RN Care Manager - LTSS & Care Coordination

Jobtome; Rochester (IN); On-site; USD 36,000 - 85,000; Full time

Job summary

Molina Healthcare seeks an experienced Care Manager RN to support care coordination for high-need members under LTSS. You will work with a multidisciplinary team to develop and implement care plans, monitor progress, and ensure timely enrollment and management of waiver services.

The role requires state RN licensure, strong communication, and the ability to travel locally up to 40%. You will educate members, address barriers, and collaborate with caregivers, physicians, and the ICT to optimize

Qualifications

• At least 2 years of experience in health care, including care management or LTSS.
• RN with active license in state of practice (NY).
• Valid driver's license and reliable transportation for travel.
• Ability to work independently and handle multiple priorities.
• Strong communication and clinical collaboration skills.
• Proficiency with Microsoft Office applications.
• Experience with populations receiving waiver services (preferred).

Responsibilities

• Provides support for care management and coordination across LTSS.
• Completes comprehensive member assessments within timelines, including home visits.
• Develops and implements care and waiver service plans with care teams.
• Monitors progress and adjusts interventions to achieve outcomes.
• Promotes integrated services and connectivity to community resources.
• Assesses medical necessity and authorizes services.
• Facilitates interdisciplinary care team meetings for approvals.
• Educates and motivates members using clinical guides and motivational interviewing.
• Identifies barriers to care and coordinates solutions, including travel as needed.

Skills

Registered Nurse

Communication skills

Time management

Microsoft Office

Travel flexibility

Education

Active RN license (NY)

Bachelor's degree in healthcare (preferred)

Tools

Microsoft Office

Job description

Molina Healthcare seeks an experienced Care Manager RN to support care coordination for high-need members under LTSS. You will work with a multidisciplinary team to develop and implement care plans, monitor progress, and ensure timely enrollment and management of waiver services.

The role requires state RN licensure, strong communication, and the ability to travel locally up to 40%. You will educate members, address barriers, and collaborate with caregivers, physicians, and the ICT to optimize