Remote RN Care Manager – High-Volume Care Coordination

Molina Healthcare; Lugoff (SC); Remote; USD 35.000 - 71.000; Vollzeit

Zusammenfassung

Molina Healthcare is seeking a remote RN Care Manager to join a fast-paced auto-dialer team in South Carolina. You will support care management and coordination across the continuum, collaborating with a multidisciplinary team to drive quality and cost-effective member care.

Requirements include an active SC RN license, 2+ years in health care or care management, EMR proficiency, and the ability to travel 25-40% locally as needed.

Qualifikationen

• Active South Carolina RN license required.
• Minimum 2 years in health care, care management, or related setting.
• Knowledge of EMR and HIPAA regulations.

Aufgaben

• Completes comprehensive member assessments per timelines.
• Develops and implements care coordination plans with care team.
• Conducts telephonic, in-person, or home visits as needed.
• Monitors care plan effectiveness and documents outcomes.
• Maintains ongoing member caseload and outreach.
• Promotes integration of behavioral health, LTSS, and home resources.
• Facilitates ICT meetings and collaborates across teams.
• Uses motivational interviewing to educate and motivate members.
• Identifies barriers to care and provides support.
• May mentor peers and handle complex cases.
• Possible 25-40% local travel based on state/contract.

Kenntnisse

RN license

Healthcare exp

EMR proficiency

HIPAA knowledge

Communication skills

Time management

Independent work

Ausbildung

RN license

Tools

EMR software

Microsoft Office

Jobbeschreibung

Molina Healthcare is seeking a remote RN Care Manager to join a fast-paced auto-dialer team in South Carolina. You will support care management and coordination across the continuum, collaborating with a multidisciplinary team to drive quality and cost-effective member care.

Requirements include an active SC RN license, 2+ years in health care or care management, EMR proficiency, and the ability to travel 25-40% locally as needed.