RN Care Manager: LTSS & Care Coordination

Jobtome

North Royalton (OH)

On-site

USD 36,000 - 71,000

Full time

11 days ago

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Benefits offered by this job

Competitive benefits
Equal Opportunity Employer

Job summary

Molina Healthcare is seeking a Registered Nurse Care Manager to provide LTSS care coordination. You will collaborate with an interdisciplinary team, complete member assessments, develop and monitor care plans, and assist with waiver enrollment, while promoting integrated services and timely access to care.

Travel up to 25–40% may be required. The role requires at least 2 years in health care with 1 year in care management, an active RN license, and strong communication and resource knowledge.

Qualifications

  • Minimum 2 years healthcare experience with 1 year in care management and LTSS settings.
  • Active RN license in the practicing state.
  • Strong communication and organizational abilities.

Responsibilities

  • Complete comprehensive member assessments within timelines, including home visits as required.
  • Facilitate waiver enrollment and disenrollment processes.
  • Develop, implement and monitor care plans with members, caregivers, and providers.
  • Monitor progress toward outcomes and adjust plans as needed.
  • Promote integration of LTSS and behavioral health services across settings.
  • Assess medical necessity and authorize services; manage barriers to care.

Skills

RN license
Care management
Communication skills
Organization

Education

RN degree

Tools

Microsoft Office

Job description

Molina Healthcare is seeking a Registered Nurse Care Manager to provide LTSS care coordination. You will collaborate with an interdisciplinary team, complete member assessments, develop and monitor care plans, and assist with waiver enrollment, while promoting integrated services and timely access to care.

Travel up to 25–40% may be required. The role requires at least 2 years in health care with 1 year in care management, an active RN license, and strong communication and resource knowledge.

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