RN Care Manager LTSS | Care Coordination & Outcomes

Jobtome; Peru Township (IA); Presencial; USD 38.000 - 74.000; Jornada completa

Descripción de la vacante

Molina Healthcare is seeking a skilled RN Care Manager to provide LTSS-focused care coordination in Iowa. You will work with a multidisciplinary team to manage member care, assess needs, and implement comprehensive care plans in collaboration with members, caregivers, and health professionals.

Responsibilities include waiver processes, monitoring outcomes, and promoting integrated services while navigating barriers to care and funding sources. Travel locally is required.

Formación

• Minimum 2 years in health care, 1 year in care management or LTSS.
• RN with active license in state of practice; valid driver’s license.
• May require healthcare BA; travel up to 25–40%.
• Excellent communication and proactive, self-motivated work style.
• Experience with community resources and coordinating with diverse teams.

Responsabilidades

• Complete assessments within timelines and conduct home visits as needed.
• Facilitate waiver enrollment/disenrollment processes.
• Develop and implement care plans with members and providers.
• Monitor and adjust care plans based on progress and barriers.
• Promote integrated care including behavioral health and LTSS.
• Assess medical necessity and authorize waiver services.
• Coordinate ICT meetings for approvals/denials.
• Conduct medication reconciliation when required.
• Travel locally as required by state/contractual needs.

Conocimientos

RN license

Care management

LTSS experience

Behavioral health

Travel ready

Time management

Communication

Team collaboration

MS Office

Problem solving

Educación

Bachelor's degree in healthcare or related field

Certified Case Manager (CCM) - preferred

Herramientas

Microsoft Office

Descripción del empleo

Molina Healthcare is seeking a skilled RN Care Manager to provide LTSS-focused care coordination in Iowa. You will work with a multidisciplinary team to manage member care, assess needs, and implement comprehensive care plans in collaboration with members, caregivers, and health professionals.

Responsibilities include waiver processes, monitoring outcomes, and promoting integrated services while navigating barriers to care and funding sources. Travel locally is required.