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RN Case Manager (Remote) - Telephonic
Molina HealthcareJacksonville, Florida; Phoenix, Arizona; Roswell, New Mexico; Macon, Georgia; Idaho Falls, Idaho; Bellevue, Washington; Michigan; Ohio; Dallas, Texas; Tampa, Florida; Layton, Utah; Tucson, Arizona; Augusta, Georgia; Spokane, Washington; Iowa; Florida; Grand Rapids, Michigan; Buffalo, New York; Columbus, Georgia; Boise, Idaho; Lincoln, Nebraska; Nampa, Idaho; St. Petersburg, Florida; Kearney, Nebraska; Miami, Florida; Vancouver, Washington; New Mexico; Kentucky; Idaho; Utah; Albuquerque, New Mexico; Las Cruces, New Mexico; Sterling Heights, Michigan; Kenosha, Wisconsin; Cincinnati, Ohio; Rio Rancho, New Mexico; Owensboro, Kentucky; Davenport, Iowa; Iowa City, Iowa; Akron, Ohio; San Antonio, Texas; Rochester, New York; Atlanta, Georgia; Yonkers, New York; Scottsdale, Arizona; Austin, Texas; Nebraska; Madison, Wisconsin; Salt Lake City, Utah; Louisville, Kentucky; Des Moines, Iowa; Caldwell, Idaho; Savannah, Georgia; Tacoma, Washington; Ann Arbor, Michigan; Racine, Wisconsin; Bowling Green, Kentucky; Orlando, Florida; Everett, Washington; Albany, New York; Georgia; Wisconsin; Lexington-Fayette, Kentucky; Warren, Michigan; Fort Worth, Texas; West Valley City, Utah; Sioux City, Iowa; Dayton, Ohio; Cedar Rapids, Iowa; New York; Cleveland, Ohio; Santa Fe, New Mexico; Meridian, Idaho; Green Bay, Wisconsin; Omaha, Nebraska; Grand Island, Nebraska; Provo, Utah; Milwaukee, Wisconsin; Houston, Texas; Washington; Syracuse, New York; Mesa, Arizona; Columbus, Ohio; Orem, Utah; Detroit, Michigan; Texas; Chandler, Arizona; Bellevue, Nebraska; Covington, Kentucky; Ohio, Illinois
Job ID 2032541Overview
As a Case Manager, you will work 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.
Experienced professionals and new grads are encouraged to apply.- Full Time
- Level: Mid-Level
- Travel: Yes
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Success Profile
What makes you a successful Case Manager at Molina Healthcare? Check out the traits we’re looking for and see if you’re the right fit.
- Consultative
- Patient
- Analytical
- Quick-Thinking
- Compassionate
- Problem-Solver
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I love working at a company that sees our members as people not numbers and allow employees to provide individual care to meet the member’s needs.
– Lori K. MS, BSW, CADC, Case Manager -
If they feel someone cares about them, they are more likely to care for themselves, and their health, in return. Sometimes we have to be their only friend.
– Joanne J., Case Manager -
A member’s care is enhanced when their care providers think deeply about their situation and then offer assistance and guidance.
– Brent A., Case Manager
BENEFITS
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Insurance
Medical · Dental · Vision Group & Voluntary Life Insurance Aflac · Pet Health · Identity Theft Auto & Home Insurance
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Savings
Flexible Spending Accounts 401K · Roth 401K Employee Stock Purchase Plan
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Career Growth
Continuing Education Units Education Reimbursement
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Time Off
Paid Time Off Volunteer Time Off Company Holidays
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Additional Benefits
Legal Assistance Plan Employee Assistance & Well Being Programs Employee Perks Platform Rideshare Portal
RESPONSIBILITIES
JOB DESCRIPTION
For this position we are seeking a (RN) Registered Nurse who has Compact RN licensure.
Case Manager will work in remote setting supporting our Marketplace Population with. Case Manager will be complete assessments, care plans, educate members and connect to community resources. You will participate in interdisciplinary care team meetings for our members and ensure they have care plans based on their concerns/health needs. 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.
Prefer candidates that have previous case management experience in manage care, and that have a compact RN license and a license in IL and/or MI.
Home office with internet connectivity of high speed required.
Schedule: Monday thru Friday 8:00AM to 5:00PM EST. - No weekends are Holidays. (Must be able to work a minimum of 2 hours a week after 5 PM EST)
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: $27.73 - $61.79 / 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 08/04/2025Job Alerts
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