Molina Healthcare
Remote (New York, NY, USA)
JOB DESCRIPTION Job Summary The Care Manager (RN) 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. This position will be supporting our Complex Adult Medical Care Management program. The ideal candidate will bring strong expertise in chronic disease management, with familiarity in evidence-based practices for conditions commonly seen; such as hypertension, diabetes, asthma, COPD, and chronic kidney disease/ESRD. Skilled in closing HEDIS, preventive care gaps through proactive outreach and coordination with members/providers. Experience integrating medical and behavioral health needs in care planning, understanding of clinical guidelines, social determinants of health, and health equity principles is...