Remote RN Care Manager for LTSS & Waiver Services

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

Job summary

Molina Healthcare is seeking a Registered Nurse care manager to support LTSS coordination, collaborating with a multidisciplinary team to deliver integrated member care and help members reach desired outcomes. The role includes in-person home visits, waiver processes, and care-plan implementation with members, caregivers and providers.

The position requires 2+ years in health care, an active RN license, and travel 25–40% within Wisconsin.

Qualifications

• Minimum 2 years in health care, with care management or LTSS experience.
• Active RN license in state of practice; some states may require a health care-related degree.
• Valid driver's license and reliable transportation for travel.
• Ability to work independently with minimal supervision; strong organizational skills.

Responsibilities

• Complete comprehensive member assessments, including in-person home visits as required.
• Facilitate waiver enrollment and disenrollment processes.
• Develop and implement care plans with members, caregivers, physicians, and the care team.
• Monitor care plan effectiveness and document interventions and goals.
• Promote integration of LTSS with behavioral health services and community resources.
• Assess medical necessity and authorize waiver services; evaluate benefits and funding sources.
• Participate in ICT meetings for service approvals/denials; coordinate cross-team collaboration.

Skills

Care coordination

Communication

Time management

Problem solving

Independent work

Education

RN License

Bachelor's degree in healthcare field (optional)

Tools

Microsoft Office

Job description

Molina Healthcare is seeking a Registered Nurse care manager to support LTSS coordination, collaborating with a multidisciplinary team to deliver integrated member care and help members reach desired outcomes. The role includes in-person home visits, waiver processes, and care-plan implementation with members, caregivers and providers.

The position requires 2+ years in health care, an active RN license, and travel 25–40% within Wisconsin.