Care Manager Registered Nurse in Madison, WI

Job Overview We are looking for a dedicated Registered Nurse (RN) to join our team as a Care Manager. In this role, you will work with the Medicaid and Medicare populations, conducting assessments, creating care plans, educating members, and connecting them to valuable community resources. Strong computer skills and keen attention to detail are essential for managing various systems, communicating with members and providers via phone, and accurately documenting interactions. This position is fast-paced, emphasizing productivity and quality of care. Work Environment This is a remote position, but applicants must have high-speed internet access. The schedule is Monday through Friday, 8:00 AM to 5:00 PM EST, with the flexibility to work until 6:00 PM one to two nights a week. No weekends or holidays required. Key Responsibilities • Complete comprehensive assessments of members and determine eligibility for care management based on clinical judgment and identified triggers. • Develop and implement collaborative care coordination plans to meet member needs and goals. • Conduct telephonic or in-person visits and maintain ongoing monitoring of care plans. • Promote integration of services across behavioral health, long-term services and supports, and community resources. • Facilitate interdisciplinary care team meetings and encourage collaboration among health professionals. • Utilize motivational interviewing techniques to educate and support members in their care journey. • Identify barriers to care and provide assistance to members in addressing their concerns. • Handle complex member cases and conduct medication reconciliation as needed. • Maintain regular outreach and case management for ongoing member support. Required Qualifications • Minimum of 2 years of experience in health care, ideally in care management or a related medical/behavioral health setting. • Active and unrestricted Registered Nurse (RN) license. • Valid driver's license and reliable transportation for job-related travel. • Understanding of electronic medical records (EMR) and HIPAA regulations. • Established knowledge of community resources. • Proficient in Microsoft Office and capable of navigating online databases. • Excellent verbal and written communication skills, with a focus on problem-solving and critical thinking. Preferred Qualifications • Certified Case Manager (CCM) certification is a plus. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V. We offer a competitive benefits and compensation package. Pay Range: $26.41 - $61.79 / HOURLY. Actual compensation may vary based on geographic location, work experience, education, and/or skill level.