Registered Nurse Case Manager Remote with field travel in Seattle, Everett, Snohomish, Renton

Position Overview

Molina Healthcare Services (HCS) works with members, providers, and multidisciplinary team members to assess, facilitate, plan, and coordinate an integrated delivery of care across the continuum – including behavioral health and long term care – for members with high need potential. HCS staff work to ensure that patients progress toward desired outcomes with quality care that is medically appropriate and cost-effective based on the severity of illness and the site of service. This position supports our Washington State Plan. We are seeking an RN candidate with experience supporting the DDA and Complex Care population. Further details will be discussed during the interview process. Work schedule: Monday-Friday, 8:00 AM to 5:00 PM PST. Remote position with field travel within Seattle, Kirkland, Bellevue, Everett, Snohomish, Renton, and Lynnwood. WA RN unrestricted licensure is required.

Key Responsibilities

• Completes comprehensive assessments of members per regulated timelines and determines qualification for case management based on clinical judgment, changes in member health or psychosocial wellness, and identified triggers.
• Develops and implements a case management plan in collaboration with the member, caregiver, physician, and/or other appropriate healthcare professionals.
• Conducts face-to-face or home visits as required.
• Performs ongoing monitoring of the care plan to evaluate effectiveness, document interventions and goal achievement, and suggest necessary changes.
• Maintains an ongoing member caseload for regular outreach and management.
• Promotes integration of services, including behavioral health care and long term services and supports/home and community, to enhance continuity of care.
• Facilitates interdisciplinary care team 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 and provides care coordination and assistance to address concerns.
• Requires approximately 10% local travel.
• Provides consultation, recommendations, and education as appropriate to non-RN case managers.
• Manages cases for members with complex medical conditions and medication regimens, including conducting medication reconciliation when needed.

Required Qualifications

• Graduate from an Accredited School of Nursing (Bachelor's Degree in Nursing is preferred).
• 1-3 years of experience in case management, disease management, managed care, or medical/behavioral health settings.
• Active, unrestricted State Registered Nursing (RN) license in good standing.
• Valid driver's license with a good driving record and reliable transportation.

Preferred Qualifications

• Bachelor's Degree in Nursing.
• 3-5 years of experience in case management, disease management, managed care, or medical/behavioral health settings.
• Active, unrestricted Certified Case Manager (CCM) certification.

Benefits & Perks

• Competitive benefits and compensation package
• Pay Range: $26.41 - $59.21 / HOURLY
• Actual compensation may vary based on geographic location, work experience, education, and/or skill level.
• Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.