Remote RN Care Manager — LTSS & Waiver Services

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

Benefits offered by this job

Competitive benefits package

Job summary

Molina Healthcare offers a remote field-based role requiring travel within Black Hawk County. You will support care management and coordination for members with high-need potential, collaborating with multidisciplinary teams to ensure quality, cost-effective care.

Strong nursing credentials and 2+ years in care management are essential. Responsibilities include comprehensive assessments, waiver processes, care plan development, and ongoing monitoring.

Qualifications

• RN license active and unrestricted in state of practice.
• 2+ years in health care with care management or LTSS experience preferred.
• Valid driver’s license and reliable transportation required, travel up to 25–40%.

Responsibilities

• Complete comprehensive member assessments within regulated timelines, including in-person home visits.
• Coordinate waiver enrollment/disenrollment and develop care plans with care team.
• Monitor care plan effectiveness and adjust interventions as needed.
• Promote service integration across LTSS and behavioral health.
• Assess medical necessity and authorize waiver services.
• Lead ICT meetings for service approvals/denials.
• Identify barriers to care and provide care coordination support.

Skills

RN

Driver's license

Microsoft Office

Travel readiness

Education

RN license (active and unrestricted)

Tools

Microsoft Office suite

Job description

Molina Healthcare offers a remote field-based role requiring travel within Black Hawk County. You will support care management and coordination for members with high-need potential, collaborating with multidisciplinary teams to ensure quality, cost-effective care.

Strong nursing credentials and 2+ years in care management are essential. Responsibilities include comprehensive assessments, waiver processes, care plan development, and ongoing monitoring.