RN Care Manager — LTSS & Care Coordination

Molina Healthcare; Chicago (IL); On-site; USD 38,000 - 74,000; Full time

Job summary

Molina Healthcare is seeking an experienced RN Care Manager to support LTSS-focused care coordination in Illinois. You will collaborate with an interdisciplinary team to assess needs, develop and implement care plans, and monitor progress toward outcomes for high-need members.

Responsibilities include waiver enrollment, service authorization, and bridging medical, behavioral health, and community resources. A valid RN license and reliable travel are required.

Qualifications

• Active RN license in the state of practice.
• Minimum 2 years in health care with 1 year in care management or LTSS.
• Experience with disabilities, chronic conditions, or substance use disorders is preferred.
• Valid driver's license and reliable transportation for travel.

Responsibilities

• Complete comprehensive member assessments within regulated timelines, including in-person home visits.
• Facilitate waiver enrollment and disenrollment processes.
• Develop and implement care plans in collaboration with members and care network.
• Monitor care plan effectiveness and document outcomes.
• Coordinate LTSS and behavioral health services to ensure continuity of care.
• Assess medical necessity and authorize waiver services.
• Participate in interdisciplinary care team meetings.
• Conduct medication reconciliation as needed.
• Travel up to 40% as required.

Skills

RN license

Care management

Interdisciplinary collaboration

Communication skills

Travel up to 40%

Education

RN license

Tools

Microsoft Office

Job description

Molina Healthcare is seeking an experienced RN Care Manager to support LTSS-focused care coordination in Illinois. You will collaborate with an interdisciplinary team to assess needs, develop and implement care plans, and monitor progress toward outcomes for high-need members.

Responsibilities include waiver enrollment, service authorization, and bridging medical, behavioral health, and community resources. A valid RN license and reliable travel are required.