RN Care Manager – LTSS & Care Coordination

Jobtome; West Jefferson (OH); On-site; USD 36,000 - 71,000; Full time

Job summary

Jobtome is seeking a Care Manager RN to support care coordination for LTSS, collaborating with a multidisciplinary team to ensure quality, cost-effective member care. You will conduct home visits, develop and monitor care plans, and facilitate waiver processes while traveling up to 40% as required by state contracts.

Ideal candidates have at least 2 years in health care, with 1 year in care management and a valid RN license, and strong communication skills.

Qualifications

• At least 2 years of experience in health care, including at least 1 year in care management or managed care.
• Active and unrestricted RN license in state of practice.
• Bachelor's degree may be required in some states/contractual contexts.
• Valid driver's license and reliable transportation for travel.
• Ability to work proactively and with attention to detail.
• Knowledge of community resources.
• Ability to work across diverse settings and with varied populations.
• Strong communication skills (oral and written).
• Experience with individuals with substance use disorders is preferred in some states.

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 network.
• Monitor care plan effectiveness and adjust interventions as needed.
• Promote integration of LTSS and behavioral health services.
• Assess medical necessity and authorize waiver services.
• Evaluate benefits and advise on funding sources.
• Coordinate interdisciplinary care team meetings for approvals/denials.
• Educate and motivate change using motivational interviewing principles.
• Identify barriers to care and assist with psycho/social, financial, and medical obstacles.

Skills

Care coordination

Communication

Problem-solving

Time management

Microsoft Office

Driving

Education

RN license

Tools

Microsoft Office

Job description

Jobtome is seeking a Care Manager RN to support care coordination for LTSS, collaborating with a multidisciplinary team to ensure quality, cost-effective member care. You will conduct home visits, develop and monitor care plans, and facilitate waiver processes while traveling up to 40% as required by state contracts.

Ideal candidates have at least 2 years in health care, with 1 year in care management and a valid RN license, and strong communication skills.