RN Care Manager - Integrated Care & Outcomes

Jobtome; Martins Ferry (OH); On-site; USD 36,000 - 71,000; Full time

Benefits offered by this job

Competitive benefits package

Job summary

Molina Healthcare is seeking a Registered Nurse Care Manager to support care management and care coordination activities. You will collaborate with a multidisciplinary team to ensure high-quality, cost-effective member care across the continuum.

Responsibilities include comprehensive assessments, developing care plans, and monitoring outcomes. Travel to member sites may be required; EMR and HIPAA familiarity is essential for compliance and coordination.

Qualifications

• Active RN license required in state of practice.
• Minimum 2 years healthcare experience; care management preferred.
• Valid driver's license, reliable transportation for travel.
• Understanding of EMR and HIPAA requirements.
• Strong verbal and written communication skills.
• Ability to work independently and manage multiple projects.

Responsibilities

• Complete comprehensive member assessments within regulated timelines and determine eligibility for care management.
• Develop and implement care coordination plans with member, caregiver, physician and support network.
• Conduct telephonic, in-home or on-site visits as required.
• Monitor care plans for effectiveness and update interventions as needed.
• Maintain an ongoing member caseload with regular outreach.
• Promote service integration across behavioral health, LTSS, and community resources.
• Facilitate ICT meetings and collaboration within the care team.
• Educate and motivate members using motivational interviewing and clinical guidelines.
• Identify barriers to care and provide coordination support.
• May provide consultation and resources to peers; RNs may handle complex cases and medication reconciliation.
• Travel 25-40% may be required.

Skills

RN license

EMR literacy

HIPAA knowledge

Communication

Time management

Travel readiness

Microsoft Office

Tools

EMR system

Microsoft Office

Job description

Molina Healthcare is seeking a Registered Nurse Care Manager to support care management and care coordination activities. You will collaborate with a multidisciplinary team to ensure high-quality, cost-effective member care across the continuum.

Responsibilities include comprehensive assessments, developing care plans, and monitoring outcomes. Travel to member sites may be required; EMR and HIPAA familiarity is essential for compliance and coordination.