RN Care Manager – LTSS & Care Coordination (Travel)

Molina Healthcare, Inc.; Delaware (OH); On-site; USD 36,000 - 70,000; Full time

Job summary

Molina Healthcare, Inc. is seeking a care coordination professional to support LTSS-focused activities and collaborate with a multidisciplinary team.

You will coordinate assessments, care plans, and services to help members achieve desired outcomes while maintaining quality and cost-effectiveness in care delivery. The role requires RN licensure, at least 2 years in health care with LTSS experience, and driving capability for local travel up to 40%.

Qualifications

• Minimum 2 years in health care with 1 year in care management/LTSS.
• RN license active and unrestricted in state of practice.
• Valid driver's license and reliable transportation.

Responsibilities

• Completes comprehensive member assessments within regulated timelines, including in-person home visits as required.
• Facilitates comprehensive waiver enrollment and disenrollment processes.
• Develops and implements care plans with members, caregivers, physicians and care network to address needs and goals.
• Performs ongoing monitoring of care plan to evaluate effectiveness and adjust as needed.
• Promotes integration of services for LTSS and behavioral health to enhance continuity of care.
• Assesses medical necessity and authorizes waiver services as appropriate.
• Evaluates benefits and advises on funding sources.
• Facilitates ICT meetings for approval/denial of services.
• Uses motivational interviewing to educate and motivate change during member contacts.

Skills

Care coordination

Care management

RN licensure

Communication

Driver's license

Education

Registered Nurse (RN) license

Bachelor's degree in health care field

Tools

Microsoft Office

Job description

Molina Healthcare, Inc. is seeking a care coordination professional to support LTSS-focused activities and collaborate with a multidisciplinary team.

You will coordinate assessments, care plans, and services to help members achieve desired outcomes while maintaining quality and cost-effectiveness in care delivery. The role requires RN licensure, at least 2 years in health care with LTSS experience, and driving capability for local travel up to 40%.