Molina Healthcare

Registered Nurse Case Manager

Molina Healthcare

Remote
Full-TimeDepends on ExperienceSenior LevelMasters
Job Description

At Molina Healthcare, we believe in providing quality healthcare services to our members while promoting their overall well-being and independence. As a Registered Nurse Case Manager, you will play a crucial role in coordinating and managing the care of our members, ensuring they receive the best possible treatment and support. We are looking for a dedicated and compassionate individual who is passionate about making a positive impact in the lives of others. If you possess strong clinical skills, excellent communication abilities, and a desire to make a difference, we invite you to join our team at Molina Healthcare.

  1. Coordinate and manage the care of Molina Healthcare members to ensure that they receive high-quality healthcare services.
  2. Communicate effectively with members, healthcare providers, and other team members to ensure coordinated and comprehensive care.
  3. Assess members' healthcare needs and develop individualized care plans to promote their overall well-being and independence.
  4. Monitor members' progress and make necessary adjustments to the care plan to ensure optimal outcomes.
  5. Collaborate with healthcare providers to ensure that members receive appropriate and timely treatment.
  6. Educate members and their families about their healthcare options and resources available to them.
  7. Advocate for members' rights and ensure that their needs are met within the healthcare system.
  8. Maintain accurate and up-to-date documentation of members' care and progress.
  9. Adhere to all regulatory and compliance guidelines in the provision of healthcare services.
  10. Participate in multidisciplinary team meetings and contribute valuable insights and recommendations for improving the care of members.
  11. Continuously educate yourself on best practices and advancements in the healthcare industry to enhance your clinical skills and knowledge.
  12. Collaborate with other healthcare professionals to identify and implement strategies for improving the overall quality of care for members.
  13. Demonstrate compassion, empathy, and respect for members and their families to build trusting relationships and provide person-centered care.
  14. Carry out all responsibilities in alignment with Molina Healthcare's mission, vision, and values.
Where is this job?
This job opening is listed as 100% remote
Job Qualifications
  • Bachelor's Degree In Nursing (Bsn) Or Higher: A Registered Nurse Case Manager At Molina Healthcare Should Hold A Bachelor's Degree In Nursing Or A Higher Degree From An Accredited Institution. This Educational Qualification Provides The Necessary Knowledge And Skills To Effectively Manage Patient Care And Coordinate Healthcare Services.

  • Active And Unrestricted Rn License: The Candidate Should Possess An Active And Unrestricted Registered Nurse (Rn) License In The State Where They Will Be Working. This License Ensures That The Nurse Is Qualified And Authorized To Practice Nursing In That State, Meeting All Necessary Regulatory Requirements.

  • Minimum Of 2 Years Of Clinical Nursing Experience: To Be Considered For The Position Of Registered Nurse Case Manager At Molina Healthcare, Candidates Should Have A Minimum Of 2 Years Of Clinical Nursing Experience. This Experience Provides A Solid Foundation In Patient Care And Allows The Nurse To Effectively Manage And Coordinate Care For Patients With Complex Needs.

  • Case Management Certification: Having A Certification In Case Management, Such As The Certified Case Manager (Ccm) Or The American Case Management Association (Acma) Certification, Is Highly Desired For This Role. This Certification Validates The Nurse's Knowledge And Expertise In Managing Patients With Chronic Or Complex Healthcare Needs.

  • Strong Communication And Organizational Skills: As A Registered Nurse Case Manager At Molina Healthcare, The Ability To Communicate Effectively And Efficiently With Patients, Families, Healthcare Providers, And Other Stakeholders Is Crucial. The Candidate Should Also Possess Strong Organizational Skills To Manage And Coordinate Care For Multiple Patients, Ensuring Timely And Efficient Delivery Of Services.

Required Skills
  • Communication Skills

  • Case management

  • Risk assessment

  • Team collaboration

  • Care planning

  • Disease Management

  • Patient Advocacy

  • Resource allocation

  • Patient education

  • Crisis

  • Utilization Review

  • Healthcare Coordination

Soft Skills
  • Communication

  • Conflict Resolution

  • Customer Service

  • Emotional Intelligence

  • Leadership

  • Time management

  • creativity

  • Teamwork

  • Adaptability

  • Problem-Solving

Compensation

According to JobzMall, the average salary range for a Registered Nurse Case Manager is between $61,000 to $93,000 per year. However, this can vary depending on factors such as location, experience, and employer. Some case managers may earn bonuses or other incentives as part of their compensation package.

Additional Information
Molina Healthcare is an Equal Opportunity Employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. We do not discriminate based upon race, religion, color, national origin, sex, sexual orientation, gender identity, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics.
Required LanguagesEnglish
Job PostedFebruary 4th, 2025
Apply BeforeJuly 8th, 2026
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About Molina Healthcare

Molina Healthcare is a managed care company headquartered in Long Beach, California, United States. The company provides health insurance to individuals through government programs such as Medicaid and Medicare.

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