Remote RN Care Manager for LTSS & Care Coordination

Molina Healthcare; Hudson (IA); Remote; USD 35,000 - 71,000; Full time

Job summary

Molina Healthcare, Inc. is seeking a Registered Nurse for a remote field-based care management role serving members with LTSS needs.

The position involves collaborating with a multidisciplinary team to coordinate services, complete home assessments, and guide waiver processes. You will develop care plans, monitor progress toward outcomes, and address barriers to care while traveling within Black Hawk County as required by state contracts.

Qualifications

• 2+ years in health care, including care management or managed care.
• RN with active, unrestricted license in state of practice.
• Bachelor's degree may be required per state/contract.
• Valid driver’s license with reliable transportation for job travel.
• Ability to work independently with minimal supervision and strong self-motivation.
• Proficiency in Microsoft Office and basic software tools.

Responsibilities

• Complete comprehensive member assessments within regulated timelines, including in-person home visits.
• Facilitate waiver enrollment and disenrollment processes.
• Develop and monitor care plans with members, caregivers, physicians and the care team.
• Coordinate LTSS and behavioral health services for integrated member care.
• Monitor care plan efficacy, document interventions and adjust as needed.
• Assess medical necessity and authorize waiver services; participate in ICT meetings.

Skills

Communication skills

Microsoft Office

Time management

Self-motivation

Problem-solving

Education

RN license

Tools

Microsoft Office

Job description

Molina Healthcare, Inc. is seeking a Registered Nurse for a remote field-based care management role serving members with LTSS needs.

The position involves collaborating with a multidisciplinary team to coordinate services, complete home assessments, and guide waiver processes. You will develop care plans, monitor progress toward outcomes, and address barriers to care while traveling within Black Hawk County as required by state contracts.