Remote RN Care Manager – Telehealth Medicaid

Molina Healthcare; Houston (TX); Remote; USD 36,000 - 71,000; Full time

Benefits offered by this job

Competitive benefits

Equal Opportunity Employer

Job summary

Molina Healthcare in Texas is seeking six registered nurses to provide telephonic care management for Medicaid members statewide. Two tracks require at least two years in behavioral health or substance use, and two require ICU/ED experience; all roles involve mostly remote work with some in-person visits if needed.

You’ll support member outcomes through coordinated care plans, regular outreach, and collaboration with clinicians, using EMR tools.

Qualifications

• Active RN license in the state of practice.
• Minimum 2 years healthcare experience, care management or behavioral health preferred.
• Valid driver's license and reliable transportation for local travel.
• HIPAA/EMR proficiency and ability to navigate online portals.

Responsibilities

• Assess members within regulated timelines and determine care management eligibility.
• Develop and implement care coordination plans with care teams and families.
• Conduct telephonic, in-person, or home visits as required.
• Monitor care plans, document interventions, and adjust goals as needed.
• Maintain ongoing member caseload with regular outreach and coordination.
• Facilitate ICT meetings and coordinate with multidisciplinary teams.
• Educate and motivate members using motivational interviewing techniques.
• Identify barriers to care and coordinate resources to address them.
• May perform medication reconciliation and provide peer consultation.

Skills

Care coordination

Communication skills

Time management

Proactive approach

Education

Registered Nurse (RN) license

Tools

EMR systems

Microsoft Office

Job description

Molina Healthcare in Texas is seeking six registered nurses to provide telephonic care management for Medicaid members statewide. Two tracks require at least two years in behavioral health or substance use, and two require ICU/ED experience; all roles involve mostly remote work with some in-person visits if needed.

You’ll support member outcomes through coordinated care plans, regular outreach, and collaboration with clinicians, using EMR tools.