RN Care Manager - LTSS & Care Coordination

Molina Healthcare, Inc.; Arlington Heights (IL); On-site; USD 38,000 - 74,000; Full time

Job summary

Molina Healthcare, Inc. is seeking a Care Manager RN to support care management and LTSS coordination in Arlington Heights, IL. You will collaborate with an interdisciplinary team to ensure effective member care across the continuum and help members achieve desired outcomes.

Responsibilities include conducting comprehensive assessments, coordinating waiver services, developing care plans, and monitoring progress with the team. Travel up to 40% may be required based on state contracts and needs.

Qualifications

• Minimum 2 years healthcare experience including care management.
• Experience with LTSS, disability, chronic conditions, or substance use disorders.
• Valid driver license and reliable transportation.

Responsibilities

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

Skills

Communication

Time management

Detail-oriented

Self-motivation

Microsoft Office

Education

RN license (active, unrestricted)

Bachelor's degree in healthcare field

Tools

Microsoft Office

Job description

Molina Healthcare, Inc. is seeking a Care Manager RN to support care management and LTSS coordination in Arlington Heights, IL. You will collaborate with an interdisciplinary team to ensure effective member care across the continuum and help members achieve desired outcomes.

Responsibilities include conducting comprehensive assessments, coordinating waiver services, developing care plans, and monitoring progress with the team. Travel up to 40% may be required based on state contracts and needs.