(RN) Remote Care Manager - CA License req

Molina Healthcare • Bowling Green, KY • 2d 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.

Similar Jobs

Customer Service Associate - Temporary

Walgreens • Bowling Green, KY • 1d ago

Management & Administrative

Job Description: Models and delivers a distinctive and delightful customer experience. Registers sales on assigned cash register, provides customers with courteous, fair, friendly, and efficient checkout service. Custome...

1d ago

Go to Apply

Security Officer Access Screening

Allied Universal • Franklin, KY • 1w ago

Management & Administrative

Allied Universal®, North America's leading security and facility services company, offers rewarding careers that provide you a sense of purpose. While working in a dynamic, welcoming, and collaborative workplace, you wil...

1w ago

Go to Apply

Customer Service Associate

Walgreens • Morgantown, KY • 1w ago

Management & Administrative

1w ago

Go to Apply

Customer Service Associate

Walgreens • Bowling Green, KY • 1w ago

Management & Administrative

1w ago

Go to Apply

Information Technology Consultant, College of Education and Behavioral Sciences

Western Kentucky University • Bowling Green, KY • 2w ago

Management & Administrative

Location: Bowling Green, KY Category: Staff Job Type: Full-time Posted On: Fri May 8 2026 Job Description: The College of Education and Behavioral Sciences is home to WKU's nationally recognized clinical preparation prog...

2w ago

Go to Apply

Manager Logistics

Cleveland-Cliffs Inc. • Bowling Green, KY • 2w ago

Management & Administrative

Location: Bowling Green, KY Cannon Automotive Solutions, a division Cleveland-Cliffs Tooling and Stamping, has an immediate opportunity for a Manager Logistics in our Bowling Green, Kentucky Stamping Facility. The Manage...

2w ago

Go to Apply

Territory Account Manager

EquipmentShare • Bowling Green, KY • 2w ago

Management & Administrative

Build the Future with Us - EquipmentShare is Hiring a Territory Account Manager At EquipmentShare, we're not just filling a role - we're assembling the best team on the planet to build something that's never been built b...

2w ago

Go to Apply

Office Coordinator - ACCT/AIS/MGT Departments

Western Kentucky University • Bowling Green, KY • 2w ago

Management & Administrative

Location: Bowling Green, KY Category: Staff Job Type: Full-time Posted On: Mon May 4 2026 Job Description: The Office Coordinator for Accounting, Management, and Analytics & Information Systems will serve as the prim...

2w ago

Go to Apply

Executive Administrative Assistant

HCA Healthcare • Bowling Green, KY • 3w ago

Management & Administrative

Do you want to join an organization that invests in you as an Executive Administrative Assistant? At TriStar Greenview Regional Hospital, you come first. HCA Healthcare has committed up to $300 million in programs to sup...

3w ago

Go to Apply

Customer Service Representative

U-Haul • Bowling Green, KY • 3w ago

Management & Administrative

Location: 1817 Campbell Ln, Bowling Green, Kentucky 42104 United States of America Are you a people person? Do you love helping others? U-Haul is in search of friendly, motivated people for the position of Customer Servi...

3w ago

Go to Apply

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