Remote RN Care Manager - LTSS & Waivers (Travel)

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

Job summary

Molina Healthcare is seeking a registered nurse in a remote field-based role to support care management and LTSS activities. The position involves travel within Black Hawk County and collaboration with a multidisciplinary team to coordinate member care across the continuum.

You will conduct assessments, develop and monitor care plans, facilitate waiver enrollment, and promote integration of services including behavioral health and LTSS.

Qualifications

• 2+ years in health care with at least 1 year in care management or LTSS settings.
• RN with active unrestricted license.
• Valid driver's license and reliable transportation.
• Able to work independently and manage multiple projects.
• Strong communication and problem-solving skills.
• Experience with LTSS, waiver services, or disabilities preferred.

Responsibilities

• Complete comprehensive member assessments within timelines and conduct in-person visits.
• Facilitate waiver enrollment/disenrollment processes.
• Develop and monitor care plans with members, caregivers, and providers.
• Monitor care plan effectiveness and adjust as needed.
• Promote integrated services including behavioral health and LTSS.
• Assess medical necessity and authorize waiver services.
• Coordinate ICT meetings for approvals and collaboration.
• Use motivational interviewing to support member change.
• Identify barriers to care and assist with psycho/social, financial, and medical needs.
• Develop prevention plans for member health and welfare.
• May provide consultation to peers; complex cases may involve medication reconciliation.

Skills

RN license

Care management experience

Communication skills

Microsoft Office proficiency

Time management

Travel readiness

Detail-oriented

Education

Bachelor's degree in health care field

Tools

Microsoft Office

Job description

Molina Healthcare is seeking a registered nurse in a remote field-based role to support care management and LTSS activities. The position involves travel within Black Hawk County and collaboration with a multidisciplinary team to coordinate member care across the continuum.

You will conduct assessments, develop and monitor care plans, facilitate waiver enrollment, and promote integration of services including behavioral health and LTSS.