RN Field Care Manager: Care Coordination & Outcomes

Molina Healthcare; Illinois; On-site; USD 39,000 - 74,000; Full time

Job summary

Molina Healthcare is seeking a skilled care manager to support LTSS-specific activities and coordinate member care across the multidisciplinary team. You will focus on achieving favorable outcomes, balancing quality and cost efficiency in member care delivery.

The role involves comprehensive assessments, care plan development, and ongoing monitoring, with travel required up to 40% based on state requirements. Strong communication and organizational skills are essential for success.

Qualifications

• At least 2 years in health care with 1 year in care management or managed care.
• RN license active and unrestricted in the state of practice.
• Valid driver's license, reliable transportation for travel requirements.
• Proactive, detail-oriented with strong verbal and written communication.

Responsibilities

• Completes comprehensive member assessments within regulated timelines, including in-person home visits as required.
• Develops and implements care plans with members, caregivers, physicians and the care network.
• Monitors care plan effectiveness and suggests changes accordingly.
• Promotes service integration across LTSS and behavioral health for continuity of care.
• Facilitates ICT meetings for approval or denial of services.
• Uses motivational interviewing and Molina clinical guideposts to educate and motivate change.
• Assesses barriers to care and provides coordination for psycho/social and medical obstacles.

Skills

RN license

Driver's license

Communication skills

Time management

Education

Health care degree (state requirements may apply)

Tools

Microsoft Office

Job description

Molina Healthcare is seeking a skilled care manager to support LTSS-specific activities and coordinate member care across the multidisciplinary team. You will focus on achieving favorable outcomes, balancing quality and cost efficiency in member care delivery.

The role involves comprehensive assessments, care plan development, and ongoing monitoring, with travel required up to 40% based on state requirements. Strong communication and organizational skills are essential for success.