RN Care Manager - LTSS & Care Coordination

Jobtome; Nebraska; On-site; USD 38,000 - 74,000; Full time

Job summary

Molina Healthcare is hiring for a RN Care Manager to support LTSS care coordination and integrated member care. You will work with a multidisciplinary team to ensure high-need members achieve outcomes while balancing quality and cost.

Responsibilities include member assessments, waiver processes, care plan development, and monitoring. Travel 25-40% may be required across assigned state contracts. Strong communication and knowledge of community resources are essential.

Qualifications

• Must have active RN license in-state
• Excellent communication and documentation skills
• Ability to coordinate care with diverse teams within timelines
• Experience with care management and LTSS is preferred

Responsibilities

• Completes comprehensive member assessments within regulatory timelines
• Facilitates waiver enrollment and disenrollment processes
• Develops and implements care plans with members and care networks
• Monitors care plans and documents outcomes and adjustments
• Promotes integration of behavioral health and LTSS services
• Assesses medical necessity and authorizes waiver services
• Supports interdisciplinary care team meetings for approval/denial decisions
• Uses motivational interviewing to educate and motivate members
• Identifies barriers to care and assists with psycho/social obstacles
• May provide consultations and support to peers
• Care manager RNs may handle complex cases and medication reviews
• Travel 25-40% as required by state contracts

Skills

Verbal & written communication

Detail oriented

Time management

Problem solving

Education

Registered Nurse (RN) license

Bachelor's degree in healthcare or related field

Tools

Microsoft Office

EMR systems

Job description

Molina Healthcare is hiring for a RN Care Manager to support LTSS care coordination and integrated member care. You will work with a multidisciplinary team to ensure high-need members achieve outcomes while balancing quality and cost.

Responsibilities include member assessments, waiver processes, care plan development, and monitoring. Travel 25-40% may be required across assigned state contracts. Strong communication and knowledge of community resources are essential.