Remote RN Care Manager – Medicare (Home-Based)

Molina Healthcare; Rockford (IL); Hybrid; USD 44,000 - 74,000; Full time

Job summary

Molina Healthcare in Illinois is seeking an experienced Registered Nurse to join as a Case Manager for Medicare members. This telephonic role may require face-to-face visits at times and involves coordinating care across multiple providers to determine needed services.

Ideal candidates will have at least 2 years in health care, EMR/HIPAA proficiency, and strong communication. Travel up to 40% may be necessary depending on member needs and location.

Qualifications

• 2+ years in health care, care management preferred.
• Active RN license.
• Valid driver’s license and reliable transportation.
• HIPAA knowledge.
• Ability to work telephonically with occasional in-person visits.
• Strong communication and time-management skills.

Responsibilities

• Complete comprehensive assessments per timelines to determine care needs.
• Develop and implement care coordination plans with member, caregivers, and providers.
• Conduct telephonic, face-to-face or home visits as required.
• Monitor and adjust care plans; document interventions and outcomes.
• Maintain ongoing member caseload with regular outreach.
• Promote integration of services across care teams.
• Assist with medication reconciliation as needed.

Skills

RN license

EMR knowledge

HIPAA knowledge

MS Office

Communication

Time management

Detail oriented

Tools

EMR system

Job description

Molina Healthcare in Illinois is seeking an experienced Registered Nurse to join as a Case Manager for Medicare members. This telephonic role may require face-to-face visits at times and involves coordinating care across multiple providers to determine needed services.

Ideal candidates will have at least 2 years in health care, EMR/HIPAA proficiency, and strong communication. Travel up to 40% may be necessary depending on member needs and location.