Care Manager RN — Integrated Care & Outcomes Leader

Molina Talent Acquisition; Des Moines (IA); Sur place; USD 65 000 - 90 000; Plein temps

Résumé du poste

Molina Healthcare is seeking a qualified RN to support care management and coordination across the member care continuum. You will work with a multidisciplinary team to monitor progress toward outcomes and adjust plans as needed, ensuring quality and cost-effective care.

The role includes travel up to 40% and requires strong communication, problem-solving, and motivational interviewing skills, along with proficiency in EMR systems and HIPAA compliance.

Qualifications

• At least 2 years experience in health care, preferably in care management or equivalent combination of relevant education and experience.
• RN license active and unrestricted in state of practice.
• Valid driver’s license, reliable transportation for travel requirements.
• Understanding of EMR and HIPAA.
• Demonstrated knowledge of community resources.
• Ability to operate proactively and be detail oriented.
• Ability to work across diverse settings and with diverse populations.
• Ability to work independently with minimal supervision and self-motivation.

Responsabilités

• Completes comprehensive assessments of members per regulated timelines and determines who may qualify for care management based on clinical judgment and triggers identified in assessments.
• Develops and implements care coordination plan in collaboration with member, caregiver, physician and other health care professionals 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, 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.
• Assess for barriers to care, provide 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).

Connaissances

Healthcare experience

RN license

Travel readiness

Communication skills

Independent worker

Time management

Problem solving

Motivational interviewing

Formation

Registered Nurse (RN) license

Outils

EMR systems

Description du poste

Molina Healthcare is seeking a qualified RN to support care management and coordination across the member care continuum. You will work with a multidisciplinary team to monitor progress toward outcomes and adjust plans as needed, ensuring quality and cost-effective care.

The role includes travel up to 40% and requires strong communication, problem-solving, and motivational interviewing skills, along with proficiency in EMR systems and HIPAA compliance.