Field RN Care Manager: LTSS Care Coordinator

Molina Healthcare Inc; Fairview Heights (IL); On-site; USD 70,000 - 95,000; Full time

Job summary

Molina Healthcare is seeking an RN to support care management and LTSS activities, collaborating with a multidisciplinary team to coordinate member care across the continuum. The role aims to achieve progress toward outcomes and aligns with the organization’s strategy to deliver quality, cost-effective care.

The position involves developing care plans with members, caregivers and health professionals, monitoring progress, and addressing psycho/social, financial, and medical barriers.

Qualifications

• RN with active/state license; required in practice state.
• Experience in care management, managed care, or LTSS.
• Experience with populations with disabilities and chronic conditions.

Responsibilities

• Supports care management and coordination for LTSS activities.
• Collaborates with multidisciplinary teams to coordinate member care.
• Develops and implements care plans with members and providers.
• Monitors care plans, documents interventions and outcomes.
• Promotes service integration across behavioral health and LTSS.
• Assesses medical necessity and authorizes waiver services.
• Facilitates ICT meetings for service approvals/denials.
• Uses motivational interviewing and Molina clinical guideposts.

Skills

Communication skills

Time management

Detail-oriented

Care coordination

Interpersonal skills

MS Office proficiency

Education

Registered Nurse (RN) license

Job description

Molina Healthcare is seeking an RN to support care management and LTSS activities, collaborating with a multidisciplinary team to coordinate member care across the continuum. The role aims to achieve progress toward outcomes and aligns with the organization’s strategy to deliver quality, cost-effective care.

The position involves developing care plans with members, caregivers and health professionals, monitoring progress, and addressing psycho/social, financial, and medical barriers.