Care Manager RN: Coordinate Care & Improve Outcomes

Molina Healthcare, Inc.; Issaquah (WA); On-site; USD 36,000 - 82,000; Full time

Job summary

Molina Healthcare, Inc. is seeking a Care Manager RN to support care management and coordination across the continuum of member care. You will work with the multidisciplinary team to advance outcomes and align with Molina’s strategies for quality and cost-effective care.

Responsibilities include comprehensive assessments, developing care plans, and coordinating with members, families, and providers. Expect travel and operational use of EMR systems, with emphasis on HIPAA compliance and resource

Qualifications

• At least 2 years experience in health care, preferably in care management.
• RN license active and unrestricted.
• Valid driver’s license and reliable transportation for travel.
• Understanding of EMR and HIPAA.
• Demonstrated knowledge of community resources.
• Ability to work independently with minimal supervision.
• Strong communication and time-management skills.
• Proficient with Microsoft Office and online portals.

Responsibilities

• Complete comprehensive assessments and determine eligibility for care management.
• Develop and implement care coordination plan with member, caregivers, and health professionals.
• Conduct telephonic, in-person, or home visits as required.
• Monitor care plan, document interventions, and adjust as needed.
• Maintain ongoing member caseload and regular outreach.
• Promote integration of services across behavioral health, LTSS, and community resources.
• Facilitate interdisciplinary care team meetings and collaboration.
• Educate, support and motivate change during member contacts.
• Address barriers to care and provide coordination to members.
• May provide consultation and resources to peers as needed.
• May handle complex member cases and medication reconciliation.
• Travel 25-40% of time based on state/contractual requirements.

Skills

Communication skills

Time management

Problem solving

Critical thinking

Interpersonal skills

Detail-oriented

Education

Registered Nurse (RN) license

Tools

EMR system

Microsoft Office

Job description

Molina Healthcare, Inc. is seeking a Care Manager RN to support care management and coordination across the continuum of member care. You will work with the multidisciplinary team to advance outcomes and align with Molina’s strategies for quality and cost-effective care.

Responsibilities include comprehensive assessments, developing care plans, and coordinating with members, families, and providers. Expect travel and operational use of EMR systems, with emphasis on HIPAA compliance and resource