RN Care Manager - LTSS & Care Coordination

Molina Healthcare, Inc.; Peru (IL); On-site; USD 38,000 - 74,000; Full time

Job summary

Molina Healthcare, Inc. is seeking an RN Care Manager to support care coordination for members requiring LTSS. You will conduct assessments, develop individualized care plans, and work with a multidisciplinary team to ensure quality and cost-effective care.

The role involves coordinating waiver services, monitoring plan progress, and facilitating access to community resources while traveling locally as required (25–40%).

Qualifications

• Active RN license in state of practice.
• Bachelor's degree in a health care related field may be required by state/contractual requirements.
• Valid driver’s license and reliable transportation for travel requirements.
• Strong verbal and written communication skills.
• Ability to work independently with minimal supervision.

Responsibilities

• Performs comprehensive member assessments within regulatory timelines, including in-person home visits as required.
• Facilitates waiver enrollment and disenrollment processes.
• Develops and implements care plans in collaboration with members and providers.
• Monitors care plan effectiveness and documents outcomes.
• Promotes integrated care across LTSS, behavioral health, and community resources.
• Assesses medical necessity and authorizes waiver services.
• Coordinates ICT meetings for approvals and coordination of services.

Skills

Communication skills

Problem solving

Time management

Detail-oriented

Microsoft Office proficiency

Education

RN license - active/unrestricted

Bachelor's degree in healthcare (may be required by state)

Tools

N/A

Job description

Molina Healthcare, Inc. is seeking an RN Care Manager to support care coordination for members requiring LTSS. You will conduct assessments, develop individualized care plans, and work with a multidisciplinary team to ensure quality and cost-effective care.

The role involves coordinating waiver services, monitoring plan progress, and facilitating access to community resources while traveling locally as required (25–40%).