Remote RN Care Manager - Telephonic Care Coordination

Jobtome; Florence (SC); Remote; USD 35,000 - 71,000; Full time

Job summary

Molina Healthcare seeks a remote RN Care Manager to support care coordination for members across the continuum. The role requires South Carolina residency and an active SC RN license. It is a fast-paced, high-volume position focused on quality and cost-effective member care.

Responsibilities include comprehensive assessments, care coordination planning, and collaboration with a multidisciplinary team. Travel of 25–40% may be required depending on contractual needs.

Qualifications

• At least 2 years experience in health care, preferably in care management.
• RN license active and unrestricted in SC.
• Valid driver's license and reliable transportation.
• Understanding of EMR and HIPAA.
• Ability to work independently and handle high-pressure situations.

Responsibilities

• Completes comprehensive member assessments per timelines and identifies care-management candidates.
• Develops and implements care coordination plan with member, family, and clinicians.
• Conducts telephonic, virtual, or home visits as required.
• Monitors and documents progress toward outcomes and adjusts plans accordingly.
• Maintains ongoing member caseload and coordinates services across care settings.
• Facilitates interdisciplinary care team meetings and collaborates with the ICT.
• Uses motivational interviewing to educate and motivate change.
• Assesses barriers to care and provides resources to members.
• May consult with peers and handle complex cases.
• Local travel 25-40% may be required.

Skills

RN license

Care management experience

HIPAA knowledge

EMR systems

Communication skills

Time management

Tools

EMR system

Job description

Molina Healthcare seeks a remote RN Care Manager to support care coordination for members across the continuum. The role requires South Carolina residency and an active SC RN license. It is a fast-paced, high-volume position focused on quality and cost-effective member care.

Responsibilities include comprehensive assessments, care coordination planning, and collaboration with a multidisciplinary team. Travel of 25–40% may be required depending on contractual needs.