Remote LTSS Care Manager (RN) – Travel Required

Jobtome; Hudson (FL); A distancia; USD 35.000 - 71.000; Jornada completa

Descripción de la vacante

Molina Healthcare is seeking an RN-led care coordination specialist to support LTSS-focused activities and collaborate with a multidisciplinary team. You will coordinate care across the continuum, conduct home visits, and facilitate waiver processes to ensure high-need members receive quality, cost-effective care.

The role requires 2+ years in healthcare with care management experience, an active RN license, and ability to travel locally (25-40%).

Formación

• 2+ years in health care with at least 1 year in care management, managed care, or LTSS.
• Active RN license in state of practice.
• Bachelor’s degree in a health care related field may be required in some states.
• Valid driver’s license and reliable transportation for travel.
• Ability to work independently with minimal supervision.
• Strong verbal and written communication skills.
• Experience with substance use disorders preferred in some states.

Responsabilidades

• Complete comprehensive member assessments within regulated timelines, with in-person home visits as needed.
• Facilitate waiver enrollment and disenrollment processes.
• Develop and implement care plans with members, caregivers and providers.
• Monitor care plan effectiveness and document progress.
• Promote integration of behavioral health and LTSS services.
• Assess medical necessity and authorize waiver services.
• Educate on funding sources for covered benefits.
• Coordinate interdisciplinary care team meetings for approvals.
• Use motivational interviewing to support and motivate change.
• Identify barriers and provide care coordination to address psycho/social/financial/medical obstacles.
• Identify critical incidents and develop prevention plans.
• May provide consultation to peers as needed.
• Care manager RNs may handle complex cases and medication reconciliation.
• Travel: 25-40% local travel may be required.

Conocimientos

Care coordination

Verbal & written communication

Time management

Detail-oriented

MS Office

Educación

Registered Nurse (RN) license

Bachelor’s degree in health care field

Herramientas

Microsoft Office

Descripción del empleo

Molina Healthcare is seeking an RN-led care coordination specialist to support LTSS-focused activities and collaborate with a multidisciplinary team. You will coordinate care across the continuum, conduct home visits, and facilitate waiver processes to ensure high-need members receive quality, cost-effective care.

The role requires 2+ years in healthcare with care management experience, an active RN license, and ability to travel locally (25-40%).