RN Care Manager – LTSS Care Coordination Leader

Molina Healthcare; New Glarus (WI); On-site; USD 3,638,000 - 7,026,000; Full time

Job summary

Molina Healthcare is seeking a Care Manager RN to provide care coordination and LTSS support. The role involves collaborating with multidisciplinary teams to plan and monitor member care, including waiver services and home visits where required.

Responsibilities include assessing needs, enabling access to services, evaluating funding sources, and ensuring timely care. Travel up to 40% is anticipated based on contract requirements and state regulations.

Qualifications

• Minimum 2 years in health care, with 1 year in care management or LTSS.
• RN with active, unrestricted license in state of practice.
• Some states require a health-care related bachelor’s degree.

Responsibilities

• Complete comprehensive member assessments within regulated timelines.
• Facilitate waiver enrollment/disenrollment processes.
• Develop and implement care plans with members and providers.
• Monitor care plan effectiveness and adjust as needed.
• Coordinate LTSS and behavioral health services for continuity of care.
• Travel 25–40% as required by state/contract.

Skills

Care coordination

Effective communication

Detail oriented

Education

RN license

Bachelor’s degree in healthcare

Tools

Microsoft Office

Job description

Molina Healthcare is seeking a Care Manager RN to provide care coordination and LTSS support. The role involves collaborating with multidisciplinary teams to plan and monitor member care, including waiver services and home visits where required.

Responsibilities include assessing needs, enabling access to services, evaluating funding sources, and ensuring timely care. Travel up to 40% is anticipated based on contract requirements and state regulations.