RN Care Manager for LTSS & Waiver Services

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

Benefits offered by this job

Competitive benefits

Travel opportunities

Job summary

Molina Healthcare seeks a Registered Nurse to provide care management and LTSS coordination in Ohio. You will collaborate with a multidisciplinary team to ensure high-quality, cost-effective member care, including assessments, waiver processes, and care plan development.

Responsible for monitoring outcomes, advocating for services, and coordinating with care teams. Travel may be required; requires active RN license and LTSS experience.

Qualifications

• At least 2 years in health care with 1 year in care management or LTSS.
• RN license active and unrestricted in state of practice.
• May require a health-related bachelor’s degree in some states.
• Valid driver's license and reliable transportation for travel.
• Strong communication and self-motivation in diverse settings.

Responsibilities

• Complete comprehensive member assessments within timelines, including home visits.
• Coordinate waiver enrollment, disenrollment, and care plan development with stakeholders.
• Monitor and evaluate care plan effectiveness, documenting outcomes and needed changes.
• Promote integrated services across behavioral health and LTSS.
• Assess medical necessity and authorize applicable waiver services.
• Participate in ICT meetings for service approvals and collaboration.
• Use motivational interviewing and Molina guides to support change.
• Identify barriers to care and assist with psycho/social and financial obstacles.
• May provide medication reconciliation and case consultation as needed.
• Travel 25-40% as required by state/contractual rules.

Skills

Written & verbal communication

Time management

Problem-solving

Travel willingness

Education

RN license

Health care degree (BSN/related)

Tools

Microsoft Office

Job description

Molina Healthcare seeks a Registered Nurse to provide care management and LTSS coordination in Ohio. You will collaborate with a multidisciplinary team to ensure high-quality, cost-effective member care, including assessments, waiver processes, and care plan development.

Responsible for monitoring outcomes, advocating for services, and coordinating with care teams. Travel may be required; requires active RN license and LTSS experience.