LTSS Field Care RN - Medicaid Care Coordination

Molina Healthcare, Inc.; Channelview (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 a Field Care Manager serving Baytown, Beach City, and Channelview. You will conduct member assessments, coordinate waiver services, and collaborate with a multidisciplinary team to deliver coordinated care. Local travel is 25–40% under state/contract rules.

The role emphasizes care planning, monitoring progress, and ensuring access to LTSS and behavioral health resources, with a focus on quality and cost-effective outcomes.

Qualifications

• Must be a Texas-licensed RN with active unrestricted license.
• Minimum 2 years healthcare experience including care management or MCO setting.
• Valid driver's license and reliable vehicle for local travel.
• Experience with Medicaid population preferred.

Responsibilities

• Completes comprehensive member assessments within regulated timelines, including in-person home visits as required.
• Facilitates comprehensive waiver enrollment and disenrollment processes.
• Develops and implements care plans with members and care team.
• Monitors care plan effectiveness, documents interventions, and adjusts goals as needed.
• Promotes integration of LTSS, behavioral health, and community resources.
• Assesses medical necessity and authorizes waiver services.
• Facilitates interdisciplinary care team meetings for approvals.
• Uses motivational interviewing to educate and motivate change.
• Coordinates travel for field visits as required by state/contractual rules.

Skills

Verbal and written communication

Time management

Problem-solving

Independent work

Multidisciplinary collaboration

Education

RN license (active)

Bachelor's degree in healthcare (optional)

Tools

Microsoft Office

Outlook

Excel

OneNote

Teams

Job description

Molina Healthcare is seeking a Texas-licensed RN to join as a Field Care Manager serving Baytown, Beach City, and Channelview. You will conduct member assessments, coordinate waiver services, and collaborate with a multidisciplinary team to deliver coordinated care. Local travel is 25–40% under state/contract rules.

The role emphasizes care planning, monitoring progress, and ensuring access to LTSS and behavioral health resources, with a focus on quality and cost-effective outcomes.