RN Care Manager: Field & Telehealth Care Coordination

Molina Healthcare, Inc.; Toledo (OH); On-site; USD 36,000 - 70,000; Full time

Job summary

Molina Healthcare, Inc. is seeking a qualified Care Manager RN to support care management activities and collaborate with a multidisciplinary team to coordinate member care across settings.

The role involves conducting assessments, developing care plans, and performing home visits as required. Travel up to 40% may be necessary, with emphasis on improving outcomes and ensuring quality, cost-effective care.

Qualifications

• RN license active and unrestricted in state of practice.
• At least 2 years in health care, care management preferred.
• Valid driver’s license and reliable transportation.
• Understanding of EMR and HIPAA.
• Knowledge of community resources.
• Able to work independently with minimal supervision.
• Strong verbal and written communication skills.
• Proactive, detail-oriented, and adaptable across settings.
• Experience with diverse populations.
• MS Office proficiency.

Responsibilities

• Complete comprehensive member assessments per regulated timelines.
• Develop and implement care coordination plan with member, caregiver, physician and team.
• Conduct telephonic, in-person, or home visits as needed.
• Monitor care plan and document outcomes and goal achievement.
• Maintain ongoing member caseload and outreach.
• Promote integration of behavioral health, LTSS, and home/community resources.
• Facilitate ICT meetings and collaboration.
• Use motivational interviewing and Molina clinical guideposts.
• Assess barriers to care and address concerns.
• May provide consultation and resources to peers.
• Care managers may handle complex cases and medication reconciliation.
• Travel 25-40% may be required.

Skills

Care coordination

Communication skills

Time management

Travel readiness

Problem solving

Interpersonal skills

Education

Registered Nurse (RN) license

Tools

EMR systems

Job description

Molina Healthcare, Inc. is seeking a qualified Care Manager RN to support care management activities and collaborate with a multidisciplinary team to coordinate member care across settings.

The role involves conducting assessments, developing care plans, and performing home visits as required. Travel up to 40% may be necessary, with emphasis on improving outcomes and ensuring quality, cost-effective care.