RN Care Manager: LTSS Care Coordination & Planning

Molina Healthcare; Rock Island (IL); On-site; USD 39,000 - 74,000; Full time

Job summary

Molina Healthcare is seeking a licensed RN to provide care management and care coordination for members requiring LTSS services in Illinois. The role collaborates with multidisciplinary teams to develop and monitor care plans, assess medical necessity, and ensure high-quality, cost-effective member care.

The position involves comprehensive assessments, waiver enrollment processes, care plan implementation, and travel to member sites as required by state contracts.

Qualifications

• At least 2 years in health care, incl. care management and LTSS exposure.
• RN license active and unrestricted in state of practice.
• State-dependent requirements for health-related degree may apply.

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 care teams.
• Monitor and document progress, adjust care plans as needed.
• Promote coordination across behavioral health and LTSS services.

Skills

Care management

RN license

Communication skills

Time management

Travel readiness

Behavioral health knowledge

Education

Registered Nurse license or degree equivalence

Bachelor's degree in health-related field (state dependent)

Tools

Microsoft Office

Job description

Molina Healthcare is seeking a licensed RN to provide care management and care coordination for members requiring LTSS services in Illinois. The role collaborates with multidisciplinary teams to develop and monitor care plans, assess medical necessity, and ensure high-quality, cost-effective member care.

The position involves comprehensive assessments, waiver enrollment processes, care plan implementation, and travel to member sites as required by state contracts.