Remote RN Care Manager: Telephonic Care Coordination

Molina Healthcare; Spokane (WA); A distancia; USD 75.676.000 - 169.661.000; Jornada completa

Ventajas ofrecidas por este puesto de trabajo

Remote work

Descripción de la vacante

Molina Healthcare is seeking a remote RN Care Manager. Preference for candidates in Washington State, with Pacific Standard Time hours. The role supports Medicare members via telephonic case management, with no travel, direct patient care, weekends, holidays, or night shifts.

Required is at least 2 years in health care or care management, with an active RN license in WA and knowledge of EMR and HIPAA. Travel up to 25-40% may be required based on state/contracts.

Formación

• Minimum 2 years in health care, care management preferred.
• RN license must be active and unrestricted in state of practice.
• Valid driver's license and reliable transportation for travel requirements.
• Familiarity with EMR systems and HIPAA compliance.
• Ability to manage multiple projects and work independently.

Responsabilidades

• Provide care management and coordination with multidisciplinary team.
• Complete comprehensive member assessments per timelines and identify candidates for care management.
• Develop and implement care plans with member and care network.
• Conduct telephonic, in-person or home visits as required.
• Monitor care plans, document interventions, and adjust as needed.
• Maintain ongoing member caseload with regular outreach.
• Promote integration of behavioral health, LTSS, and community resources.
• Facilitate ICT meetings and collaboration with care teams.
• Educate and motivate members using motivational interviewing.
• Identify barriers to care and provide coordination to address concerns.
• May provide consultation to peers; may handle complex cases and medication reconciliation.

Conocimientos

RN

Care coordination

Telephonic case management

Communication

Educación

RN license active in WA

Herramientas

EMR

Descripción del empleo

Molina Healthcare is seeking a remote RN Care Manager. Preference for candidates in Washington State, with Pacific Standard Time hours. The role supports Medicare members via telephonic case management, with no travel, direct patient care, weekends, holidays, or night shifts.

Required is at least 2 years in health care or care management, with an active RN license in WA and knowledge of EMR and HIPAA. Travel up to 25-40% may be required based on state/contracts.