Field-Based RN Care Navigator

Molina Healthcare; Downs (IL); On-site; USD 38,000 - 74,000; Full time

Job summary

Molina Healthcare is seeking a Clinical Care Manager RN in Illinois to support care management and coordinate services across the continuum. You will work with an interdisciplinary team to develop care plans, conduct assessments, and monitor progress.

The role involves travel 25-40% locally, telephonic or in-person visits, and collaboration with behavioral health and LTSS resources. Active RN license and EMR/HIPAA knowledge are required.

Qualifications

• Minimum 2 years experience in health care or care management or equivalent combination of education and experience.
• RN license active and unrestricted in state of practice.
• Valid driver's license and reliable transportation for travel requirements.
• Understanding of EMR and HIPAA.
• Knowledge of community resources and ability to work with diverse populations.

Responsibilities

• Completes comprehensive assessments of members and determines eligibility for care management.
• Develops and implements care coordination plan with member and care network.
• Conducts telephonic, in-person or home visits as required.
• Monitors care plan effectiveness and documents interventions and goal achievement.
• Maintains ongoing member caseload and performs outreach.
• Promotes integration of services across behavioral health, LTSS, and community resources.
• Facilitates interdisciplinary care team meetings and collaboration.
• Educates and motivates members using motivational interviewing and Molina guidelines.
• Assesses barriers to care and provides care coordination assistance.
• May provide consultation and resources to peers.

Skills

Healthcare experience

Detail-oriented

Time management

Communication skills

Education

Registered Nurse (RN) license

Tools

EMR systems

HIPAA compliance

Job description

Molina Healthcare is seeking a Clinical Care Manager RN in Illinois to support care management and coordinate services across the continuum. You will work with an interdisciplinary team to develop care plans, conduct assessments, and monitor progress.

The role involves travel 25-40% locally, telephonic or in-person visits, and collaboration with behavioral health and LTSS resources. Active RN license and EMR/HIPAA knowledge are required.