RN Care Manager — Care Coordination & Outcomes

Molina Healthcare, Inc.; Piketon (OH); On-site; USD 36,000 - 70,000; Full time

Job summary

Molina Healthcare is seeking a Care Manager (RN) in Piketon, OH. The role focuses on care management and coordination with a multidisciplinary team to improve member health outcomes and manage costs.

You will perform comprehensive assessments, develop care plans, and coordinate services across behavioral health and community resources, with regular outreach to maintain an active caseload. Remote interactions may occur as part of patient-centric care.

Qualifications

• RN license must be active and unrestricted in state of practice.
• At least 2 years of healthcare experience, preferably in care management or behavioral health.
• Understanding of electronic medical records (EMR) and HIPAA.

Responsibilities

• Complete comprehensive assessments of members per regulated timelines.
• Develop and implement care coordination plans with members and healthcare professionals.
• Conduct telephonic, face-to-face, or home visits as required.
• Perform ongoing monitoring of care plans to evaluate effectiveness and suggest changes.
• Maintain an ongoing member caseload for regular outreach and management.
• Promote integration of services for members, including behavioral health and community resources.
• Facilitate interdisciplinary care team meetings and collaboration.
• Use motivational interviewing to educate and support members.
• Assess for barriers to care and provide assistance to address concerns.
• May conduct medication reconciliation as needed.

Skills

Motivational interviewing

Care coordination

Education

RN license

Tools

EMR familiarity

Job description

Molina Healthcare is seeking a Care Manager (RN) in Piketon, OH. The role focuses on care management and coordination with a multidisciplinary team to improve member health outcomes and manage costs.

You will perform comprehensive assessments, develop care plans, and coordinate services across behavioral health and community resources, with regular outreach to maintain an active caseload. Remote interactions may occur as part of patient-centric care.