RN Care Manager: Integrated Care & Outcomes Leader

Molina Healthcare, Inc.

Steubenville (OH)

Sur place

USD 36 000 - 71 000

Plein temps

Il y a 6 jours

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Résumé du poste

Molina Healthcare, Inc. is seeking a Care Manager RN to support care management activities and collaborate with multidisciplinary teams to coordinate member care across the continuum. The role includes completing assessments, developing care plans, conducting visits, monitoring progress, and promoting integration of services including behavioral health and LTSS.

Travel 25-40% may be required. Qualifications include an active RN license, 2+ years in healthcare, EMR/HIPAA knowledge, and CCM

Qualifications

2+ years of experience in health care, preferably in care management or related settings.
Active RN license in state of practice (unrestricted).
Understanding of EMR and HIPAA requirements; able to navigate portals and databases.
Valid driver’s license with reliable transportation for travel requirements.

Responsabilités

Completes comprehensive member assessments per timelines to determine eligibility for care management.
Develops and implements care coordination plans with members, families, and providers.
Conducts telephonic, face-to-face, or home visits as required.
Monitors care plan effectiveness, documents interventions, and updates goals as needed.
Maintains ongoing member caseload with regular outreach and coordination of services.