Remote LTSS Care Manager RN - Travel Required

Jobtome; Ellsworth Township (OH); Remote; USD 36,000 - 71,000; Full time

Job summary

Molina Healthcare seeks an experienced RN Care Manager to support long-term services and supports (LTSS) coverage. This role works remotely with travel across Wisconsin to complete home visits, assessments, and care plans in collaboration with an interdisciplinary team.

You will help ensure medical necessity, coordinate waiver services, and promote integration of services across care settings while maintaining high-quality member care. Travel requirements may vary by state and contract.

Qualifications

• Minimum 2 years in health care, with care management or LTSS exposure.
• RN license active and unrestricted in state of practice.
• Bachelor's degree may be required depending on state.
• Valid driver's license and reliable transportation for travel.
• Strong communication and multitasking abilities.
• Ability to work independently with minimal supervision.

Responsibilities

• Complete comprehensive member assessments within timelines, including in-person home visits as required.
• Facilitate waiver enrollment and disenrollment processes.
• Develop and implement care plans with members, families, physicians and care team.
• Monitor and adjust care plans based on progress and outcomes.
• Promote integration of LTSS with behavioral health and community resources.
• Assess medical necessity and authorize waiver services.
• Coordinate interdisciplinary care team (ICT) meetings for approvals.
• Educate and motivate members using motivational interviewing during contacts.
• Identify barriers and provide coordination for psycho/social and medical needs.
• Assist with medication reconciliation and complex case management as needed.

Skills

Care management

Healthcare experience

Communication

Time management

Microsoft Office

Education

Bachelor's degree in health care

Tools

Microsoft Office

Job description

Molina Healthcare seeks an experienced RN Care Manager to support long-term services and supports (LTSS) coverage. This role works remotely with travel across Wisconsin to complete home visits, assessments, and care plans in collaboration with an interdisciplinary team.

You will help ensure medical necessity, coordinate waiver services, and promote integration of services across care settings while maintaining high-quality member care. Travel requirements may vary by state and contract.