RN Care Manager for LTSS & Care Coordination

Jobtome; Cleveland (OH); On-site; USD 36,000 - 71,000; Full time

Job summary

Molina Healthcare is looking for an experienced Registered Nurse care manager to support LTSS and care coordination across the continuum in Ohio. You will work with an interdisciplinary team to assess needs, develop care plans, and ensure timely waiver services for members with high-need potential.

The role involves traveling within designated Ohio counties (roughly 25–40% travel) and collaboration with physicians, caregivers, and support networks to achieve quality and cost-effective outcomes.

Qualifications

• RN license must be active and unrestricted in state of practice.
• 2+ years healthcare with at least 1 year in care management/LTSS.
• Driver's license, reliable transportation and adequate auto insurance for travel.
• Ability to work independently with minimal supervision.
• Experience with diverse populations and community resources.

Responsibilities

• Complete comprehensive member assessments within timelines, including in-person home visits.
• Facilitate comprehensive waiver enrollment and disenrollment processes.
• Develop and implement care plans with members, caregivers, physicians, and care team.
• Monitor care plans to evaluate effectiveness and adjust as needed.
• Promote integration of services across behavioral health and LTSS.
• Assess medical necessity and authorize waiver services.
• Lead ICT meetings for approvals/denials of services.
• Travel up to 25-40% as required.

Skills

Communication skills

Attention to detail

Time management

Problem solving

Self-motivation

Education

RN license

Bachelor's degree in health care

Tools

Microsoft Office

Job description

Molina Healthcare is looking for an experienced Registered Nurse care manager to support LTSS and care coordination across the continuum in Ohio. You will work with an interdisciplinary team to assess needs, develop care plans, and ensure timely waiver services for members with high-need potential.

The role involves traveling within designated Ohio counties (roughly 25–40% travel) and collaboration with physicians, caregivers, and support networks to achieve quality and cost-effective outcomes.