Telephonic Care Manager (RN) - Illinois ONLY

TieTalent; Aurora (IL); Remote; USD 60,000 - 90,000; Full time

Job summary

Join a leading healthcare company as a Telephonic Care Manager (RN), where you'll work remotely to support Medicaid members across Illinois. This role involves managing patient care, conducting assessments, and collaborating with healthcare teams to ensure quality outcomes for members with respiratory conditions. If you're an experienced RN with strong case management skills and a passion for helping patients, we invite you to apply.

Qualifications

• 5+ years of RN experience required.
• Must be licensed RN in Illinois.
• Experience in case management, especially with respiratory diagnoses.

Responsibilities

• Conduct assessments by phone and manage care for members.
• Develop and implement case management plans with a multidisciplinary team.
• Perform ongoing monitoring of care plans and maintain member caseload.

Skills

Case Management

Discharge Planning

Patient Assessment

Healthcare Coordination

Communication

Education

Bachelor's Degree in Nursing

Active State Registered Nursing (RN) license

Tools

Microsoft Office Suite

Clinical Documentation Software

Job description

Telephonic Care Manager (RN) - Illinois ONLY

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Telephonic Care Manager (RN) - Illinois ONLY

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Join to apply for the Telephonic Care Manager (RN) - Illinois ONLY role at TieTalent

About

Opportunity to join Molina Healthcare working with our Medicaid members as a Case Manager. This is open to Illinois licensed RNs across the state who have experience working with patients with respiratory diagnosis like asthma, pulmonary hypertension, or COPD. This is a fully remote opportunity conducting assessments by phone to determine the resources we need to provide as well as case management for the member. Our ideal applicant would be someone who has experience doing case management/discharge planning in a managed care organization (MCO) like Molina and has been a RN for at least 5 years. Hours are Monday – Friday, 8AM – 5PM CST.

About

Opportunity to join Molina Healthcare working with our Medicaid members as a Case Manager. This is open to Illinois licensed RNs across the state who have experience working with patients with respiratory diagnosis like asthma, pulmonary hypertension, or COPD. This is a fully remote opportunity conducting assessments by phone to determine the resources we need to provide as well as case management for the member. Our ideal applicant would be someone who has experience doing case management/discharge planning in a managed care organization (MCO) like Molina and has been a RN for at least 5 years. Hours are Monday – Friday, 8AM – 5PM CST.

Solid experience with Microsoft Office Suite is necessary, especially with Outlook, Excel, Teams, and One Note as well as experience using a clinical documentation software program.

Molina Healthcare Services (HCS) works with members, providers and multidisciplinary team members to assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long term care, for members with high need potential. HCS staff work to ensure that patients progress toward desired outcomes with quality care that is medically appropriate and cost-effective based on the severity of illness and the site of service.

Completes comprehensive assessments of members per regulated timelines and determines who may qualify for case management based on clinical judgment, changes in member's health or psychosocial wellness, and triggers identified in the assessment.

~ Develops and implements a case management plan in collaboration with the member, caregiver, physician and/or other appropriate healthcare professionals and member's support network to address the member needs and goals.

~ Performs ongoing monitoring of the care plan to evaluate effectiveness, document interventions and goal achievement, and suggest changes accordingly.

~ Maintains ongoing member case load for regular outreach and management.

~ Promotes integration of services for members including behavioral health care and long term services and supports/home and community to enhance the continuity of care for Molina members.

~ Facilitates interdisciplinary care team meetings and informal ICT collaboration.

~ Assesses for barriers to care, provides care coordination and assistance to member to address concerns.

~25- 40% local travel required.

~ RNs provide consultation, recommendations and education as appropriate to non-RN case managers.

~ RNs are assigned cases with members who have complex medical conditions and medication regimens

~ Graduate from an Accredited School of Nursing. Bachelor's Degree in Nursing preferred.

1-3 years in case management, disease management, managed care or medical or behavioral health settings.

Active, unrestricted State Registered Nursing (RN) license in good standing.

Bachelor's Degree in Nursing

3-5 years in case management, disease management, managed care or medical or behavioral health settings.

Active, unrestricted Certified Case Manager (CCM)

Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.

06 / HOURLY

• Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
• Aurora, Colorado
  
  

Work experience

• Healthcare
  
  

Languages

• English

Seniority level

• Seniority level

  Mid-Senior level

Employment type

• Employment type

  Full-time

Job function

• Job function

  Health Care Provider

• Industries

  Technology, Information and Internet

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