RN Care Manager — Care Coordination & Outcomes Leader

Jobtome; Walnut Creek Township (OH); Hybrid; USD 36,000 - 71,000; Full time

Job summary

Molina Healthcare is seeking a Care Manager RN to support care management and coordination across the continuum. The role collaborates with multidisciplinary teams to ensure member progress toward outcomes and aligns with the organization’s strategy for quality, cost-effective care.

Responsibilities include comprehensive assessments, care plan development, and regular monitoring. Travel is anticipated, and HIPAA/EMR compliance is essential for success in this role.

Qualifications

• At least 2 years experience in health care, preferably in care management or related setting.
• RN with active license in state of practice.
• Valid driver's license and reliable transportation for job-related travel.
• Understanding of EMR and HIPAA.
• Able to work independently with minimal supervision and handle multiple priorities.

Responsibilities

• Completes comprehensive member assessments within regulated timelines.
• Develops and implements care coordination plans with care team and member.
• Conducts telephonic, in-home, or face-to-face visits as needed.
• Monitors care plan effectiveness and documents outcomes.
• Maintains ongoing member caseload and conducts outreach.
• Promotes integration of services across behavioral health, LTSS, and community resources.
• Facilitates ICT meetings and collaboration.
• Provides guidance and resources to peers as needed.
• May conduct medication reconciliation for complex cases.
• Travel 25-40% may be required depending on state/contractual requirements.

Skills

RN license

Healthcare experience

EMR knowledge

HIPAA knowledge

Communication skills

Time management

Travel readiness

Education

RN licensure (state)

Tools

Microsoft Office

EMR systems

Job description

Molina Healthcare is seeking a Care Manager RN to support care management and coordination across the continuum. The role collaborates with multidisciplinary teams to ensure member progress toward outcomes and aligns with the organization’s strategy for quality, cost-effective care.

Responsibilities include comprehensive assessments, care plan development, and regular monitoring. Travel is anticipated, and HIPAA/EMR compliance is essential for success in this role.