RN Care Navigator: Integrated Member Care

Molina Healthcare; Washington; On-site; USD 36,000 - 82,000; Full time

Benefits offered by this job

Competitive benefits

Job summary

Molina Healthcare is seeking a Care Manager RN to support care management and coordination activities, collaborating with a multidisciplinary team to deliver integrated member care across the continuum. The role focuses on advancing member outcomes while aligning with Molina’s strategy for quality and cost-effective care.

Responsibilities include performing assessments, developing care plans, engaging with members and caregivers, and conducting visits as needed.

Qualifications

• 2+ years of health care experience, care management preferred
• RN license active and unrestricted in state of practice
• Valid driver’s license and reliable transportation for travel
• Understanding of EMR and HIPAA requirements
• Knowledge of community resources and referrals
• Ability to work independently and manage multiple priorities
• Strong communication and time-management skills

Responsibilities

• Completes comprehensive assessments of members per regulated timelines and determines care management eligibility
• Develops and implements care coordination plans with members, families, physicians and other health professionals
• Conducts telephonic, in-person, or home visits as required
• Monitors and documents progress toward outcomes; suggests plan changes as needed
• Maintains ongoing member caseload and regular outreach
• Promotes integration of services across behavioral health, LTSS, and community resources
• Facilitates ICT meetings and cross-disciplinary collaboration
• Uses motivational interviewing and Molina guidelines to educate and support change
• Assesses barriers to care and provides coordination assistance
• May provide consultation to peers as needed
• RNs may manage complex cases and perform medication reconciliation as needed
• Travel 25-40% may be required based on state/contract requirements

Education

Registered Nurse (RN) license

Tools

EMR systems

MS Office

Job description

Molina Healthcare is seeking a Care Manager RN to support care management and coordination activities, collaborating with a multidisciplinary team to deliver integrated member care across the continuum. The role focuses on advancing member outcomes while aligning with Molina’s strategy for quality and cost-effective care.

Responsibilities include performing assessments, developing care plans, engaging with members and caregivers, and conducting visits as needed.