Join Molina Healthcare as a Care Manager (RN) and play a vital role in coordinating integrated care for members. You will be responsible for conducting comprehensive assessments, developing care coordination plans, and ensuring members achieve desired outcomes through a multidisciplinary approach. You contribute to quality and cost-effective member care. Responsibilities Complete comprehensive assessments of members per regulated timelines and determine eligibility for care management Develop and implement care coordination plan in collaboration with member, caregiver, physician and/or other appropriate health care professionals and member support network Conduct telephonic, face-to-face or home visits as required Perform ongoing monitoring of care plan to evaluate effectiveness, document interventions and goal achievement, and suggest changes accordingly Maintain ongoing member caseload for regular outreach and management Promote integration of services for members including behavioral health, long-term services and supports (LTSS), and home and community resources Facilitate interdisciplinary care team (ICT) meetings and informal ICT collaboration Use motivational interviewing and Molina clinical guideposts to educate, support and motivate change during member contacts Assess for barriers to care, provide care coordination and assistance to member to address concerns May provide consultation, resources and recommendations to peers as needed May be assigned complex member cases and medication regimens May conduct medication reconciliation as needed Benefits Competitive benefits and compensation package Benefits Molina Healthcare offers a competitive benefits and compensation package. Candidate Requirements We are seeking a Registered Nurse (RN) with at least 2 years experience in healthcare, preferably in care management, or in a medical and/or behavioral health setting, or equivalent combination of relevant education and experience. The ideal candidate will possess a valid and unrestricted driver's license, reliable transportation, and adequate auto insurance for job related travel requirements. You should have an understanding of the electronic medical record (EMR) and Health Insurance Portability and Accountability Act (HIPAA), along with demonstrated knowledge of community resources. We value proactive individuals who are detail-oriented, able to work within a variety of settings and adjust style as needed, and capable of working independently with minimal supervision and self-motivation. Responsiveness in all forms of communication, and ability to remain calm in high-pressure situations, along with the ability to develop and maintain professional relationships are essential. Excellent time-management and prioritization skills, and ability to focus on multiple projects simultaneously and adapt to change, as well as excellent problem-solving, and critical-thinking skills are required. Strong verbal and written communication skills are a must. Proficiency in Microsoft Office suite/applicable software program and the ability to navigate online portals and databases are also required. A Certified Case Manager (CCM) is preferred. Registered Nurse (RN). License must be active and unrestricted in state of practice At least 2 years experience in healthcare, preferably in care management, or in a medical and/or behavioral health setting, or equivalent combination of relevant education and experience Valid and unrestricted driver's license, reliable transportation, and adequate auto insurance for job related travel requirements Understanding of the electronic medical record (EMR) and Health Insurance Portability and Accountability Act (HIPAA) Demonstrated knowledge of community resources Ability to operate proactively and demonstrate detail-oriented work Ability to work within a variety of settings and adjust style as needed - working with diverse populations, various personalities and personal situations Ability to work independently, with minimal supervision and self-motivation Responsiveness in all forms of communication, and ability to remain calm in high-pressure situations Ability to develop and maintain professional relationships Excellent time-management and prioritization skills, and ability to focus on multiple projects simultaneously and adapt to change Excellent problem-solving, and critical-thinking skills Strong verbal and written communication skills Microsoft Office suite/applicable software program proficiency, and ability to navigate online portals and databases Certified Case Manager (CCM) preferred Care Manager (RN): Delivering Integrated Care and Supporting Member Wellness Join our team as a Care Manager (RN) and play a vital role in coordinating integrated care for our members. You will conduct comprehensive assessments, develop personalised care plans, and facilitate interdisciplinary collaboration to ensure positive outcomes and cost-effective care. Your expertise will enhance the continuity of care and empower members to achieve their health goals.