RN Care Manager: Care Coordination & Outcomes Leader

Jobtome; Wimauma (FL); On-site; USD 36,000 - 71,000; Full time

Benefits offered by this job

Competitive benefits

Job summary

Molina Healthcare is seeking a Registered Nurse Care Manager to coordinate member care across the continuum and collaborate with a multidisciplinary team to drive outcomes and cost-effective care. You will conduct assessments, develop care plans, and monitor progress in alignment with program goals.

You will perform telephonic, home visit, and in-person activities as needed, maintain caseloads, and promote integration of services across behavioral health, LTSS, and community resources.

Qualifications

• 2+ years experience in health care, preferably in care management or related setting.
• RN license active and unrestricted in state of practice.
• Valid driver's license and reliable transportation for travel requirements.
• Understanding of EMR systems and HIPAA.
• Knowledge of community resources; proactive and detail-oriented.
• Ability to work independently and manage multiple priorities.
• Strong communication skills (verbal and written).
• Proficiency in Microsoft Office and online portals.

Responsibilities

• Completes comprehensive member assessments per timelines to identify care management suitability.
• Develops and implements care coordination plans with member, caregivers and providers.
• Performs telephonic, in-person or home visits as needed.
• Monitors care plans, documents interventions and evaluates outcomes.
• Maintains ongoing member caseload and conducts regular outreach.
• Promotes integration of services across behavioral health, LTSS, and community resources.
• Facilitates ICT meetings and collaboration.
• Uses motivational interviewing to educate and motivate change.
• Identifies and addresses barriers to care; provides guidance to peers.
• Care manager RNs may handle complex cases and medication reconciliation.
• Travel 25-40% may be required based on state/contractual needs.

Job description

Molina Healthcare is seeking a Registered Nurse Care Manager to coordinate member care across the continuum and collaborate with a multidisciplinary team to drive outcomes and cost-effective care. You will conduct assessments, develop care plans, and monitor progress in alignment with program goals.

You will perform telephonic, home visit, and in-person activities as needed, maintain caseloads, and promote integration of services across behavioral health, LTSS, and community resources.