RN Care Manager: Coordinated Care & Outcomes

Molina Healthcare, Inc.; Redmond (WA); On-site; USD 75,000 - 105,000; Full time

Job summary

Molina Healthcare, Inc. seeks a Care Manager RN to provide support for care management and coordinate services across the care continuum, collaborating with multidisciplinary teams to improve member outcomes and cost-effective care.

Responsibilities include assessing members, developing care plans with providers and family, conducting visits, monitoring progress, and facilitating ICT meetings, with 25-40% local travel as required.

Qualifications

• At least 2 years experience in health care, preferably in care management or equivalent.
• RN license active and unrestricted in state of practice.
• Valid driver's license, reliable transportation for local travel.
• Understanding of EMR and HIPAA.
• Demonstrated knowledge of community resources.
• Ability to work independently with attention to detail, and manage multiple projects.
• Strong communication, time-management and problem-solving skills.
• Willingness to travel 25-40% locally as required.

Responsibilities

• Completes comprehensive assessments of members per regulated timelines and determines care management eligibility.
• Develops and implements care coordination plans with member, caregivers, physicians and support network.
• Conducts telephonic, in-home visits or face-to-face meetings as required.
• Monitors care plan effectiveness, documents interventions and updates goals.
• Maintains ongoing member caseload with regular outreach and management.
• Promotes integration of services across behavioral health, LTSS and community resources.
• Facilitates ICT meetings and interdisciplinary collaboration.
• Uses motivational interviewing and Molina clinical guidance to educate and motivate change.
• Assesses barriers to care and provides coordination to address concerns.
• May provide consultation and recommendations to peers as needed.
• Care manager RNs may handle complex cases and medication reconciliation.

Skills

Communication skills

Time management

Problem-solving

Independence

Team collaboration

Adaptability

Education

Registered Nurse (RN) license

Driver's license

Certified Case Manager (CCM)

Tools

EMR software experience

HIPAA knowledge

Job description

Molina Healthcare, Inc. seeks a Care Manager RN to provide support for care management and coordinate services across the care continuum, collaborating with multidisciplinary teams to improve member outcomes and cost-effective care.

Responsibilities include assessing members, developing care plans with providers and family, conducting visits, monitoring progress, and facilitating ICT meetings, with 25-40% local travel as required.