RN Care Manager — Integrated Care & Outcomes Leader

Molina Healthcare; United States; On-site; USD 65,000 - 90,000; Full time

Job summary

Molina Healthcare is seeking an RN Care Manager to support care coordination and member outcomes. The role collaborates with interdisciplinary teams to deliver integrated care across settings and may include home visits and travel.

The position requires an active RN license, strong communication, and knowledge of EMR and HIPAA. Frequent travel (25-40%) may be necessary to meet state contract requirements.

Qualifications

• Active RN license in state of practice.
• Experience in care management or medical/behavioral health settings.
• Knowledge of EMR and HIPAA regulations.
• Ability to coordinate care with diverse teams and resources.

Responsibilities

• Completes comprehensive member assessments within timelines.
• Develops and implements care coordination plans with the care team.
• Conducts telephonic, in-person, or home visits as required.
• Monitors care plan effectiveness and documents interventions.
• Makes ongoing outreach to maintain member caseload.
• Promotes integration of behavioral health, LTSS, and community resources.

Skills

RN

Active license

HIPAA knowledge

EMR proficiency

Communication

Time management

Problem solving

Care coordination

Team collaboration

Education

RN License (Active)

Tools

EMR systems

Microsoft Office

Online portals

Job description

Molina Healthcare is seeking an RN Care Manager to support care coordination and member outcomes. The role collaborates with interdisciplinary teams to deliver integrated care across settings and may include home visits and travel.

The position requires an active RN license, strong communication, and knowledge of EMR and HIPAA. Frequent travel (25-40%) may be necessary to meet state contract requirements.