RN Care Manager for LTSS & Waiver Services

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

Benefits offered by this job

Competitive benefits

EOE employer

Job summary

Molina Healthcare, Inc. in the United States is seeking a registered nurse care manager to support LTSS care coordination, collaborating with a multidisciplinary team to ensure high-need members receive quality and cost-efficient care.

The role covers assessments, waiver enrollment, care plan development, ongoing monitoring, and coordination with care providers. Requires travel and an active RN license; competitive benefits offered by Molina.

Qualifications

• RN license active and unrestricted in state of practice.
• 2+ years in health care, including 1 year in care management and LTSS.
• Valid driver’s license and reliable transportation.
• Ability to work across settings with diverse populations.
• Strong communication skills.
• Experience working with substance use disorders (state-dependent).
• Proficiency with Microsoft Office.

Responsibilities

• Complete comprehensive member assessments within regulated timelines, including home visits.
• Facilitate waiver enrollment and disenrollment processes.
• Develop and implement care plans with members, caregivers, physicians and others.
• Monitor care plans, document interventions, and adjust as needed.
• Promote integrated services across LTSS and behavioral health.
• Assess medical necessity and authorize waiver services.
• Participate in ICT meetings for approvals/denials.
• Conduct medication reconciliation as needed.
• Travel 25-40% locally as required.

Skills

Communication skills

Time management

Problem-solving

Independent work

Interpersonal skills

Education

Registered Nurse (RN) license

Bachelor’s degree in health care field

Tools

Microsoft Office

Job description

Molina Healthcare, Inc. in the United States is seeking a registered nurse care manager to support LTSS care coordination, collaborating with a multidisciplinary team to ensure high-need members receive quality and cost-efficient care.

The role covers assessments, waiver enrollment, care plan development, ongoing monitoring, and coordination with care providers. Requires travel and an active RN license; competitive benefits offered by Molina.