Remote RN Care Manager – LTSS & Care Coordination

Molina Healthcare; Wisconsin; Remote; USD 70,000 - 90,000; Full time

Job summary

Molina Healthcare is seeking a Registered Nurse Care Manager to support care management and LTSS services in Wisconsin. The role collaborates with a multidisciplinary team to coordinate member care across settings, with emphasis on high-need individuals and cost-effective outcomes.

Responsibilities include conducting comprehensive assessments, developing care plans, monitoring progress, and facilitating waiver enrollment and service coordination.

Qualifications

• At least 2 years of health care experience including care management or LTSS exposure.
• RN license active and unrestricted in state of practice.
• Experience with diverse populations and waiver services is preferred.

Responsibilities

• Completes comprehensive member assessments within regulated timelines, including in-person home visits.
• Facilitates waiver enrollment and disenrollment processes.
• Develops and implements care plans with members and care network.
• Monitors care plan effectiveness and documents interventions.
• Promotes integration of services including behavioral health and LTSS.
• Assesses medical necessity and authorizes waiver services.
• Facilitates ICT meetings for service approvals/denials.
• Educates and motivates members during interactions using guiding principles.
• Identifies barriers to care and coordinates solutions.
• Travel 25-40% for member visits within WI.

Skills

RN

Care coordination

Home visits

Motivational interviewing

Microsoft Office

Education

Registered Nurse (RN) license

Tools

Electronic Health Records (EHR)

Job description

Molina Healthcare is seeking a Registered Nurse Care Manager to support care management and LTSS services in Wisconsin. The role collaborates with a multidisciplinary team to coordinate member care across settings, with emphasis on high-need individuals and cost-effective outcomes.

Responsibilities include conducting comprehensive assessments, developing care plans, monitoring progress, and facilitating waiver enrollment and service coordination.