RN Care Manager: LTSS & Care Coordination Lead

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

Job summary

Molina Healthcare is hiring a care manager RN to support LTSS and care coordination across multiple counties in Ohio. You will assess members, coordinate waiver services, and develop care plans with clinicians, caregivers and members.

Responsibilities include monitoring outcomes, addressing barriers to care, and facilitating ICT meetings. Travel to member homes and clinics is required to support quality and cost-effective care delivery.

Qualifications

• 2+ years in health care, with 1+ year in care management or related setting.
• RN license active and unrestricted in state of practice.
• Bachelor’s degree may be required in some states.

Responsibilities

• Complete comprehensive member assessments within timelines, including in-person visits.
• Facilitate waiver enrollment and disenrollment processes.
• Develop and implement care plans with members and providers.
• Monitor care plan effectiveness and adjust as needed.
• Promote integrated care across behavioral health and LTSS.
• Assess medical necessity and authorize waiver services.
• Collaborate in interdisciplinary care team meetings.
• Identify obstacles to care and address psycho/social, financial and medical barriers.
• Travel 25-40% as required by state/contract.

Skills

Care coordination

Communication skills

Time management

Problem solving

Microsoft Office

Education

RN license

Bachelor's degree in health care

Job description

Molina Healthcare is hiring a care manager RN to support LTSS and care coordination across multiple counties in Ohio. You will assess members, coordinate waiver services, and develop care plans with clinicians, caregivers and members.

Responsibilities include monitoring outcomes, addressing barriers to care, and facilitating ICT meetings. Travel to member homes and clinics is required to support quality and cost-effective care delivery.