Care Manager RN – Molina Healthcare in Cleveland, OH

Location & Practice Overview

The Care Manager RN position is based in Cleveland, Ohio, within Molina Healthcare's managed-care operations. The role supports coordinated healthcare delivery through a combination of telephonic engagement, in-person member interactions, and collaboration with providers and community resources. Unlike a position tied to a single clinical facility, this role operates across multiple care settings and requires local field activity as part of its member support model.

Responsibilities

• Conduct comprehensive member assessments within required regulatory timelines to evaluate medical, clinical, and psychosocial needs.
• Develop and implement individualized care coordination plans in partnership with members, caregivers, and healthcare providers.
• Monitor member progress toward established goals, document outcomes, and adjust interventions when needs change.
• Coordinate services across medical providers, behavioral health, long-term services and supports, and community resources.
• Apply motivational interviewing techniques to educate members and support engagement in care plans.
• Facilitate interdisciplinary care team meetings and maintain accurate documentation in electronic systems while protecting member privacy under HIPAA.

The role centers on independent caseload management that combines clinical assessment, ongoing outreach, and service navigation to help members reach health and wellness goals.

Qualifications & Requirements

Candidates must hold an active, unrestricted Registered Nurse (RN) license valid in Ohio and have at least two years of healthcare experience. Previous care management or case management experience is preferred, while the Certified Case Manager (CCM) credential is an additional preferred qualification rather than a mandatory requirement.

Compensation & Benefits

Pay is offered on an hourly basis and may vary according to geographic location, professional experience, education, and skill level. Molina Healthcare states that it provides a competitive employee benefits and compensation package; specific plan details are confirmed during recruitment.

• Hourly rate: $26.41–$51.49
• Competitive benefits package available (details confirmed with employer)

Schedule & Work Environment

Patient Population & Clinical Setting

Care management services are directed toward Molina Healthcare members enrolled in government-sponsored health plans who may need assistance navigating multiple healthcare services. The population includes individuals with ongoing medical conditions, behavioral health needs, and circumstances that can complicate access to appropriate care. Support is provided across different stages of the healthcare journey, with attention to continuity between providers, available community resources, and long-term support services.

Clinical Focus & Key Services

The clinical core of this position is care management that integrates medical oversight, behavioral health coordination, and connection to long-term services and supports. Emphasis is placed on identifying gaps in care, supporting health-related behavior change, and ensuring continuity across the care continuum.

Role Highlights

This Care Manager RN opportunity offers a nursing role within a managed-care organization rather than a traditional hospital-based clinical department. The position combines member-centered care coordination, independent caseload oversight, and collaboration across different healthcare and community settings. Its field-based component provides opportunities to engage with members beyond telephone interactions, while the interdisciplinary structure connects nursing practice with broader medical and behavioral health services.

• Nursing position within Molina Healthcare's managed-care environment
• Combination of telephonic coordination and in-person member engagement
• Field-based work involving local member visits and community settings
• Independent caseload oversight within an interdisciplinary care model
• Exposure to integrated medical, behavioral health, and long-term services coordination

About Molina Healthcare

Molina Healthcare is a managed-care organization that provides health coverage and related services primarily through government-sponsored programs, including Medicaid, Medicare, and state insurance marketplaces. Founded in 1980 in Long Beach, California, the company now serves more than 5 million members across multiple states and focuses on populations receiving government assistance.

Frequently Asked Questions

Care Manager RN in Cleveland, OH

The Care Manager RN position at Molina Healthcare in Cleveland, Ohio, is centered on nursing-led care coordination within a managed healthcare organization serving members enrolled in government-sponsored health plans. The role operates across medical, behavioral health, and long-term services and supports, connecting members with appropriate providers and community-based resources. Unlike positions based in a single hospital or outpatient department, this opportunity involves coordinating care across multiple settings and supporting members whose healthcare needs extend beyond individual clinical encounters. Its combination of telephonic engagement, in-person member contact, and local field activity reflects Molina Healthcare's integrated approach to care management, with an emphasis on continuity, access to services, and coordinated support throughout the member's healthcare journey.