RN Care Manager: LTSS Care Coordination & Outcomes

Molina Healthcare, Inc.; Gomer (OH); On-site; USD 36,000 - 71,000; Full time

Job summary

Molina Healthcare, Inc. is seeking a registered nurse to provide care management and coordination for LTSS participants. The role involves in-person home visits, collaborating with a multi-disciplinary team, and guiding members toward positive outcomes.

Travel to member sites is expected. The ideal candidate holds an active RN license, 2+ years in care management or related settings, and strong communication skills.

Qualifications

• Active RN license in state of practice.
• 2+ years health care experience, incl care management or LTSS.
• Experience with persons with disabilities or chronic conditions (preferred).

Responsibilities

• Complete comprehensive member assessments within timelines, including home visits.
• Coordinate waiver enrollment/disenrollment processes.
• Develop and implement care plans with members, families, and providers.
• Monitor care plans and adjust interventions to meet goals.
• Promote integration of behavioral health with LTSS and community resources.
• Assess medical necessity and authorize waiver services.
• Participate in interdisciplinary care team meetings for approvals.

Skills

Care coordination

Home visits

Communication

Microsoft Office

Education

Registered Nurse (RN)

Bachelor’s degree (health care related)

Tools

Microsoft Office

Job description

Molina Healthcare, Inc. is seeking a registered nurse to provide care management and coordination for LTSS participants. The role involves in-person home visits, collaborating with a multi-disciplinary team, and guiding members toward positive outcomes.

Travel to member sites is expected. The ideal candidate holds an active RN license, 2+ years in care management or related settings, and strong communication skills.