Remote RN Case Manager, LTSS & Women's Health

Molina Healthcare; Clifton (TX); Remote; USD 60,000 - 85,000; Full time

Job summary

Molina Healthcare seeks a TX licensed RN to join as a Case Manager. The role focuses on pregnant members, many high risk, via telephonic assessments and care coordination from home. Strong MS Office skills, especially Outlook/Excel/Teams, are essential. Hours are Mon–Fri 8 AM–5 PM CST, remote from Texas.

Responsibilities include comprehensive assessments, waiver processes, care plan development, and ICT collaboration to ensure high-quality, cost-effective member care. Some travel may be required.

Qualifications

• : At least 2 years of experience in health care, including care management and LTSS, and working with disabilities and chronic conditions.
• : RN with active/unrestricted license in state of practice.
• : Bachelor's degree in health care related field may be required in some states.

Responsibilities

• Performs comprehensive member assessments within regulated timelines, including home visits when required.
• Develops and implements care plans including waiver service plans with members and care network.
• Monitors care plans, documents interventions and adjusts plans as needed.
• Facilitates waiver enrollment/disenrollment and coordinates with interdisciplinary care teams.
• Coordinates services across behavioral health, LTSS, and home/community resources to improve continuity of care.
• Travel required 25-40% depending on state/contractual requirements.

Skills

Verbal communication

Written communication

Time management

Problem solving

Independence

Adaptability

Detail oriented

Education

RN license

Bachelor's degree in healthcare (optional)

Tools

Microsoft Office

Job description

Molina Healthcare seeks a TX licensed RN to join as a Case Manager. The role focuses on pregnant members, many high risk, via telephonic assessments and care coordination from home. Strong MS Office skills, especially Outlook/Excel/Teams, are essential. Hours are Mon–Fri 8 AM–5 PM CST, remote from Texas.

Responsibilities include comprehensive assessments, waiver processes, care plan development, and ICT collaboration to ensure high-quality, cost-effective member care. Some travel may be required.