Remote RN Care Manager for High-Volume Care Coordination

Molina Healthcare

Naperville (IL)

Remote

USD 38,000 - 74,000

Full time

14 days+

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Job summary

Molina Healthcare is seeking a licensed RN to join its remote care management team. The role focuses on coordinating integrated member care, working with interdisciplinary teams to improve outcomes while controlling costs.

Travel up to 40% may be required to meet contract needs. The candidate will complete assessments, develop care plans, and monitor progress, using motivational interviewing and Molina guidelines to educate and motivate members towards better health choices.

Qualifications

2+ years health care experience, care management preferred.
RN license active and unrestricted in state of practice.
Valid driver's license, reliable transportation, and travel readiness.
Understanding of EMR and HIPAA.
Knowledge of community resources.
Ability to work independently with minimal supervision.

Responsibilities

Complete comprehensive member assessments per regulated timelines.
Develop and implement care coordination plan with member and team.
Conduct telephonic, face-to-face or home visits as required.
Monitor care plan outcomes and adjust as needed.
Maintain ongoing member caseload with regular outreach.
Promote integration of behavioral health, LTSS, and home resources.
Facilitate ICT meetings and collaboration.
Use motivational interviewing and Molina guidelines to educate and support change.
Assess barriers to care and provide coordination and assistance.
Care manager RNs may handle complex cases and medication reconciliation.
May provide consultation to peers as needed.
Travel 25-40% based on state/contractual requirements.