Field RN Care Manager: Integrated Care & Outcomes

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

Job summary

Molina Healthcare in Illinois seeks a Care Manager RN to support care management activities and coordinate care across disciplines to improve member outcomes while balancing quality and cost.

Responsibilities include comprehensive assessments, developing and implementing care plans with member and providers, conducting visits as needed, tracking progress, ensuring timely action under HIPAA and EMR standards, and traveling up to 40% locally to meet contractual requirements.

Qualifications

• Active RN license in state of practice.
• 2+ years healthcare experience; care management preferred.
• Valid driver’s license and reliable transportation.
• Familiarity with EMR and HIPAA compliance.

Responsibilities

• Completes comprehensive member assessments per timelines and determines care management eligibility.
• Develops and implements care coordination plans with members, caregivers, and providers.
• Conducts telephonic, in-person, or home visit reviews as needed.
• Monitors care plan effectiveness and documents interventions and progress toward goals.
• Maintains ongoing member caseload and outreach for coordination of services.
• Facilitates ICT meetings and interdisciplinary collaboration to ensure integrated care.
• Educates and motivates change using motivational interviewing and clinical guidelines.
• Assesses barriers to care and provides resources to address concerns.
• May provide consultation and resources to peers as needed.
• Travel 25–40% locally as required by state/contractual needs.

Skills

Care coordination

Communication

Problem solving

Adaptability

Detail-oriented

Independent work

Time management

Travel readiness

Education

Registered Nurse (RN) license

Tools

EMR

HIPAA knowledge

Job description

Molina Healthcare in Illinois seeks a Care Manager RN to support care management activities and coordinate care across disciplines to improve member outcomes while balancing quality and cost.

Responsibilities include comprehensive assessments, developing and implementing care plans with member and providers, conducting visits as needed, tracking progress, ensuring timely action under HIPAA and EMR standards, and traveling up to 40% locally to meet contractual requirements.