Care Coordination RN — Impactful Health Navigator

Jobtome; Toledo (IA); On-site; USD 36,000 - 71,000; Full time

Benefits offered by this job

Competitive benefits

Job summary

Molina Healthcare is seeking a Registered Nurse care manager to support care coordination across the continuum. You will work with the member, family, physicians, and care network to address needs and goals, including behavioral health and LTSS integration.

Responsibilities include assessing, planning, implementing, and evaluating care plans; traveling as required; and collaborating with the ICT to ensure quality, cost-effective member care. Certification and state licensure are required.

Qualifications

• At least 2 years of health care experience, preferably in care management or related settings.
• RN license must be active and unrestricted in state of practice.
• CCM certification preferred.
• Understanding of EMR and HIPAA requirements.

Responsibilities

• Complete comprehensive member assessments within regulatory timelines.
• Develop and implement care coordination plans with the member and health team.
• Conduct telephonic, in-person, or home visits as needed.
• Monitor and adjust care plans to meet goals and improve outcomes.
• Maintain ongoing member caseload and coordinate services across disciplines.

Skills

Care coordination

Verbal and written communication

Time management

Problem solving

Adaptability

Education

RN license (active)

CCM certification (preferred)

Tools

EMR systems

Microsoft Office

Job description

Molina Healthcare is seeking a Registered Nurse care manager to support care coordination across the continuum. You will work with the member, family, physicians, and care network to address needs and goals, including behavioral health and LTSS integration.

Responsibilities include assessing, planning, implementing, and evaluating care plans; traveling as required; and collaborating with the ICT to ensure quality, cost-effective member care. Certification and state licensure are required.