RN - Care Manager
Molina Healthcare Detroit, Michigan; Warren, Michigan; Sterling Heights, Michigan; Ann Arbor, Michigan Job ID 2031820JOB DESCRIPTION
For this position we are seeking a (RN) Registered Nurse who must live and have a current active unrestricted RN license in the state of MI
Case Manager RN will work in remote setting supporting Medicaid population. Excellent computer skills and attention to detail are very important to multitask between systems, talk with members on the phone, and enter accurate contact notes. This is a fast-paced position and productivity is important.
Local travel into our office (Detroit, MI) may be required (Team Meetings, Audits, and Trainings)
Home office with internet connectivity of high speed required.
Schedule: Monday thru Friday 8:30AM to 5:00PM EST (No weekends or Holidays)
Job Summary
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.
KNOWLEDGE/SKILLS/ABILITIES
- 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.
- Conducts face-to-face or home visits as required.
- 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.
- Uses motivational interviewing and Molina clinical guideposts to educate, support and motivate change during member contacts.
- 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
- RNs conduct medication reconciliation when needed.
JOB QUALIFICATIONS
Required Education
Graduate from an Accredited School of Nursing. Bachelor's Degree in Nursing preferred.
Required Experience
1-3 years in case management, disease management, managed care or medical or behavioral health settings.
Required License, Certification, Association
Active, unrestricted State Registered Nursing (RN) license in good standing.
Must have valid driver's license with good driving record and be able to drive within applicable state or locality with reliable transportation.
Preferred Education
Bachelor's Degree in Nursing
Preferred Experience
3-5 years in case management, disease management, managed care or medical or behavioral health settings.
Preferred License, Certification, Association
Active, unrestricted Certified Case Manager (CCM)
To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
Pay Range: $26.41 - $51.49 / HOURLY
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
About Us
Molina Healthcare is a nationwide fortune 500 organization with a mission to provide quality healthcare to people receiving government assistance. If you are seeking a meaningful opportunity in a team-oriented environment, come be a part of a highly engaged workforce dedicated to our mission. Bring your passion and talents and together we can make a difference in the lives of others. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
Job Type: Full Time Posting Date: 06/24/2025ABOUT OUR LOCATION
View Map- Supervisor, Care Review (RN) Atlanta Georgia, Orlando Florida, Idaho Falls Idaho, Idaho, New Mexico, Green Bay Wisconsin, Bowling Green Kentucky, Phoenix Arizona, Meridian Idaho, Milwaukee Wisconsin, Houston Texas, Bellevue Nebraska, Iowa, St. Petersburg Florida, Cleveland Ohio, Madison Wisconsin, Buffalo New York, Yonkers New York, Albany New York, Savannah Georgia, Lincoln Nebraska, Nampa Idaho, Tacoma Washington, Iowa City Iowa, Layton Utah, Albuquerque New Mexico, Sterling Heights Michigan, Warren Michigan, Kenosha Wisconsin, Louisville Kentucky, Columbus Georgia, Roswell New Mexico, Cedar Rapids Iowa, Spokane Washington, Bellevue Washington, Caldwell Idaho, Michigan, Dayton Ohio, Las Cruces New Mexico, Lexington-Fayette Kentucky, Cincinnati Ohio, Rio Rancho New Mexico, Columbus Ohio, Kearney Nebraska, Rochester New York, Macon Georgia, Everett Washington, Wisconsin, New York, Davenport Iowa, Salt Lake City Utah, Tampa Florida, Augusta Georgia, Detroit Michigan, Vancouver Washington, Owensboro Kentucky, Boise Idaho, Utah, Nebraska, Georgia, Racine Wisconsin, Akron Ohio, San Antonio Texas, Santa Fe New Mexico, Miami Florida, Kentucky, Washington, Florida, Ohio, Covington Kentucky, Omaha Nebraska, Orem Utah, Des Moines Iowa, Tucson Arizona, Grand Island Nebraska, Provo Utah, Scottsdale Arizona, Austin Texas, Texas, West Valley City Utah, Sioux City Iowa, Ann Arbor Michigan, Jacksonville Florida, Syracuse New York, Grand Rapids Michigan, Dallas Texas, Chandler Arizona, Mesa Arizona, Fort Worth Texas 07/07/2025
- RN Care Manager - Behavioral Health Bowling Green Kentucky, Covington Kentucky, Owensboro Kentucky, United States, Louisville Kentucky, Lexington-Fayette Kentucky 07/07/2025
- Senior Provider Relations Representative Louisville Kentucky, Lexington-Fayette Kentucky, Bowling Green Kentucky 07/07/2025
- Correspondence Processor: California Long Beach California, Los Angeles California 07/02/2025
No recently viewed jobs.
View All JobsNo saved jobs.
View All Jobs