RN Care Manager - LTSS & Care Coordination

Molina Healthcare, Inc.; North Olmsted (OH); On-site; USD 36,000 - 71,000; Full time

Benefits offered by this job

Competitive benefits

Job summary

Molina Healthcare is seeking a Care Manager RN to support care coordination for LTSS across multiple counties in Ohio. This role collaborates with a multidisciplinary team to coordinate, monitor, and optimize member care, including waiver services and community resources.

The position requires RN licensure, at least 2 years in healthcare with care management or LTSS, and willingness to travel up to 40% locally. Strong assessment, communication and organizational skills are essential.

Qualifications

• 2+ years in healthcare with care management or LTSS experience.
• RN license active and unrestricted in state of practice.
• Valid driver’s license and reliable transportation.
• Ability to work independently and manage multiple priorities.
• Proficiency with Microsoft Office.

Responsibilities

• Complete comprehensive member assessments within regulated timelines including in-person home visits.
• Facilitate comprehensive waiver enrollment and disenrollment processes.
• Develop and implement care plans with members, caregivers, physicians and care network.
• Monitor care plan effectiveness and document interventions and goal achievement.
• Coordinate services across behavioral health and LTSS for continuity of care.
• Assess medical necessity and authorize all waiver services.
• Facilitate ICT meetings for approval/denial of services.
• Provide education and motivation during member contacts.

Skills

Care management

Disability & LTSS knowledge

Communication

Time management

Problem solving

Microsoft Office

Travel readiness

Education

Registered Nurse (RN) license

Tools

Microsoft Office

Job description

Molina Healthcare is seeking a Care Manager RN to support care coordination for LTSS across multiple counties in Ohio. This role collaborates with a multidisciplinary team to coordinate, monitor, and optimize member care, including waiver services and community resources.

The position requires RN licensure, at least 2 years in healthcare with care management or LTSS, and willingness to travel up to 40% locally. Strong assessment, communication and organizational skills are essential.