RN Care Manager: Care Coordination & Outcomes Advocate

Molina Healthcare, Inc.; Montana; Vor Ort; USD 36.000 - 71.000; Vollzeit

Zusammenfassung

Molina Healthcare, Inc. is seeking an RN Care Manager to support care management and coordination across the continuum, collaborating with a multidisciplinary team to improve outcomes while managing costs.

The role involves assessments, developing care plans, travel as needed, and leveraging EMR and HIPAA standards to ensure compliant, high-quality member care. Excellent communication and independent work style are essential.

Qualifikationen

• RN license active and unrestricted in state of practice.
• At least 2 years of health care experience, preferably in care management.
• Valid driver’s license and reliable transportation.
• Understanding of EMR and HIPAA.
• Knowledge of community resources.
• Ability to work independently with minimal supervision.
• Strong communication and time-management skills.
• Proficiency with Microsoft Office and online portals.

Aufgaben

• Completes comprehensive member assessments per timelines and identifies care-management eligibility.
• Develops and implements care coordination plans with member and care team.
• Conducts telephonic, in-person, or home visits as required.
• Monitors care plan effectiveness and documents interventions and goal achievement.
• Maintains ongoing member caseload and outreach.
• Promotes integration of services across behavioral health, LTSS, and community resources.
• Facilitates ICT meetings and collaboration.
• Uses motivational interviewing to educate and support change.
• Assesses barriers to care and provides coordination assistance.
• May provide consultation to peers as needed.
• RNs may handle complex cases and medication reconciliation.

Kenntnisse

Registered Nurse (RN)

Excellent communication

Time management

Problem-solving

Self-motivation

Tools

EMR systems

Microsoft Office

Online portals/databases

Jobbeschreibung

Molina Healthcare, Inc. is seeking an RN Care Manager to support care management and coordination across the continuum, collaborating with a multidisciplinary team to improve outcomes while managing costs.

The role involves assessments, developing care plans, travel as needed, and leveraging EMR and HIPAA standards to ensure compliant, high-quality member care. Excellent communication and independent work style are essential.