Remote RN Care Manager – LTSS & Waiver Services

Jobtome; Beaver Dam (WI); Remote; USD 36,000 - 71,000; Full time

Benefits offered by this job

Competitive benefits

Job summary

Molina Healthcare is seeking a Care Manager to support LTSS-focused care coordination and care management across multiple settings. The role involves partnering with an interdisciplinary team to coordinate comprehensive services for high-need members and to ensure progress toward outcomes.

You will conduct home visits, coordinate waiver services, and collaborate with physicians, caregivers, and the member network.

Qualifications

• At least 2 years of health care experience, with at least 1 year in care management or LTSS.
• RN license must be active and unrestricted.
• In some states, a bachelor's degree in a health care related field may be required.
• Valid driver's license and reliable transportation for travel requirements.
• Ability to operate proactively, be detail-oriented, and manage multiple priorities.

Responsibilities

• Complete comprehensive member assessments within required timelines, including home visits as needed.
• Facilitate waiver enrollment/disenrollment processes.
• Develop and implement care plans with the member and care network.
• Monitor care plans and adjust as needed to meet goals.
• Promote integration of LTSS with behavioral health and community resources.
• Assess medical necessity and authorize waiver services.
• Coordinate ICT meetings for authorization decisions.
• Provide coordination and support to members and their networks.

Skills

RN

Active nursing license

Communication skills

Driver's license

Independent work

Time management

Proactive approach

Microsoft Office

Education

Bachelor's degree in healthcare-related field

CCM certification preferred

Tools

Microsoft Office

EHR/EMR systems

Job description

Molina Healthcare is seeking a Care Manager to support LTSS-focused care coordination and care management across multiple settings. The role involves partnering with an interdisciplinary team to coordinate comprehensive services for high-need members and to ensure progress toward outcomes.

You will conduct home visits, coordinate waiver services, and collaborate with physicians, caregivers, and the member network.