Remote RN Care Manager – LTSS & Care Coordination

Molina Healthcare, Inc.; Dike (IA); Remote; USD 35,000 - 71,000; Full time

Job summary

Molina Healthcare is seeking a Field-Based Care Manager to support LTSS activities and coordinate member care across the continuum. This role involves remote work with required local travel within Black Hawk County and occasional in-person home visits to assess needs and authorize services.

The ideal candidate is a registered nurse with 2+ years in health care and care management, strong communication skills, and the ability to work independently within an interdisciplinary team to improve

Qualifications

• Active RN license in the state of practice.
• At least 2 years in health care with 1 year in care management or LTSS.
• Experience with persons with disabilities, chronic conditions, or substance use disorders preferred.

Responsibilities

• Complete comprehensive member assessments within timelines, including in-person home visits.
• Facilitate waiver enrollment/disenrollment and develop care plans with care team.
• Monitor care plans and adjust interventions to achieve member goals.
• Coordinate services across behavioral health and LTSS, leveraging community resources.
• Assess medical necessity and authorize waiver services; review benefits and funding sources.
• Lead ICT meetings for service approvals and collaborating care teams.
• Provide education and motivation during member contacts using clinical guidelines.
• Identify barriers to care and coordinate resources to address psycho/social, financial, and medical needs.
• Travel 25-40% locally as required

Skills

RN license

Care management

Travel flexibility

MS Office

Communication skills

Time management

Self-motivation

Interdisciplinary collaboration

LTSS experience

Substance use disorders experience

Education

Bachelor's degree in healthcare

Tools

MS Office

Job description

Molina Healthcare is seeking a Field-Based Care Manager to support LTSS activities and coordinate member care across the continuum. This role involves remote work with required local travel within Black Hawk County and occasional in-person home visits to assess needs and authorize services.

The ideal candidate is a registered nurse with 2+ years in health care and care management, strong communication skills, and the ability to work independently within an interdisciplinary team to improve