(RN) Remote Care Manager - CA License req

Molina Healthcare • Layton, UT • 2h ago

JOB DESCRIPTION

Job Summary

Provides support for care management/care coordination activities and collaborates with multidisciplinary team coordinating integrated delivery of member care across the continuum. Strives to ensure member progress toward desired outcomes and contributes to overarching strategy to provide quality and cost-effective member care.

Essential Job Duties

Completes comprehensive assessments of members per regulated timelines and determines who may qualify for care management based on clinical judgment, changes in member health or psychosocial wellness and triggers identified in assessments.

Develops and implements care coordination plan in collaboration with member, caregiver, physician and/or other appropriate health care professionals and member support network to address member needs and goals.

Conducts telephonic, face-to-face or home visits as required.

Performs ongoing monitoring of care plan to evaluate effectiveness, document interventions and goal achievement, and suggest changes accordingly.

Maintains ongoing member caseload for regular outreach and management.

Promotes integration of services for members including behavioral health, long-term services and supports (LTSS), and home and community resources to enhance continuity of care.

Facilitates interdisciplinary care team (ICT) 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.

May provide consultation, resources and recommendations to peers as needed.

Care manager RNs may be assigned complex member cases and medication regimens.

Care manager RNs may conduct medication reconciliation as needed.

Required Qualifications

At least 2 years experience in health care, preferably in care management, or experience in a medical and/or behavioral health setting, or equivalent combination of relevant education and experience.

Registered Nurse (RN). License must be active and unrestricted in state of practice.

Valid and unrestricted driver's license, reliable transportation, and adequate auto insurance for job related travel requirements, unless otherwise required by law.

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.

Preferred Qualifications

Certified Case Manager (CCM).

Bilingual.

Home Health experience.

To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board.

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 - $59.21 / HOURLY

*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

Go to Apply

Technical Lead Supply Chain Management and Resilience

Noblis • Salt Lake City, UT • 7h ago

Management & Administrative

Responsibilities **This position is for upcoming work and is contingent upon task award/funding. Noblis is looking to hire a Technical Lead for Supply Chain Management and Resilience to support the Department of Defense'...

7h ago

Go to Apply

Administrative Assistants

University of Utah • Salt Lake City, UT • 10h ago

Management & Administrative

Details Open Date 05/22/2026 Requisition Number PRN45159B Job Title Administrative Assistants Working Title Administrative Assistants Career Progression Track S00 Track Level S3 - Skilled FLSA Code Nonexempt Patient Sens...

10h ago

Go to Apply

Sentinel - Mechanical Engineering Manager 2 - 17009

Northrop Grumman • Roy, UT • 11h ago

Management & Administrative

RELOCATION ASSISTANCE: Relocation assistance may be available CLEARANCE REQUIRED FOR START: Yes CLEARANCE TYPE: Secret TRAVEL: Yes, 10% of the Time Description At Northrop Grumman, our employees have incredible opportuni...

11h ago

Go to Apply

Manager Trainee

The Hertz Corporation • Roy, UT • 11h ago

Management & Administrative

The Manager In Training program provides hands-on training in Sales, Operations, Customer Service, finance, fleet management, and people management. This position has a clearly defined career path to Branch Manager in as...

11h ago

Go to Apply

Email Marketing Specialist- Global

Ralliant • Salt Lake City, UT • 11h ago

Management & Administrative

Job Title: Email Marketing Execution Specialist - Global Company: Hengstler-Dynapar Location: Fully Remote (Headquartered in Elizabethtown, NC, USA, and Aldingen, Germany and Kezmorak, Slovakia) About Us: Hengstler-Dynap...

11h ago

Go to Apply

Subscribe to get new jobs sent directly to you
(no charge, cancel anytime)