RN Care Manager: Integrated Care & Outcomes Champion

Molina Healthcare; Washington (District of Columbia); Hybrid; USD 36,000 - 82,000; Full time

Job summary

Molina Healthcare in Washington, DC seeks a Registered Nurse to support care management and coordinate member care across the continuum, collaborating with a multidisciplinary team to advance outcomes and cost-effective care.

You will conduct comprehensive assessments, develop care plans, participate in home visits or telephonic outreach, and monitor progress while addressing barriers to care, with travel up to 40% as required.

Qualifications

• Active RN license in state of practice.
• Minimum 2 years healthcare experience, prefer care management.
• Valid driver's license and reliable transportation.
• Knowledge of EMR systems and HIPAA.
• Ability to work independently and manage multiple tasks.

Responsibilities

• Perform comprehensive member assessments within regulated timelines.
• Develop and implement care coordination plans with stakeholders.
• Conduct telephonic, in-person, or home visits as required.
• Monitor care plan effectiveness and document interventions.
• Coordinate services across behavioral health, LTSS, and community resources.
• Lead ICT meetings and promote interdisciplinary collaboration.
• Travel up to 40% locally as required.

Skills

Verbal communication

Written communication

Time management

Organizational skills

Relationship-building

Independent work

Travel readiness

MS Office

HIPAA knowledge

Critical thinking

Education

RN license

Nursing degree

Tools

EMR system experience

MS Office suite

Job description

Molina Healthcare in Washington, DC seeks a Registered Nurse to support care management and coordinate member care across the continuum, collaborating with a multidisciplinary team to advance outcomes and cost-effective care.

You will conduct comprehensive assessments, develop care plans, participate in home visits or telephonic outreach, and monitor progress while addressing barriers to care, with travel up to 40% as required.