RN Care Manager: LTSS & Care Coordination

Jobtome; Elgin Township (IA); On-site; USD 38,000 - 74,000; Full time

Benefits offered by this job

Competitive benefits

Job summary

Molina Healthcare is seeking an RN-based care manager to provide LTSS-focused care coordination and home visits as part of a multidisciplinary team. The role emphasizes ensuring member outcomes, coordinating waiver services, and advocating for cost-effective, quality care across settings.

The position requires an active RN license, strong communication and organizational skills, and willingness to travel regionally.

Qualifications

• At least 2 years in health care with 1 year in care management and LTSS exposure
• RN license active in state of practice
• May require Bachelor's degree depending on state/contractual requirements
• Valid driver’s license and reliable transportation

Responsibilities

• Complete comprehensive member assessments within regulated timelines, including in-person home visits as required.
• Facilitate waiver enrollment and disenrollment processes.
• Develop and implement care plans with members, caregivers, and health professionals.
• Monitor care plan effectiveness and adjust as needed.
• Promote integration of LTSS with behavioral health and community resources.
• Assess medical necessity and authorize waiver services.
• Collaborate with ICT for approvals and denials.
• Educate and motivate members using motivational interviewing and clinical guidelines.
• Identify barriers to care and coordinate solutions across psycho/social, financial, and medical domains.
• Travel 25–40% locally as required by state/contractual needs.

Skills

Communication skills

Time management

Detail-oriented

Self-motivation

Problem-solving

Microsoft Office proficiency

Driver's license (valid)

Education

Registered Nurse (RN) license active

Bachelor's degree in health care related field may be required

Job description

Molina Healthcare is seeking an RN-based care manager to provide LTSS-focused care coordination and home visits as part of a multidisciplinary team. The role emphasizes ensuring member outcomes, coordinating waiver services, and advocating for cost-effective, quality care across settings.

The position requires an active RN license, strong communication and organizational skills, and willingness to travel regionally.