Remote RN Care Manager Telephonic Medicaid Coordination

Molina Healthcare; San Antonio (TX); A distancia; USD 43.000 - 70.000; Jornada completa

Descripción de la vacante

Molina Healthcare in Texas seeks six Texas-licensed RNs to work telephonically with Medicaid members across the state. Most interactions are telephonic; rare in-person visits may occur. Two tracks require at least two years in behavioral health or substance use; two require ICU/ER experience.

Hours are Monday–Friday, 8 AM–5 PM in your time zone. Bilingual candidates are a plus. As a care manager RN, you will support care coordination, collaborate with a multidisciplinary team, and monitor member

Formación

• At least 2 years experience in health care, preferably in care management, or experience in a medical and/or behavioral health setting.
• Registered Nurse (RN). License must be active and unrestricted in state of practice.
• Valid and unrestricted driver's license and reliable transportation for travel requirements.
• Understanding of EMR and HIPAA regulation.

Responsabilidades

• Completes comprehensive assessments of members per regulated timelines and determines eligibility for care management.
• Develops and implements care coordination plans with members, caregivers, and health professionals.
• Conducts telephonic, in-person, or home visits as required.
• Monitors and adjusts care plans based on outcomes and ongoing needs.
• Maintains ongoing member caseload and coordinates services across behavioral health, LTSS, and community resources.
• Facilitates interdisciplinary care team meetings and supports team collaboration.

Conocimientos

Care coordination

Communication

EMR/HIPAA knowledge

Time management

Motivational interviewing

Interdisciplinary collaboration

Educación

RN license

Herramientas

Outlook

Excel

Teams

OneNote

EMR systems

Descripción del empleo

Molina Healthcare in Texas seeks six Texas-licensed RNs to work telephonically with Medicaid members across the state. Most interactions are telephonic; rare in-person visits may occur. Two tracks require at least two years in behavioral health or substance use; two require ICU/ER experience.

Hours are Monday–Friday, 8 AM–5 PM in your time zone. Bilingual candidates are a plus. As a care manager RN, you will support care coordination, collaborate with a multidisciplinary team, and monitor member