Field RN Care Manager – LTSS & Waiver Coordination

Molina Healthcare; Godfrey (IL); On-site; USD 38,000 - 74,000; Full time

Benefits offered by this job

Competitive benefits package

Job summary

Molina Healthcare is seeking a Registered Nurse care manager to coordinate LTSS across settings, collaborating with an interdisciplinary team to drive integrated member care and progress toward outcomes.

You will conduct comprehensive assessments, facilitate waiver enrollment/disenrollment, develop and monitor care plans, and help members overcome barriers to access while communicating effectively with families, providers and the care team.

Qualifications

• Active RN license in state of practice.
• Minimum 2 years healthcare experience with care management.
• Experience working with persons with disabilities or LTSS preferred.
• Ability to travel 25–40% as required by state contracts.
• Proficiency with Microsoft Office and electronic health records.

Responsibilities

• Completes comprehensive member assessments within required timelines, including in-person visits.
• Facilitates waiver enrollment and disenrollment processes.
• Develops and implements care plans with members, caregivers and providers.
• Monitors and updates care plans based on outcomes and barriers.
• Promotes integration of services across behavioral health and LTSS.
• Assesses medical necessity and authorizes waiver services.
• Participates in ICT meetings for approvals/denials.

Skills

RN License

Care Management

Communication

Time Management

Microsoft Office

Driver's License

Education

RN License (Active)

Job description

Molina Healthcare is seeking a Registered Nurse care manager to coordinate LTSS across settings, collaborating with an interdisciplinary team to drive integrated member care and progress toward outcomes.

You will conduct comprehensive assessments, facilitate waiver enrollment/disenrollment, develop and monitor care plans, and help members overcome barriers to access while communicating effectively with families, providers and the care team.