Remote RN Care Manager: Care Coordination Leader

Jobtome; Rockford Township (IL); Remote; USD 38,000 - 74,000; Full time

Benefits offered by this job

Competitive benefits

EOE

Job summary

Molina Healthcare is seeking an experienced Registered Nurse to provide care management and coordination across the continuum. This remote role collaborates with a multidisciplinary team to ensure quality and cost-effective member care, including travel to various sites as required.

The role emphasizes assessment, care planning, and ongoing monitoring, with a focus on behavioral health, LTSS, and community resources. Strong nursing and communication skills are essential.

Qualifications

• RN license active and unrestricted in state of practice.
• Experience in health care, care management, or related setting preferred.
• CCM certification preferred.

Responsibilities

• Complete comprehensive member assessments within timelines.
• Develop and implement care coordination plans with the care team.
• Conduct telephonic, in-person, or home visits as needed.
• Monitor and adjust care plans to meet outcomes.
• Maintain ongoing member caseload and outreach.
• Coordinate services across behavioral health, LTSS, and home/community resources.
• Lead ICT meetings and collaborate with care teams.
• Educate and motivate members using motivational interviewing.
• Identify barriers to care and provide solutions.
• May consult and support peers as needed.
• Handle complex cases and medication reconciliation when required.

Skills

Communication

Time management

Problem solving

Detail-oriented

Education

Registered Nurse (RN) license

CCM Certification (preferred)

Tools

EMR systems

HIPAA knowledge

Job description

Molina Healthcare is seeking an experienced Registered Nurse to provide care management and coordination across the continuum. This remote role collaborates with a multidisciplinary team to ensure quality and cost-effective member care, including travel to various sites as required.

The role emphasizes assessment, care planning, and ongoing monitoring, with a focus on behavioral health, LTSS, and community resources. Strong nursing and communication skills are essential.