Care Manager RN – Coordinated, Field-Based Care

Jobtome; Issaquah (WA); On-site; USD 36,000 - 82,000; Full time

Job summary

Molina Healthcare in the United States is seeking a Registered Nurse Care Manager to provide care management and coordination across the continuum, collaborating with a multidisciplinary team to improve member outcomes and manage costs.

The role includes performing comprehensive assessments, developing care plans, conducting visits, monitoring progress, and promoting integration of services including behavioral health and LTSS. Travel 25-40% may be required.

Qualifications

• At least 2 years of experience in health care, preferably in care management or equivalent.
• RN license active and unrestricted in state of practice.
• Valid driver's license and reliable transportation for travel requirements.
• Understanding of EMR and HIPAA regulations.
• Demonstrated knowledge of community resources.
• Ability to operate proactively with attention to detail.
• Ability to work in diverse settings and with varied populations.
• Strong verbal and written communication skills.
• Proficient with Microsoft Office and navigating online portals/databases.
• Excellent problem-solving and critical-thinking abilities.

Responsibilities

• Completes comprehensive assessments within regulated timelines and determines eligibility for care management.
• Develops and implements care coordination plan with member, caregiver, physician and care team.
• Conducts telephonic, face-to-face or home visits as required.
• Monitors care plan effectiveness, documents interventions and suggests changes.
• Maintains ongoing member caseload for regular outreach and management.
• Promotes integration of services including behavioral health, LTSS, and community resources.
• Facilitates interdisciplinary care team meetings and collaboration.
• Uses motivational interviewing to educate and motivate change.
• Assesses barriers to care and provides coordination assistance to member.
• May provide consultation and resources to peers.
• Care manager RNs may handle complex cases and medication reconciliation.
• Travel 25-40% may be required.

Skills

Communication skills

Time management

Organizational skills

Microsoft Office

Independence

Education

Registered Nurse (RN) license

Certified Case Manager (CCM)

Tools

EMR systems

Online portals/databases

Job description

Molina Healthcare in the United States is seeking a Registered Nurse Care Manager to provide care management and coordination across the continuum, collaborating with a multidisciplinary team to improve member outcomes and manage costs.

The role includes performing comprehensive assessments, developing care plans, conducting visits, monitoring progress, and promoting integration of services including behavioral health and LTSS. Travel 25-40% may be required.