Remote RN Case Manager – Medicare Care Coordination

Socket.dev; Long Beach (CA); On-site; USD 70,000 - 90,000; Full time

Job summary

Molina Healthcare is seeking an RN Case Manager to support Medicare members remotely with periodic in-person visits. You will assess needs, develop care plans, coordinate with the care team, and monitor progress to ensure quality, cost-effective outcomes.

Role requires 2+ years in healthcare, RN license, and ability to travel up to 40% as needed. Strong EMR, HIPAA knowledge, and proficiency with MS Office are essential.

Qualifications

• At least 2 years in health care, preferably care management or related setting.
• RN license active and unrestricted in state of practice.
• Valid driver's license and reliable transportation for travel requirements.
• Familiarity with EMR and HIPAA regulations.

Responsibilities

• Completes comprehensive member assessments per timelines and identifies care management eligibility.
• Develops and implements care coordination plans with member, caregivers, and providers.
• Conducts telephonic, face-to-face, or home visits as required.
• Monitors care plans, documents interventions, and tracks goal achievement.
• Maintains an ongoing caseload with regular member outreach.
• Promotes integration of behavioral health, LTSS, and community resources.
• Facilitates ICT meetings and interdisciplinary collaboration.
• Uses motivational interviewing to educate and motivate members.
• Assesses barriers to care and assists in addressing concerns.

Skills

Care coordination

Patient communication

Microsoft Office proficiency

Multidisciplinary collaboration

Time management

Education

RN license (active, unrestricted)

Tools

EMR systems

Microsoft Office (Outlook, Excel, Teams)

Job description

Molina Healthcare is seeking an RN Case Manager to support Medicare members remotely with periodic in-person visits. You will assess needs, develop care plans, coordinate with the care team, and monitor progress to ensure quality, cost-effective outcomes.

Role requires 2+ years in healthcare, RN license, and ability to travel up to 40% as needed. Strong EMR, HIPAA knowledge, and proficiency with MS Office are essential.