RN Care Coordinator: LTSS & Waiver Services

Molina Healthcare; Carlinville (IL); On-site; USD 37,000 - 74,000; Full time

Job summary

Molina Healthcare is seeking an RN Care Manager to support LTSS-focused care coordination. You will collaborate with a multidisciplinary team to develop and monitor care plans, ensuring quality and cost-effective member care. Expect 25-40% local travel and adherence to regulatory timelines.

The role requires an active RN license and 2+ years in care management, with strong communication and problem-solving skills. Competitive benefits apply.

Qualifications

• Active RN license in state of practice.
• 2+ years in health care, including care management and LTSS.
• Experience with disabilities, chronic conditions, SUDs.
• Driver's license and reliable transportation.
• Proficient in MS Office and health software tools.

Responsibilities

• Complete comprehensive member assessments within regulated timelines.
• Facilitate waiver enrollment and disenrollment processes.
• Develop and implement care plans with members and care team.
• Monitor care plan effectiveness and document outcomes.
• Promote integration of LTSS and behavioral health services.
• Assess medical necessity and authorize waiver services.
• Lead ICT meetings for approval/denial of services.
• Travel locally 25-40% as required.

Skills

Strong communication

Time management

Self-motivation

Problem-solving

Microsoft Office

Travel readiness

Education

Registered Nurse (RN) license

Bachelor's degree in a health care related field

Tools

Electronic Health Records

Microsoft Office

Job description

Molina Healthcare is seeking an RN Care Manager to support LTSS-focused care coordination. You will collaborate with a multidisciplinary team to develop and monitor care plans, ensuring quality and cost-effective member care. Expect 25-40% local travel and adherence to regulatory timelines.

The role requires an active RN license and 2+ years in care management, with strong communication and problem-solving skills. Competitive benefits apply.