RN Care Manager - LTSS & Care Coordination

Jobtome; Circleville (OH); In loco; USD 36.000 - 71.000; Tempo pieno

Vantaggi offerti da questo lavoro

EOE

Competitive benefits

Descrizione del lavoro

Molina Healthcare is seeking a Registered Nurse Care Manager to support care coordination for LTSS members in Ohio. You will perform assessments, develop and monitor individualized care plans, and collaborate with a multidisciplinary team to optimize outcomes and reduce costs.

The role requires travel 25–40% to meet member needs and state requirements. Strong communication, organization, and knowledge of community resources are essential.

Competenze

• Active RN license in state of practice.
• 2+ years in health care with 1+ year in care management or LTSS.
• Valid driver’s license and reliable transportation.

Mansioni

• Complete comprehensive member assessments within regulated timelines, including home visits as needed.
• Facilitate waiver enrollment/disenrollment and develop care plans in collaboration with stakeholders.
• Monitor care plans for effectiveness and adjust interventions to reach goals.
• Promote integrated services across care continuum including behavioral health and LTSS.
• Assess medical necessity and authorize appropriate waiver services.
• Coordinate ICT meetings for service approvals/denials and collaboration.
• Utilize motivational interviewing and Molina guides to support change.
• Identify barriers and help members address psycho/social, financial, and medical obstacles.
• Provide consultation and resources to peers as needed.
• Travel 25–40% may be required depending on state requirements.

Conoscenze

RN

Care coordination

Communication

MS Office

Driver's license

Formazione

Active RN license

Health-related bachelor (optional)

Strumenti

Microsoft Office

Descrizione del lavoro

Molina Healthcare is seeking a Registered Nurse Care Manager to support care coordination for LTSS members in Ohio. You will perform assessments, develop and monitor individualized care plans, and collaborate with a multidisciplinary team to optimize outcomes and reduce costs.

The role requires travel 25–40% to meet member needs and state requirements. Strong communication, organization, and knowledge of community resources are essential.