Care Manager, LTSS (RN)

IntelliResume; Knoxville (IL); On-site; USD 37,000 - 74,000; Full time

Benefits offered by this job

Competitive benefits and compensation

Job summary

Molina Healthcare is seeking a Care Manager, LTSS (RN) in Knoxville, IL to support care management for members requiring long-term services and supports. The role emphasizes collaboration, integrated care, and driving positive member outcomes.

The position requires an active RN license and 2+ years in healthcare, including LTSS or behavioral health settings, with travel up to 40% locally. Competitive benefits and full-time schedule offered.

Qualifications

• Active and unrestricted RN license in the state of practice.
• Bachelor's degree in a health care related field may be required in some states.
• At least 2 years of healthcare experience, including 1 year in care management or a medical/behavioral health setting.
• Experience working with persons with disabilities, chronic conditions, and LTSS.

Responsibilities

• Complete comprehensive member assessments within regulated timelines, including in-person home visits as required.
• Facilitate comprehensive waiver enrollment and disenrollment processes.
• Develop and implement care plans in collaboration with members, caregivers, and healthcare professionals.
• Perform ongoing monitoring of care plans to evaluate effectiveness and suggest changes.
• Promote integration of services for members, including behavioral health care and community resources.
• Assess for medical necessity and authorize appropriate waiver services.
• Evaluate covered benefits and advise on funding sources.
• Facilitate interdisciplinary care team meetings for service approvals or denials.
• Use motivational interviewing to educate and support members.
• Assess for barriers to care and provide coordination to address obstacles.
• Identify critical incidents and develop prevention plans for member health and welfare.
• Conduct medication reconciliation as needed.
• Travel locally 25-40% as required.

Skills

Care coordination

Interdisciplinary teamwork

Motivational interviewing

Education

RN license

Healthcare bachelor’s degree (preferred)

Job description

About This Role

The Care Manager, LTSS (RN) position involves supporting care management and coordination for members requiring long-term services and supports. This role is ideal for experienced RNs who are passionate about improving member outcomes through collaboration and integrated care.

Highlights

• Pay: $27 - $54/hour
• Location: Knoxville, IL
• Schedule: Full Time

What You'll Do

• Complete comprehensive member assessments within regulated timelines, including in-person home visits as required.
• Facilitate comprehensive waiver enrollment and disenrollment processes.
• Develop and implement care plans in collaboration with members, caregivers, and healthcare professionals.
• Perform ongoing monitoring of care plans to evaluate effectiveness and suggest changes.
• Promote integration of services for members, including behavioral health care and community resources.
• Assess for medical necessity and authorize appropriate waiver services.
• Evaluate covered benefits and advise on funding sources.
• Facilitate interdisciplinary care team meetings for service approvals or denials.
• Use motivational interviewing to educate and support members.
• Assess for barriers to care and provide coordination to address obstacles.
• Identify critical incidents and develop prevention plans for member health and welfare.
• Conduct medication reconciliation as needed.
• Travel locally 25-40% as required.

Requirements

Education:

• Registered Nurse (RN) License must be active and unrestricted in state of practice.
• In some states, a bachelor's degree in a health care related field may be required.

Experience:

• At least 2 years of experience in health care, including 1 year in care management or a medical/behavioral health setting.
• Experience working with persons with disabilities, chronic conditions, and long-term services and supports (LTSS).

Licenses & Certifications:

• Valid and unrestricted driver's license.
• Reliable transportation and adequate auto insurance for job-related travel.

Benefits

• Competitive benefits and compensation package.

About Molina Healthcare

Molina Healthcare is a leading healthcare provider committed to delivering exceptional patient care. They focus on providing quality and cost-effective member care through a collaborative approach.