Remote RN Care Manager — LTSS & Waiver (Travel)

Jobtome; Tipton (IN); A distancia; USD 38.000 - 74.000; Jornada completa

Descripción de la vacante

Molina Healthcare is seeking a field-based RN Care Manager to support LTSS initiatives and coordinate care across the continuum. You will work with a multidisciplinary team, conduct home assessments, and oversee waiver services to ensure high-quality, cost-effective member care.

Responsibilities include developing care plans with clinicians and families, monitoring progress, and facilitating ICT meetings. A valid RN license and ability to travel locally are essential for this role.

Formación

• Minimum 2 years in health care, incl. 1 year in care management/managed care.
• Active RN license in state of practice.
• Valid driver's license and reliable transportation.
• Ability to work independently with minimal supervision.
• Strong communication and knowledge of community resources.
• Experience with LTSS, disabilities, chronic conditions, or substance use disorders preferred.
• Proficiency with Microsoft Office and related software.

Responsabilidades

• Conduct comprehensive member assessments within regulatory timelines, including in-person home visits.
• Coordinate waiver enrollment/disenrollment and develop care plans with members, caregivers, physicians and care team.
• Monitor and evaluate care plan effectiveness, document progress, adjust as needed.
• Promote integration of LTSS and behavioral health services with community resources.
• Assess medical necessity and authorize waiver services; inform on funding sources.
• Facilitate ICT meetings for approval/denial of services and collaboration.
• Educate and motivate members using motivational interviewing techniques.
• Identify barriers to care and assist with psycho/social, financial, and medical obstacles.
• Travel 25-40% locally as required.

Conocimientos

Time management

Independent worker

Communication

Detail-oriented

Motivational interviewing

Problem-solving

Educación

Registered Nurse license

CCM certification (preferred)

Herramientas

Microsoft Office

Descripción del empleo

Molina Healthcare is seeking a field-based RN Care Manager to support LTSS initiatives and coordinate care across the continuum. You will work with a multidisciplinary team, conduct home assessments, and oversee waiver services to ensure high-quality, cost-effective member care.

Responsibilities include developing care plans with clinicians and families, monitoring progress, and facilitating ICT meetings. A valid RN license and ability to travel locally are essential for this role.