RN Care Manager: LTSS & Care Coordination

Molina Healthcare, Inc.; Joliet (IL); On-site; USD 70,000 - 90,000; Full time

Benefits offered by this job

Competitive benefits

Job summary

Molina Healthcare in Joliet, IL is seeking a Registered Nurse Care Manager to support LTSS care coordination. You will work with a multidisciplinary team to ensure member care across the continuum, focusing on high-need members and coordinating waiver services where applicable.

The role requires on-site visits, comprehensive assessments within timelines, and collaboration with physicians, caregivers, and the member support network to develop and monitor care plans, assess medical necessity, and

Qualifications

• 2+ years in health care, with 1+ year in care management or LTSS settings.
• RN license active and unrestricted in state of practice.
• In some states, a health care-related Bachelor’s degree may be required.

Responsibilities

• Completes comprehensive member assessments within regulated timelines, including in-person home visits as required.
• Facilitates comprehensive waiver enrollment and disenrollment processes.
• Develops and implements care plans in collaboration with members, caregivers, physicians and others to address needs and goals.
• Monitors care plan effectiveness, documents interventions and adjusts as needed.
• Promotes integration of services for LTSS, behavioral health, and community resources.
• Assesses medical necessity and authorizes appropriate waiver services; conducts ICT meetings for approvals.

Skills

Care coordination

Communication

Time management

Microsoft Office

Education

Registered Nurse (RN) license

Bachelor's degree in healthcare

Tools

Microsoft Office

Job description

Molina Healthcare in Joliet, IL is seeking a Registered Nurse Care Manager to support LTSS care coordination. You will work with a multidisciplinary team to ensure member care across the continuum, focusing on high-need members and coordinating waiver services where applicable.

The role requires on-site visits, comprehensive assessments within timelines, and collaboration with physicians, caregivers, and the member support network to develop and monitor care plans, assess medical necessity, and