Remote RN Care Manager – Medicare Care Coordination

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

Job summary

Molina Healthcare is seeking an Illinois-licensed RN to join as a Case Manager coordinating care for Medicare members. The role is telephonic with some in-person visits, mainly from home, Monday–Friday 8 AM–5 PM CST. Travel may be required up to 25–40% depending on state rules.

Applicants with prior Medicare or managed care experience are preferred. Strong proficiency in Microsoft Office and EMR/HIPAA familiarity are essential for documentation and coordination tasks.

Qualifications

• Active RN license in Illinois
• 2+ years healthcare experience, care management preferred
• EMR/HIPAA knowledge
• Valid driver’s license and reliable transportation
• Ability to work independently and manage multiple tasks
• Strong communication and documentation skills
• Proficiency with Microsoft Office suite and online portals

Responsibilities

• Complete comprehensive member assessments to determine care management eligibility
• Develop and implement care coordination plans with member and care team
• Conduct telephonic, face-to-face, or home visits as required
• Monitor and document care plan effectiveness and adjust as needed
• Maintain ongoing member caseload for outreach and management
• Promote integration of behavioral health, LTSS, and community resources
• Facilitate ICT meetings and cross-functional collaboration
• Educate and motivate members using motivational interviewing and Molina guides
• Identify barriers to care and provide resources and referrals
• Possible medication reconciliation and complex case support

Skills

Strong communication

Time management

Detail oriented

Independent worker

Education

RN license (active)

Tools

Microsoft Office

Outlook

Excel

Teams

Job description

Molina Healthcare is seeking an Illinois-licensed RN to join as a Case Manager coordinating care for Medicare members. The role is telephonic with some in-person visits, mainly from home, Monday–Friday 8 AM–5 PM CST. Travel may be required up to 25–40% depending on state rules.

Applicants with prior Medicare or managed care experience are preferred. Strong proficiency in Microsoft Office and EMR/HIPAA familiarity are essential for documentation and coordination tasks.