Remote LTSS Care Manager (RN) - Travel Ready

Jobtome; New Richmond (WI); Hybrid; USD 36,000 - 71,000; Full time

Job summary

Molina Healthcare is seeking a Care Manager RN to support LTSS as part of a multidisciplinary team. You will coordinate member care across services, complete timely assessments, and develop comprehensive care plans with input from members, caregivers, and health professionals.

The role emphasizes driving outcomes, managing complex cases, and coordinating with behavioral health and community resources. Some travel is required to visit members in their homes.

Qualifications

• At least 2 years in health care with 1 year in care management or LTSS.
• RN license active and unrestricted.
• Bachelor's degree may be required depending on state.
• Valid driver's license and reliable transportation.
• Ability to work independently and manage multiple projects.

Responsibilities

• Complete comprehensive member assessments within timelines, including in-person home visits.
• Facilitate waiver enrollment and disenrollment processes.
• Develop and implement care plans with members, caregivers, physicians and others.
• Monitor care plans and evaluate effectiveness, documenting interventions.
• Promote integration of LTSS and behavioral health services; coordinate across teams.
• Assess medical necessity and authorize waiver services.
• Support ICT meetings for approval/ denial and collaboration.
• Use motivational interviewing to educate and motivate changes.
• Identify barriers to care and assist with psycho/social barriers.
• May provide consultation and resources to peers.
• Care manager RNs may handle complex cases and medication reconciliation.
• Travel 25-40% locally as required.

Skills

RN license

Care management

Healthcare experience

Driver's license

Communication skills

Time management

Education

Bachelor's degree in health care field

Tools

Microsoft Office

Job description

Molina Healthcare is seeking a Care Manager RN to support LTSS as part of a multidisciplinary team. You will coordinate member care across services, complete timely assessments, and develop comprehensive care plans with input from members, caregivers, and health professionals.

The role emphasizes driving outcomes, managing complex cases, and coordinating with behavioral health and community resources. Some travel is required to visit members in their homes.