RN Care Manager: LTSS & Care Coordination

Jobtome; Yorkville (OH); On-site; USD 38,000 - 74,000; Full time

Benefits offered by this job

Benefits package

Equal Opportunity Employer

Job summary

Molina Healthcare is seeking a Registered Nurse Care Manager to support care coordination for LTSS members. You will collaborate with a multidisciplinary team to ensure high-need members receive coordinated services and achieve desired outcomes.

The role involves developing personalized care plans, conducting assessments, and navigating waiver programs while maintaining regulatory timelines. Strong communication, critical thinking and problem-solving are essential.

Qualifications

• RN license active and unrestricted in state of practice.
• At least 2 years in health care with care management/LTSS experience preferred.
• Ability to operate proactively and manage multiple priorities.

Responsibilities

• Completes comprehensive member assessments within regulated timelines.
• Facilitates waiver enrollment and disenrollment processes.
• Develops and implements care plans with members and care network.
• Monitors care plan effectiveness and updates as needed.
• Promotes integration of LTSS and behavioral health services.
• Assesses medical necessity and authorizes waiver services.
• Evaluates benefits and funding sources.
• Coordinates ICT meetings for service approvals/denials.
• Uses motivational interviewing to support member change.
• Identifies barriers and assists with psycho/social/financial obstacles.
• Identifies critical incidents and develops prevention plans.
• May provide consultation to peers and handle complex cases.
• Travel 25-40% as required by state/contract.

Skills

Communication

Time management

Problem-solving

Independent worker

Relationship building

Detail-oriented

Education

Registered Nurse (RN) license

Bachelor's degree in health care field (optional)

Tools

Microsoft Office

Job description

Molina Healthcare is seeking a Registered Nurse Care Manager to support care coordination for LTSS members. You will collaborate with a multidisciplinary team to ensure high-need members receive coordinated services and achieve desired outcomes.

The role involves developing personalized care plans, conducting assessments, and navigating waiver programs while maintaining regulatory timelines. Strong communication, critical thinking and problem-solving are essential.