Remote Rn Case Manager Jobs in Anna, TX (NOW HIRING)

Job Summary

Provides subject matter expertise and leads the deployment and integration of clinical programs, technologies, and workflows, ensuring alignment with regulatory requirements and organizational goals. Acts as a liaison between clinical, technical, and administrative teams, focused on planning and executing implementations that fit existing workflows while supporting patient care and operational efficiency. 

Job Duties

• Assists with planning and execution of clinical system implementations.
• Develops and executes implementation plans, timelines, and milestones.
• Ensures compliance with clinical standards, regulatory requirements, organizational policies, new workflows, and technology.
• Assists during implementation phases to ensure smooth adoption of new workflows and technologies.
• Serves as a resource for clinical teams, addressing questions and resolving issues promptly.
• Delivers post-implementation support to maintain system functionality and optimize performance.
• Provides ongoing support and troubleshooting during and after implementation.
• Partners with clinicians, administrators, and IT teams to ensure seamless integration of solutions.
• Acts as a liaison between clinical teams and technical teams to translate requirements and feedback.
• Monitors implementation progress and identify areas for improvement.
• Collects and analyzes data to measure program effectiveness.
• Recommends enhancements to optimize workflows and system performance.

Job Qualifications

REQUIRED QUALIFICATIONS:

• At least 5 years of direct clinical, healthcare technology implementation, or program management experience, or equivalent combination of relevant education and experience. 
• Registered Nurse (RN) or Advanced Practice Social Worker (APSW), or Licensed Behavioral Health Clinician (MSW, LCSW). 
• Clinical licensure and/or certification required ONLY if required by state contract, regulation, business operating model, or state board licensing mandates.
• If licensed, license must be active and unrestricted in state of practice.
• Proficiency with Electronic Health Record (EHR) systems (e.g., Epic, Cerner, Meditech).
• Strong understanding of clinical workflows and healthcare IT systems.
• Ability to troubleshoot technical issues and provide practical solutions.
• Familiarity with data analysis tools and reporting software.
• Competence in Microsoft Office Suite and project management tools.
• Ability to collect, interpret, and analyze data to measure program effectiveness.
• Skilled in identifying process gaps and recommending workflow optimizations.
• Strong critical thinking for resolving implementation challenges quickly.
• Excellent verbal and written communication skills for training and stakeholder engagement.
• Ability to explain technical concepts to non-technical audiences.
• Strong collaboration skills to work effectively with clinical, technical, and administrative teams.
• Experience managing timelines, deliverables, and priorities in fast-paced environments.
• Ability to adapt to changing requirements and maintain focus on goals.
• Detail-oriented with a commitment to accuracy and quality.
• Self-motivated and able to work independently or as part of a team.
• Comfortable in high-pressure situations and capable of meeting deadlines.

PREFERRED QUALIFICATIONS:

• Certified Case Manager (CCM), Certified Professional in Healthcare Management (CPHM), Certified Professional in Healthcare Quality (CPHQ), or other health care or management certification.
• Familiarity with change management principles and process improvement methodologies.
• Experience creating executive summaries and decks as well as comfort presenting to varying stakeholders and audiences, including executive leadership.
• Leadership and change management experience.
• Medicaid/Medicare/Duals population experience.
• Six Sigma Green Belt or higher certification.
   

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: $76,757 - $149,676 / ANNUAL
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.