Care Coordination RN: Drive Integrated Member Care

Jobtome; Cincinnati (OH); On-site; USD 36,000 - 71,000; Full time

Job summary

Molina Healthcare seeks a Care Manager RN to support care management activities and coordinate integrated member care. You will work with multidisciplinary teams to ensure progress toward outcomes and contribute to strategy for quality, cost-effective care.

The role includes comprehensive assessments, care coordination planning, and home visits, with 25-40% travel as needed by state contracts.

Qualifications

• 2+ years in health care or care management preferred.
• Active RN license in state of practice.
• Valid driver’s license with reliable transportation.
• Familiarity with EMR and HIPAA requirements.
• Ability to work independently and with diverse populations.
• Strong communication and time-management skills.

Responsibilities

• Complete comprehensive member assessments within required timelines.
• Develop and implement care coordination plans with members and providers.
• Conduct telephonic, in-person, or home visits as needed.
• Monitor and adjust care plans based on outcomes.
• Maintain ongoing member caseload and outreach.
• Facilitate integration of behavioral health and LTSS services.
• Lead ICT meetings and collaborate with care teams.
• Provide medication reconciliation as needed.

Skills

Communication

Time management

Problem solving

Critical thinking

Self-motivation

Multitasking

Interpersonal skills

Education

RN license (active)

Tools

EMR systems

Microsoft Office

Online portals

Job description

Molina Healthcare seeks a Care Manager RN to support care management activities and coordinate integrated member care. You will work with multidisciplinary teams to ensure progress toward outcomes and contribute to strategy for quality, cost-effective care.

The role includes comprehensive assessments, care coordination planning, and home visits, with 25-40% travel as needed by state contracts.