Care Manager RN Remote with Field Travel in Cincinnati or Dayton OH

Molina Healthcare; Cincinnati (OH); Remote; USD 100,000 - 125,000; Full time

Job summary

Molina Healthcare is seeking a Care Manager RN with field travel for Ohio, focusing on care coordination for members in need. The role involves assessments, case management, and collaboration with providers to ensure quality care. Candidates must hold a valid RN license and have relevant experience, with a preference for bilingual applicants in this remote role with field travel requirements.

Qualifications

• 1-3 years in case management, disease management, managed care or medical/behavioral health settings.
• Active, unrestricted State Registered Nursing (RN) license in good standing.
• A valid driver's license with a good driving record.

Responsibilities

• Completes comprehensive assessments and develops case management plans.
• Conducts face-to-face or home visits and monitors care plans.
• Facilitates interdisciplinary care team meetings.

Skills

Organizational skills

Technologically proficient

Time management skills

Bilingual

Education

Bachelor's Degree in Nursing

Graduate from an Accredited School of Nursing

Job description

Care Manager RN Remote with Field Travel in Cincinnati or Dayton OH

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Job Summary

Molina Healthcare Services (HCS) works with members, providers and multidisciplinary team members to assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long term care, for members with high need potential. HCS staff work to ensure that patients progress toward desired outcomes with quality care that is medically appropriate and cost-effective based on the severity of illness and the site of service.

Job Description

Job Summary

Molina Healthcare Services (HCS) works with members, providers and multidisciplinary team members to assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long term care, for members with high need potential. HCS staff work to ensure that patients progress toward desired outcomes with quality care that is medically appropriate and cost-effective based on the severity of illness and the site of service.

This position will be supporting our Ohio state plan. We are looking for candidates with a RN licensure and previous care management experience. The candidate must have organizational skills, be technologically proficient, and have time management skills. This position requires the ability to work in a high-volume environment to serve our members. Bilingual candidates are encouraged to apply.

This position will serve our members in the Cincinnati/Dayton area: Hamilton, Butler, Warren, Clermont, Clinton, Green, Montgomery, and Clark Counties

Remote position with 30% field travel

Work hours: Monday – Friday 8:00am – 5:00pn EST

Knowledge/Skills/Abilities

• Completes comprehensive assessments of members per regulated timelines and determines who may qualify for case management based on clinical judgment, changes in member's health or psychosocial wellness, and triggers identified in the assessment.
• Develops and implements a case management plan in collaboration with the member, caregiver, physician and/or other appropriate healthcare professionals and member's support network to address the member needs and goals.
• Conducts face-to-face or home visits as required.
• Performs ongoing monitoring of the care plan to evaluate effectiveness, document interventions and goal achievement, and suggest changes accordingly.
• Maintains ongoing member case load for regular outreach and management.
• Promotes integration of services for members including behavioral health care and long term services and supports/home and community to enhance the continuity of care for Molina members.
• Facilitates interdisciplinary care team 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.
• 25- 40% local travel required.
• RNs provide consultation, recommendations and education as appropriate to non-RN case managers.
• RNs are assigned cases with members who have complex medical conditions and medication regimens
• RNs conduct medication reconciliation when needed.
  
  

Job Qualifications

Required Education

Graduate from an Accredited School of Nursing. Bachelor's Degree in Nursing preferred.

Required Experience

1-3 years in case management, disease management, managed care or medical or behavioral health settings.

Required License, Certification, Association

Active, unrestricted State Registered Nursing (RN) license in good standing.

Must have valid driver's license with good driving record and be able to drive within applicable state or locality with reliable transportation.

Preferred Education

Bachelor's Degree in Nursing

Preferred Experience

3-5 years in case management, disease management, managed care or medical or behavioral health settings.

Preferred License, Certification, Association

Active, unrestricted Certified Case Manager (CCM)

To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing.

Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.

Pay Range: $26.41 - $51.49 / HOURLY

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

Seniority level

• Seniority level

  Entry level

Employment type

• Employment type

  Full-time

Job function

• Job function

  Health Care Provider

• Industries

  Hospitals and Health Care

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