RN Care Navigator – Integrated Care & Coordination

Jobtome; Vancouver (WA); On-site; USD 36,000 - 82,000; Full time

Job summary

Molina Healthcare is seeking a registered nurse care manager to support care management and care coordination across the continuum, working with a multidisciplinary team to improve member outcomes while balancing quality and cost.

The role involves assessments, developing care plans, ongoing monitoring, and collaboration with care teams, caregivers and providers; telephonic outreach and documentation in EMR, with emphasis on behavioral health integration and resources for members.

Qualifications

• RN license active and unrestricted in state of practice.
• Experience in health care, care management, or related setting is preferred.
• Knowledge of EMR and HIPAA regulations.

Responsibilities

• Completes comprehensive member assessments per timelines and determines care management eligibility.
• Develops and implements care coordination plans with member, caregiver, physician and care team.
• Performs telephonic outreach as required.
• Monitors care plan effectiveness and documents interventions and goal achievement.
• Maintains ongoing member caseload with regular outreach and management.
• Promotes integration of services including behavioral health and LTSS.
• Facilitates ICT meetings and collaboration.
• Uses motivational interviewing to educate and motivate change.
• Assesses barriers to care and provides coordination assistance.

Skills

Care coordination

Interdisciplinary collaboration

Communication skills

Time management

Problem solving

Critical thinking

Motivational interviewing

Education

Registered Nurse (RN) license

Tools

EMR system

Microsoft Office

Job description

Molina Healthcare is seeking a registered nurse care manager to support care management and care coordination across the continuum, working with a multidisciplinary team to improve member outcomes while balancing quality and cost.

The role involves assessments, developing care plans, ongoing monitoring, and collaboration with care teams, caregivers and providers; telephonic outreach and documentation in EMR, with emphasis on behavioral health integration and resources for members.