RN Care Manager: LTSS & Care Coordination

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

Job summary

Molina Healthcare is seeking a Care Manager RN to support care coordination for members with high-need LTSS needs across Ohio. You will collaborate with a multidisciplinary team to address member goals, monitor progress, and ensure quality, cost-effective care within regulatory timelines.

Field visits and waiver management are key components. The role requires an active RN license, 2+ years in healthcare with care management experience, and ability to travel within designated counties.

Qualifications

• Minimum 2 years of health care experience, with at least 1 year in care management or LTSS.
• RN license active and unrestricted in state of practice.
• Valid driver’s license and reliable transportation.
• Ability to work independently and manage multiple projects.
• Experience with diverse populations.
• Strong verbal and written communication.
• Proficiency with Microsoft Office.
• Experience with substance use disorders preferred.

Responsibilities

• Completes comprehensive member assessments within regulated timelines, including in-person home visits.
• Facilitates waiver enrollment and disenrollment processes.
• Develops and implements care plans with members and care network.
• Monitors care plans and documents progress toward goals.
• Promotes integration of LTSS with behavioral health and community resources.
• Assesses medical necessity and authorizes waiver services.
• Evaluates benefits and funding sources as needed.
• Facilitates ICT meetings for care decisions.
• Educates and motivates members during contacts.
• Addresses barriers to care (psychosocial, financial, medical).
• Identifies critical incidents and develops prevention plans.
• May provide consultation to peers and handle complex cases.
• Travel 25-40% may be required.

Skills

Communication skills

Time management

Problem solving

Independence

Microsoft Office

Interpersonal skills

Travel readiness

Detail oriented

Education

RN license

Bachelor’s degree in health care

Job description

Molina Healthcare is seeking a Care Manager RN to support care coordination for members with high-need LTSS needs across Ohio. You will collaborate with a multidisciplinary team to address member goals, monitor progress, and ensure quality, cost-effective care within regulatory timelines.

Field visits and waiver management are key components. The role requires an active RN license, 2+ years in healthcare with care management experience, and ability to travel within designated counties.