RN Care Manager: LTSS & Care Coordination

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

Job summary

Molina Healthcare is seeking a care manager RN to support care coordination for LTSS across multiple counties in Ohio. You will collaborate with a multidisciplinary team to ensure timely assessments, waiver processes, and effective care plans that address medical, psycho-social, and financial barriers.

The role emphasizes independent work, strong communication, and proactive problem-solving, with travel requirements of 25-40% based on state contracts.

Qualifications

• At least 2 years of health care experience with 1 year in care management/managed care or LTSS.
• RN with active/unrestricted license in state of practice.
• Bachelor’s degree may be required in some states per state or contractual requirements.
• Valid driver’s license with reliable transportation for travel requirements.
• Ability to work proactively, with attention to detail.
• Knowledge of community resources and ability to work with diverse populations.

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, caregivers, physicians and care team.
• Monitor care plans, document interventions, and adjust as needed.
• Promote integration of LTSS, behavioral health, and community resources.
• Assess medical necessity and authorize waiver services.
• Attend ICT meetings for service approvals or denials.
• Provide motivational interviewing and support to members.

Skills

RN

Strong communication

Time management

Problem solving

Independence

Self-motivation

Team collaboration

MS Office

Education

RN license

Tools

MS Office

Job description

Molina Healthcare is seeking a care manager RN to support care coordination for LTSS across multiple counties in Ohio. You will collaborate with a multidisciplinary team to ensure timely assessments, waiver processes, and effective care plans that address medical, psycho-social, and financial barriers.

The role emphasizes independent work, strong communication, and proactive problem-solving, with travel requirements of 25-40% based on state contracts.