RN Care Manager: Field & Office Care Coordination

Jobtome; Detroit (OR); Vor Ort; USD 36.000 - 71.000; Vollzeit

Zusammenfassung

Molina Healthcare is seeking a Care Manager RN to support care management activities and collaborate with a multidisciplinary team to coordinate member care across the continuum.

The role emphasizes assessing needs, developing and implementing care plans, conducting telephonic, in-person or home visits, and monitoring progress while promoting integration of behavioral health, LTSS, and community resources. Local travel expected 25–40% depending on contract.

Qualifikationen

• At least 2 years of healthcare experience, preferably in care management.
• Active RN license in state of practice.
• Valid driver’s license and reliable transportation.
• Knowledge of EMR and HIPAA compliance.
• Ability to travel locally 25–40% as required by contract.

Aufgaben

• Assess members per timelines and determine eligibility for care management.
• Develop and implement care coordination plan with member, caregiver, physician and team.
• Conduct telephonic, in-person, or home visits as needed.
• Monitor care plan effectiveness and document interventions.
• Promote integration of behavioral health, LTSS, and community resources.
• Facilitate ICT meetings and collaboration with the care team.
• Assist peers with consultation and recommendations as needed.
• May conduct medication reconciliation.

Kenntnisse

RN

HIPAA knowledge

EMR proficiency

Time management

Communication

Ausbildung

RN license (active)

Tools

Microsoft Office

EMR software

Jobbeschreibung

Molina Healthcare is seeking a Care Manager RN to support care management activities and collaborate with a multidisciplinary team to coordinate member care across the continuum.

The role emphasizes assessing needs, developing and implementing care plans, conducting telephonic, in-person or home visits, and monitoring progress while promoting integration of behavioral health, LTSS, and community resources. Local travel expected 25–40% depending on contract.