LTSS Care Manager & RN Care Coordinator

Jobtome; Sandwich Township (IL); On-site; USD 38,000 - 74,000; Full time

Job summary

Molina Healthcare is seeking a registered nurse to support care management and LTSS coordination. You will collaborate with a multidisciplinary team to ensure quality, cost-effective member care and progress toward outcomes.

The role requires at least 2 years in healthcare with 1 year in care management/LTSS, a valid RN license, and the ability to travel locally 25-40% to support members across settings.

Qualifications

• Registered Nurse (RN) license active and unrestricted in state of practice.
• Minimum 2 years healthcare experience with at least 1 year in care management/LTSS.
• Valid driver's license and reliable transportation.
• Ability to work independently and manage multiple priorities.
• Strong verbal and written communication; proficient with Office suite.

Responsibilities

• Complete comprehensive member assessments within regulated timelines, including in-person home visits as required.
• Facilitate comprehensive waiver enrollment and disenrollment processes.
• Develop and implements care plans with members, caregivers, physicians and other health professionals.
• Monitors care plan effectiveness, documents interventions and adjusts as needed.
• Promotes integration of LTSS with behavioral health services and community resources.
• Assess medical necessity and authorize waiver services.
• Facilitate ICT meetings for approvals/denials and collaboration.
• Use motivational interviewing and clinical guidelines to educate and motivate change.
• Identify barriers to care and assist with psycho/social, financial, and medical obstacles.
• May provide consultation and resources to peers.
• Care manager RNs may handle complex cases and medication reconciliation.
• 25-40% local travel may be required.

Skills

Care coordination

Communication skills

Time management

Self-motivation

Travel readiness

Education

Bachelor's degree in health care field

Tools

Microsoft Office

Job description

Molina Healthcare is seeking a registered nurse to support care management and LTSS coordination. You will collaborate with a multidisciplinary team to ensure quality, cost-effective member care and progress toward outcomes.

The role requires at least 2 years in healthcare with 1 year in care management/LTSS, a valid RN license, and the ability to travel locally 25-40% to support members across settings.