Telephonic Care Manager (RN) : Pacific Time Zone
Molina Healthcare Washington; Santa Fe, New Mexico; Fort Worth, Texas; Dallas, Texas; Kentucky; Ann Arbor, Michigan; Owensboro, Kentucky; Augusta, Georgia; Savannah, Georgia; Macon, Georgia; Houston, Texas; Sterling Heights, Michigan; Meridian, Idaho; Kearney, Nebraska; Iowa; New York; Texas; Ohio; Nampa, Idaho; Covington, Kentucky; Akron, Ohio; Spokane, Washington; Albany, New York; Bellevue, Washington; Vancouver, Washington; Chandler, Arizona; Kenosha, Wisconsin; Albuquerque, New Mexico; Grand Rapids, Michigan; Des Moines, Iowa; Columbus, Georgia; Roswell, New Mexico; Idaho; Georgia; St. Petersburg, Florida; Jacksonville, Florida; Rochester, New York; Miami, Florida; Lincoln, Nebraska; Sioux City, Iowa; Mesa, Arizona; Tampa, Florida; Iowa City, Iowa; Everett, Washington; West Valley City, Utah; Grand Island, Nebraska; Cleveland, Ohio; Syracuse, New York; Madison, Wisconsin; Tucson, Arizona; Tacoma, Washington; Layton, Utah; Bellevue, Nebraska; Caldwell, Idaho; Provo, Utah; Scottsdale, Arizona; Phoenix, Arizona; Davenport, Iowa; Detroit, Michigan; Idaho Falls, Idaho; Orem, Utah; Warren, Michigan; Cincinnati, Ohio; Columbus, Ohio; Buffalo, New York; Salt Lake City, Utah; Michigan; Florida; Utah; Nebraska; Dayton, Ohio; Bowling Green, Kentucky; Cedar Rapids, Iowa; Atlanta, Georgia; Milwaukee, Wisconsin; San Antonio, Texas; Las Cruces, New Mexico; Louisville, Kentucky; Rio Rancho, New Mexico; Lexington-Fayette, Kentucky; New Mexico; Wisconsin; Green Bay, Wisconsin; Omaha, Nebraska; Racine, Wisconsin; Austin, Texas; Orlando, Florida; Boise, Idaho; Yonkers, New York Job ID 2031857**Pacific / West Coast Time Zone residents preferred.Â
JOB DESCRIPTION
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.
- 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)
Bilingual  (Spanish)
WORK SCHEDULE:
 Monday thru Friday  and some Saturdays will be required. Candidates who do not live in PACIFIC must be willing to work Pacific Hours.Â
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: 06/05/2025ABOUT OUR LOCATION
View Map- Care Manager - Licensed Behavioral Health Professional (LMHC, LISW, or LMFT) Sioux City Iowa, Des Moines Iowa, Iowa City Iowa, Davenport Iowa, Cedar Rapids Iowa 04/08/2025
- Representative, Customer Experience (Remote) Jackson Mississippi, Louisville Kentucky, Columbia Ohio, Albuquerque New Mexico, Iowa Falls Iowa, Doral Florida, New Mexico, Florida, Kentucky, Ohio 06/06/2025
- Sr Analyst, Config Info Mgmt Albany New York, Everett Washington, Macon Georgia, Meridian Idaho, Caldwell Idaho, Nampa Idaho, Kentucky, Vancouver Washington, Boise Idaho, Michigan, Detroit Michigan, Lincoln Nebraska, Omaha Nebraska, New Mexico, Rio Rancho New Mexico, Cleveland Ohio, Columbus Ohio, Austin Texas, Orem Utah, Seattle Washington, Davenport Iowa, Bowling Green Kentucky, Las Cruces New Mexico, Buffalo New York, Racine Wisconsin, Georgia, Iowa, Louisville Kentucky, Owensboro Kentucky, Nebraska, Akron Ohio, San Antonio Texas, Fort Worth Texas, Dallas Texas, Houston Texas, Provo Utah, Utah, Bellevue Washington, Tampa Florida, Idaho Falls Idaho, Grand Rapids Michigan, Sterling Heights Michigan, Rochester New York, New York, Mesa Arizona, Chandler Arizona, Augusta Georgia, Savannah Georgia, Iowa City Iowa, Des Moines Iowa, Idaho, Lexington-Fayette Kentucky, Covington Kentucky, Warren Michigan, Kearney Nebraska, Albuquerque New Mexico, Santa Fe New Mexico, Roswell New Mexico, Ohio, Layton Utah, Green Bay Wisconsin, Wisconsin, Phoenix Arizona, Columbus Georgia, Sioux City Iowa, Cedar Rapids Iowa, Ann Arbor Michigan, Syracuse New York, Yonkers New York, Cincinnati Ohio, Texas, West Valley City Utah, Washington, Madison Wisconsin, Florida, Atlanta Georgia, Grand Island Nebraska, Bellevue Nebraska, New York New York, Dayton Ohio, Salt Lake City Utah, Tacoma Washington, Spokane Washington, Milwaukee Wisconsin, Kenosha Wisconsin, Tucson Arizona, Scottsdale Arizona, Miami Florida, St. Petersburg Florida, Orlando Florida, Jacksonville Florida 06/02/2025
- Rep, MTM Pharmacy Services I Albany New York, Everett Washington, Georgia, Florida, Texas, Washington, Ohio, Utah, Kentucky, Michigan, Idaho, Nebraska, Iowa, New Mexico, New York, Wisconsin, Racine Wisconsin, Kenosha Wisconsin, Milwaukee Wisconsin, Meridian Idaho, Chandler Arizona, Tucson Arizona, Dallas Texas, Provo Utah, Spokane Washington, Buffalo New York, Rochester New York, Macon Georgia, Madison Wisconsin, Phoenix Arizona, Albuquerque New Mexico, Rio Rancho New Mexico, Orem Utah, Sterling Heights Michigan, Seattle Washington, Jacksonville Florida, Lincoln Nebraska, Atlanta Georgia, Green Bay Wisconsin, Austin Texas, Layton Utah, Salt Lake City Utah, Bellevue Washington, Tacoma Washington, Bellevue Nebraska, Savannah Georgia, Columbus Georgia, San Antonio Texas, Houston Texas, Grand Rapids Michigan, Louisville Kentucky, Kearney Nebraska, Sioux City Iowa, Augusta Georgia, Mesa Arizona, Roswell New Mexico, Detroit Michigan, Tampa Florida, Bowling Green Kentucky, Grand Island Nebraska, Idaho Falls Idaho, Vancouver Washington, Orlando Florida, Owensboro Kentucky, Omaha Nebraska, Iowa City Iowa, Dayton Ohio, Cincinnati Ohio, Columbus Ohio, Caldwell Idaho, Nampa Idaho, Scottsdale Arizona, Fort Worth Texas, Santa Fe New Mexico, West Valley City Utah, Warren Michigan, St. Petersburg Florida, Miami Florida, Syracuse New York, Yonkers New York, New York New York, Lexington-Fayette Kentucky, Des Moines Iowa, Cedar Rapids Iowa, Akron Ohio, Cleveland Ohio, Boise Idaho, Las Cruces New Mexico, Ann Arbor Michigan, Covington Kentucky, Davenport Iowa 06/05/2025
No recently viewed jobs.
View All JobsNo saved jobs.
View All Jobs