Remote RN Care Manager for Medicare Health Plan

Jobtome; Spokane (WA); Remote; USD 36,000 - 82,000; Full time

Benefits offered by this job

Competitive benefits

Equal opportunity employer

Job summary

Molina Healthcare is seeking a remote RN Care Manager to support Washington State Health Plan members via telephonic case management and transition-of-care activities. Some travel up to 25-40% may be required depending on state requirements.

This role prefers candidates in Washington state and follows Pacific Standard Time hours. The ideal candidate has RN licensure, 2+ years in care management, and familiarity with EMR/HIPAA.

Qualifications

• At least 2 years experience in health care, preferably in care management, or equivalent combo of education and experience.
• Active RN license in state of practice.
• Valid and unrestricted driver's license with reliable transportation for travel requirements.
• Understanding of EMR and HIPAA.

Responsibilities

• Complete comprehensive assessments of members per timelines and determine eligibility for care management.
• Develop and implement care coordination plan with members, caregivers, and health professionals.
• Conduct telephonic, in-person, or home visits as required.
• Monitor care plan effectiveness and document interventions and progress toward goals.
• Maintain ongoing member caseload with regular outreach and management.
• Promote integration of services across behavioral health, LTSS, and community resources.
• Facilitate ICT meetings and maintain interprofessional collaboration.
• Educate and motivate members using motivational interviewing and clinical guidance.

Skills

Communication

Time management

Problem-solving

Critical thinking

Microsoft Office proficiency

Education

RN license (registered nurse)

Tools

Microsoft Office

Job description

Molina Healthcare is seeking a remote RN Care Manager to support Washington State Health Plan members via telephonic case management and transition-of-care activities. Some travel up to 25-40% may be required depending on state requirements.

This role prefers candidates in Washington state and follows Pacific Standard Time hours. The ideal candidate has RN licensure, 2+ years in care management, and familiarity with EMR/HIPAA.