RN Care Manager LTSS & Care Coordination

Molina Healthcare; Malden (MA); On-site; USD 41,000 - 83,000; Full time

Benefits offered by this job

Competitive benefits package

Job summary

Molina Healthcare in Malden, MA seeks a Care Manager RN to coordinate LTSS and care management for high-need members. You will collaborate with a multidisciplinary team to deliver integrated services across the care continuum.

Responsibilities include comprehensive assessments, waiver planning, care plan development and monitoring, promoting community resources, and ensuring medical necessity and funding alignment.

Qualifications

• Active RN license in state of practice.
• Minimum 2 years in health care with 1 year in care management or LTSS.
• Ability to travel 25–40% locally as needed.

Responsibilities

• Complete comprehensive member assessments within required timelines, including in-person home visits.
• Develop and implement care plans including waiver service plans with members and care network.
• Monitor and adjust care plans, document interventions, and escalate changes as needed.
• Coordinate waiver enrollment/disenrollment and facilitate ICT meetings.

Skills

RN

Care management

Interdisciplinary collaboration

Communication skills

Time management

Detail-oriented

MS Office

Education

RN license (active)

BA/BS in health care related field (where required)

Tools

Microsoft Office

Job description

Molina Healthcare in Malden, MA seeks a Care Manager RN to coordinate LTSS and care management for high-need members. You will collaborate with a multidisciplinary team to deliver integrated services across the care continuum.

Responsibilities include comprehensive assessments, waiver planning, care plan development and monitoring, promoting community resources, and ensuring medical necessity and funding alignment.