health plans for government programs

Molina Healthcare runs health insurance plans for people covered by Medicaid, Medicare and state insurance marketplaces, with a focus on people who need affordable access to care. Its local health plans coordinate medical services and support members with complex health needs, including people eligible for both Medicaid and Medicare. Members receive care through networks of doctors, hospitals and other providers, while the plans manage benefits, process claims and arrange care support. The company earns premiums from government programs and members, and pays the cost of covered healthcare services. Molina was founded in 1980 and is headquartered in Long Beach, California.

Company size
10,001+
Company stage
IPO
Headquarters
Long Beach, CA
Founded
1980

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