RN Care Coordinator for Integrated Care

Molina Healthcare; Des Moines (IA); On-site; USD 34,550 - 70,932; Full time

Job summary

Molina Healthcare is seeking a Registered Nurse Care Manager to support care management and care coordination across the continuum. You will collaborate with multidisciplinary teams to guide members toward outcomes and contribute to an overarching strategy for quality and cost-effective care.

The role involves travel and direct engagement with members and providers. Responsibilities include comprehensive assessments, developing care plans, conducting visits, monitoring progress, and promoting

Qualifications

• RN license active and unrestricted in state of practice.
• 2+ years in health care, care management preferred.
• Valid driver's license and reliable transportation for travel.
• Understanding of EMR and HIPAA.
• Ability to work independently and manage multiple priorities.
• Strong communication skills, both verbal and written.

Responsibilities

• Completes comprehensive assessments of members per regulated timelines and determines who may qualify for care management based on clinical judgment, changes in member health or psychosocial wellness.
• Develops and implements care coordination plan in collaboration with member, caregiver, physician and/or other health care professionals and member support network.
• Conducts telephonic, face-to-face or home visits as required.
• Performs ongoing monitoring of care plan to evaluate effectiveness, document interventions and goal achievement, and suggest changes accordingly.
• Maintains ongoing member caseload for regular outreach and management.
• Promotes integration of services for members including behavioral health, LTSS, and home and community resources to enhance continuity of care.
• Facilitates interdisciplinary care team (ICT) meetings and informal ICT collaboration.
• Uses motivational interviewing and Molina clinical guideposts to educate, support and motivate change during member contacts.
• Assesses for barriers to care, provides care coordination and assistance to member to address concerns.
• May provide consultation, resources and recommendations to peers as needed.
• Care manager RNs may be assigned complex member cases and medication regimens.
• Care manager RNs may conduct medication reconciliation as needed.
• 25-40% estimated local travel may be required (based upon state/contractual requirements).

Skills

Care coordination

Communication skills

Time management

Problem solving

Team collaboration

Education

Active RN license in state

Tools

EMR system

Job description

Molina Healthcare is seeking a Registered Nurse Care Manager to support care management and care coordination across the continuum. You will collaborate with multidisciplinary teams to guide members toward outcomes and contribute to an overarching strategy for quality and cost-effective care.

The role involves travel and direct engagement with members and providers. Responsibilities include comprehensive assessments, developing care plans, conducting visits, monitoring progress, and promoting