RN Care Manager – LTSS & Care Coordination

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

Job summary

Molina Healthcare, Inc. is seeking a Registered Nurse to support care management and LTSS-related activities.

You will collaborate with a multidisciplinary team to coordinate integrated member care across settings, striving toward outcomes while aligning with the broader strategy for quality and cost-effective care. Responsibilities include completing comprehensive assessments, facilitating waiver processes, developing and monitoring care plans, and supporting members with psycho/social and

Qualifications

• Registered Nurse with active license in state of practice.
• Experience in care management, managed care or LTSS setting.
• Demonstrated ability to work with diverse populations and high-need cases.

Responsibilities

• Complete comprehensive member assessments within timelines, including home visits.
• Facilitate waiver enrollment/disenrollment processes.
• Develop and implement care plans in collaboration with care network.
• Monitor care plans and adjust based on effectiveness and outcomes.
• Coordinate services across behavioral health and LTSS for continuity of care.
• Assess medical necessity and authorize waiver services.
• Lead or participate in interdisciplinary care team meetings.
• Provide education and motivational support to members and caregivers.
• Identify barriers and develop prevention plans to address concerns.
• Travel locally 25-40% as required by state/contract.

Skills

Verbal communication

Written communication

Time management

Self-motivation

Independent work

Travel readiness

Problem solving

Education

RN license

Bachelor's degree (health care related)

Tools

Microsoft Office

Job description

Molina Healthcare, Inc. is seeking a Registered Nurse to support care management and LTSS-related activities.

You will collaborate with a multidisciplinary team to coordinate integrated member care across settings, striving toward outcomes while aligning with the broader strategy for quality and cost-effective care. Responsibilities include completing comprehensive assessments, facilitating waiver processes, developing and monitoring care plans, and supporting members with psycho/social and