Field Care Manager LTSS RN - Home-Based Care

Molina Healthcare; Baytown (TX); On-site; USD 36,000 - 71,000; Full time

Benefits offered by this job

Mileage reimbursement

Job summary

Molina Healthcare is seeking a Texas-licensed RN to join as Field Care Manager serving Medicaid members in Baytown, Beach City, and Channelview. You will complete assessments to determine service eligibility and coordinate care with a multidisciplinary team.

Candidates with Medicaid/ managed care experience preferred. The role involves travel up to 25-40% within the coverage area, with mileage reimbursed. Hours are Monday–Friday, 8 AM–5 PM CST.

Qualifications

• 2+ years healthcare experience with 1+ year in care management/ managed care.
• RN license active and unrestricted in state of practice.
• Driver's license and reliable transportation for travel.

Responsibilities

• Completes comprehensive member assessments within timelines, including in-person visits when required.
• Facilitates waiver enrollment and disenrollment processes.
• Develops and implements care plans in collaboration with members and providers.
• Monitors care plan effectiveness, documents interventions and adjusts as needed.
• Promotes integration of behavioral health and LTSS services for seamless member care.
• Assesses medical necessity and authorizes appropriate waiver services.
• Coordinates interdisciplinary care team meetings for service approvals/denials.
• Educates and motivates members using motivational interviewing and Molina guides.
• May provide consultation and support to peers as needed.
• Care manager RNs may handle complex cases and medication reconciliation.

Skills

Communication skills

Interpersonal skills

Time management

Problem-solving

Education

Registered Nurse (RN) license

Job description

Molina Healthcare is seeking a Texas-licensed RN to join as Field Care Manager serving Medicaid members in Baytown, Beach City, and Channelview. You will complete assessments to determine service eligibility and coordinate care with a multidisciplinary team.

Candidates with Medicaid/ managed care experience preferred. The role involves travel up to 25-40% within the coverage area, with mileage reimbursed. Hours are Monday–Friday, 8 AM–5 PM CST.