RN Care Manager — LTSS & Care Coordination

Jobtome; Mentor (OH); On-site; USD 36,000 - 71,000; Full time

Job summary

Molina Healthcare seeks an RN to provide care management for LTSS clients across specified Ohio counties. You will assess, coordinate waiver services, and develop care plans with a multidisciplinary team to improve health outcomes and control costs.

Role requires travel up to 40% locally, strong communication, and ability to work independently in diverse settings. RN license and relevant LTSS experience are essential.

Qualifications

• RN with active license in practice state
• 2+ years healthcare experience incl. care management
• Experience with individuals with disabilities or LTSS a plus
• Valid driver's license and reliable transportation

Responsibilities

• Perform comprehensive member assessments within required timelines
• Coordinate waiver enrollment/disenrollment processes
• Develop and monitor care plans with members, caregivers and clinicians
• Monitor care plan effectiveness and adjust interventions
• Promote integration of services and community resources
• Assess medical necessity and authorize waiver services
• Facilitate multidisciplinary team meetings for approvals
• Educate and motivate members using motivational interviewing
• Identify barriers to care and address psycho/social obstacles
• Travel 25-40% as required by state contracts
• May provide consultation to peers
• Staff may handle complex cases and medication reconciliation

Skills

RN License

Health care experience

Care management

Driver's license

Communication skills

Time-management

Problem-solving

Self-motivation

Travel readiness

Education

Bachelor's degree (healthcare)

Tools

Microsoft Office

Job description

Molina Healthcare seeks an RN to provide care management for LTSS clients across specified Ohio counties. You will assess, coordinate waiver services, and develop care plans with a multidisciplinary team to improve health outcomes and control costs.

Role requires travel up to 40% locally, strong communication, and ability to work independently in diverse settings. RN license and relevant LTSS experience are essential.