RN Care Manager: LTSS & Care Coordination

Jobtome; Mendota Township (IL); On-site; USD 38,000 - 74,000; Full time

Job summary

Molina Healthcare is seeking a Registered Nurse Care Manager to provide LTSS-focused care coordination and support across multiple settings. You will collaborate with a multidisciplinary team to coordinate and optimize member care, ensure progress toward outcomes and support cost-effective service delivery.

Responsibilities include comprehensive assessments, waiver management, care plan development, monitoring, and serving as a liaison for interdisciplinary teams with strong emphasis on

Qualifications

• Minimum 2 years in health care with care management or LTSS exposure
• RN licensure active and unrestricted in the state of practice
• Valid driver's license and reliable transportation for travel requirements

Responsibilities

• Complete comprehensive member assessments within timelines, including home visits as required.
• Facilitate waiver enrollment/disenrollment processes.
• Develop and implement care plans with members, caregivers, and health professionals.
• Monitor care plan effectiveness, document interventions and progress.
• Promote integrated services across LTSS and behavioral health for continuity of care.
• Assess medical necessity and authorize waiver services as appropriate.
• Coordinate ICT meetings for approvals/denials and collaboration.
• Educate and motivate members using motivational interviewing and clinical guides.
• Identify barriers to care and provide navigation for psycho/social/financial obstacles.
• Identify critical incidents and create prevention plans to protect member welfare.
• Provide consultation and resources to peers as needed.
• Some travel (25-40%) may be required based on state contracts.

Skills

RN

Active license

Driver's license

Travel readiness

Communication skills

Time management

Detail-oriented

Microsoft Office

Education

RN license (active)

Tools

Microsoft Office Suite

Job description

Molina Healthcare is seeking a Registered Nurse Care Manager to provide LTSS-focused care coordination and support across multiple settings. You will collaborate with a multidisciplinary team to coordinate and optimize member care, ensure progress toward outcomes and support cost-effective service delivery.

Responsibilities include comprehensive assessments, waiver management, care plan development, monitoring, and serving as a liaison for interdisciplinary teams with strong emphasis on