RN Care Manager, LTSS & Care Coordination

Jobtome; Ravenna (TX); On-site; USD 36,000 - 71,000; Full time

Job summary

Molina Healthcare is seeking an experienced Care Manager RN to support care coordination for members with high-need potential across LTSS. You will collaborate with an interdisciplinary team to ensure timely assessments, care plan development, and effective service delivery.

Responsibilities include waiver processes, benefits assessment, and coordinating with providers. Expect travel 25–40% to support member care across multiple counties and settings, with emphasis on quality and

Qualifications

• RN license active in state of practice.
• 2+ years of health care experience including 1+ year in care management/LTSS.
• Valid driver's license and ability to travel 25–40%.

Responsibilities

• Complete comprehensive member assessments within regulated timelines, including in-person home visits.
• Facilitate waiver enrollment and disenrollment processes.
• Develop and implement care plans with members and care team to address needs and goals.
• Monitor and evaluate care plan effectiveness and adjust as needed.
• Promote integration of LTSS with behavioral health and community resources.
• Assess medical necessity and authorize waiver services.
• Lead ICT meetings for approval/denial of services.
• Travel 25–40% as required.

Skills

Care management experience

Healthcare experience

Driver's license

Time management

Interdisciplinary teamwork

Travel willingness

Independent work

Communication skills

Substance use disorders experience

Education

RN license (active)

Bachelor's degree in health care field (state dependent)

Certified Case Manager (CCM) (preferred)

Tools

Microsoft Office

Job description

Molina Healthcare is seeking an experienced Care Manager RN to support care coordination for members with high-need potential across LTSS. You will collaborate with an interdisciplinary team to ensure timely assessments, care plan development, and effective service delivery.

Responsibilities include waiver processes, benefits assessment, and coordinating with providers. Expect travel 25–40% to support member care across multiple counties and settings, with emphasis on quality and