RN Care Manager for LTSS & Waiver Coordination

Molina Healthcare, Inc.; Baltimore (OH); On-site; USD 36,000 - 71,000; Full time

Benefits offered by this job

Competitive benefits

Job summary

Molina Healthcare, Inc. is seeking an experienced RN Care Manager to provide care coordination for members requiring LTSS across settings.

You will perform comprehensive assessments, develop and monitor care plans, and collaborate with the ICT and healthcare professionals to achieve desired outcomes. The role requires travel 25-40% locally, strong communication skills, and the ability to work independently in a regulated, community-based environment.

Qualifications

• At least 2 years of experience in health care including care management and LTSS.
• RN license must be active and unrestricted in state of practice.
• Bachelor's degree in a health care related field may be required depending on state.

Responsibilities

• Completes comprehensive member assessments within regulated timelines including in-person home visits.
• Facilitates waiver enrollment and disenrollment processes.
• Develops and implements care plans in collaboration with members, caregivers, physicians and support network.
• Monitors care plan effectiveness and adjusts interventions as needed.
• Promotes integration of LTSS with behavioral health and community resources.
• Assesses medical necessity and authorizes waiver services; coordinates ICT meetings.

Skills

RN

Care management

Communication skills

Time management

Education

Bachelor's degree in health care (may be required depending on state)

RN license required

Tools

Microsoft Office

Job description

Molina Healthcare, Inc. is seeking an experienced RN Care Manager to provide care coordination for members requiring LTSS across settings.

You will perform comprehensive assessments, develop and monitor care plans, and collaborate with the ICT and healthcare professionals to achieve desired outcomes. The role requires travel 25-40% locally, strong communication skills, and the ability to work independently in a regulated, community-based environment.