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Registered Nurse Care Manager - Remote

Posted 2 weeks ago
All others
Full Time
MA, USA

Overview

The Registered Nurse Care Manager will work with members and providers to coordinate care for patients with high needs, ensuring quality and cost-effective outcomes.

In Short

  • Conduct comprehensive assessments for case management eligibility.
  • Develop and implement individualized care plans.
  • Perform face-to-face or home visits as needed.
  • Monitor and evaluate care plans for effectiveness.
  • Maintain a regular outreach schedule for case management.
  • Promote integration of services including behavioral health.
  • Facilitate interdisciplinary care team meetings.
  • Use motivational interviewing techniques to support members.
  • Assess barriers to care and provide necessary coordination.
  • Local travel (25-40%) required for member visits.

Requirements

  • Graduate from an Accredited School of Nursing.
  • 1-3 years of experience in case management or similar fields.
  • Active RN license in good standing.
  • Valid driver's license and reliable transportation.
  • Bachelor's Degree in Nursing preferred.
  • 3-5 years of experience preferred.
  • Certified Case Manager (CCM) preferred.

Benefits

  • Competitive benefits and compensation package.
  • Equal Opportunity Employer.

M.T.A

Molina Talent Acquisition

Molina Healthcare is a leading provider of managed healthcare services, dedicated to improving the health of its members through high-quality, cost-effective care. The company focuses on network strategy and development, ensuring compliance with federal, state, and local regulations while aligning with its core values and strategic goals. Molina Healthcare emphasizes the importance of building strong relationships with complex providers, including hospitals and physician groups, to enhance network adequacy and financial performance. With a commitment to value-based care, Molina Healthcare actively engages in contract negotiations and innovative reimbursement models to meet the diverse needs of its members.

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