Remote RN Care Manager for Integrated Care & Coordination

Molina Healthcare; Elgin (IL); Remote; USD 38,000 - 74,000; Full time

Job summary

Molina Healthcare is seeking a registered nurse to support care management and care coordination activities remotely across the continuum of member care. You will work with a multidisciplinary team to ensure quality and cost-effective outcomes, including telephonic, home visits, and care plan assessments.

The role involves managing a dynamic caseload, coordinating services across behavioral health and LTSS, and utilizing motivational interviewing to drive member engagement.

Qualifications

• At least 2 years experience in health care, preferably in care management.
• Active RN license in state of practice.
• Valid driver’s license, reliable transportation for job travel.
• Understanding of EMR and HIPAA.
• Ability to work independently and manage multiple tasks.
• Excellent communication and interpersonal skills.
• Familiarity with community resources.
• Travel 25–40% as required.

Responsibilities

• Completes comprehensive assessments and determines care management eligibility.
• Develops and implements care coordination plan with member and care team.
• Conducts telephonic, in-person, or home visits as required.
• Monitors care plan effectiveness and documents outcomes.
• Maintains ongoing member caseload with regular outreach.
• Promotes integration of behavioral health, LTSS, and home care services.
• Facilitates ICT meetings and collaboration.
• Educates and motivates members using motivational interviewing techniques.
• Assesses barriers to care and provides assistance to members.
• Provides consultation and resources to peers as needed.
• Handles complex cases and medication reconciliation as needed.

Skills

RN license

HIPAA knowledge

EMR systems

Communication skills

Time management

Detail-oriented

Independent work

Education

RN licensing/degree

Tools

Microsoft Office

Job description

Molina Healthcare is seeking a registered nurse to support care management and care coordination activities remotely across the continuum of member care. You will work with a multidisciplinary team to ensure quality and cost-effective outcomes, including telephonic, home visits, and care plan assessments.

The role involves managing a dynamic caseload, coordinating services across behavioral health and LTSS, and utilizing motivational interviewing to drive member engagement.