Remote LTSS Care Manager (RN) - Waiver Coordination

Molina Healthcare, Inc.; Waterloo (IA); Remote; USD 65,000 - 90,000; Full time

Job summary

Molina Healthcare seeks a remote field-based Care Manager RN to support care coordination for LTSS and waiver services. You will collaborate with a multidisciplinary team to ensure high-need members receive quality, cost-effective care across services and settings.

Role requires 2+ years in health care with care management experience, active RN license, and ability to travel within Black Hawk County. Strong communication and organizational skills are essential.

Qualifications

• At least 2 years of healthcare experience, including 1 year in care management or related settings.
• RN license active and unrestricted in state of practice.
• Bachelor's degree in health care related field may be preferred depending on state/contractual requirements.
• Valid driver's license with reliable transportation for travel requirements.
• Ability to work independently and manage multiple tasks with proactive communication.

Responsibilities

• Complete comprehensive member assessments within regulated timelines, including in-person home visits as required.
• Facilitate comprehensive waiver enrollment and disenrollment processes.
• Develop and implement care plans with members, caregivers, physicians and other health professionals.
• Monitor care plan effectiveness and adjust interventions as needed.
• Promote integration of behavioral health and LTSS services for continuity of care.
• Assess medical necessity, authorize waiver services and coordinate funding sources.
• Facilitate ICT meetings for approvals and collaboration.
• Perform medication reconciliation when needed and support cases; travel 25–40% locally.

Skills

RN license

Valid driver's license

Communication skills

Time management

Independent worker

Problem solving

Education

Bachelor's degree in healthcare (preferred)

Tools

Microsoft Office

Job description

Molina Healthcare seeks a remote field-based Care Manager RN to support care coordination for LTSS and waiver services. You will collaborate with a multidisciplinary team to ensure high-need members receive quality, cost-effective care across services and settings.

Role requires 2+ years in health care with care management experience, active RN license, and ability to travel within Black Hawk County. Strong communication and organizational skills are essential.