Care Manager (RN)

Molina Healthcare; Nebraska; On-site; USD 34,550 - 70,932; Full time

Job summary

A health care provider in Nebraska is seeking a care manager RN to provide support for care coordination activities. The role involves assessing member needs, developing care plans, and collaborating with a multidisciplinary team. The ideal candidate will have at least 2 years of health care experience, an active RN license, and strong communication skills. This position offers competitive hourly pay ranging from $25.08 to $51.49, along with full-time employment benefits.

Qualifications

• At least 2 years experience in health care, preferably in care management.
• Registered Nurse (RN) with active license.
• Valid driver's license and reliable transportation.
• Knowledge of community resources.
• Excellent time-management and prioritization skills.

Responsibilities

• Conduct assessments of members for care management qualification.
• Develop and implement care coordination plans.
• Perform ongoing monitoring of care plans.
• Promote integration of services for members.
• Facilitate interdisciplinary care team meetings.

Skills

Experience in health care

Registered Nurse (RN)

Understanding of EMR and HIPAA

Problem-solving skills

Communication skills

Education

Relevant education in health care

Tools

Microsoft Office

Job description

6 days ago. Be among the first 25 applicants.

• Must be a current resident of the state of Nebraska.

Job Description

Provides support for care management/care coordination activities and collaborates with multidisciplinary team coordinating integrated delivery of member care across the continuum. 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 assessments of members per regulated timelines and determines who may qualify for care management based on clinical judgment, changes in member health or psychosocial wellness and triggers identified in assessments.
• Develops and implements care coordination plan in collaboration with member, caregiver, physician and/or other appropriate health care professionals and member support network to address member needs and goals.
• Conducts telephonic, face‑to‑face or home visits as required.
• Performs ongoing monitoring of care plan to evaluate effectiveness, document interventions and goal achievement, and suggest changes accordingly.
• Maintains ongoing member caseload for regular outreach and management.
• Promotes integration of services for members including behavioral health, long‑term services and supports (LTSS), and home and community resources to enhance continuity of care.
• Facilitates interdisciplinary care team (ICT) meetings 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, provides care coordination and assistance to member to address concerns.
• 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.
• 25-40% estimated local travel may be required (based upon state/contractual requirements).

Required Qualifications

• At least 2 years experience in health care, preferably in care management, or experience in a medical and/or behavioral health setting, 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.
• Understanding of the electronic medical record (EMR) and Health Insurance Portability and Accountability Act (HIPAA).
• Demonstrated knowledge of community resources.
• Ability to operate proactively and demonstrate detail‑oriented work.
• Ability to work within a variety of settings and adjust style as needed – working with diverse populations, various personalities and personal situations.
• Ability to work independently, with minimal supervision and 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 proficiency, and ability to navigate online portals and databases.

Preferred Qualifications

• Certified Case Manager (CCM).

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

Pay Range

$25.08 - $51.49 / HOURLY

Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

Seniority Level

Entry level

Employment Type

Full‑time

Job Function

Health Care Provider

Industries

Hospitals and Health Care