RN Care Manager (LTSS) - Field-Based Care Coordination

Molina Healthcare, Inc.; Ohio; On-site; USD 36,000 - 71,000; Full time

Job summary

Molina Healthcare, Inc. is seeking a Care Manager to support LTSS care coordination and waiver-related activities. The role collaborates with a multidisciplinary team to deliver integrated member care across settings and ensure progress toward outcomes.

The position requires RN licensure, 2+ years in health care, and experience with LTSS or related conditions. Expect travel and frequent coordination with care teams to optimize member outcomes.

Qualifications

• RN license active and unrestricted in state of practice.
• 2+ years in health care with care management or managed care experience.
• Experience with LTSS, disabilities, chronic conditions, substance use disorders.
• Valid driver’s license and reliable transportation.

Responsibilities

• Completes comprehensive member assessments within regulated timelines, including in-person home visits.
• Facilitates comprehensive waiver enrollment and disenrollment processes.
• Develops and implements care plans with members, caregivers, physicians and support network.
• Monitors care plan effectiveness, documents interventions and goal achievement.
• Promotes integration of services including behavioral health and LTSS with community resources.
• Assesses medical necessity and authorizes waiver services.
• Facilitates interdisciplinary care team meetings for service decisions.
• Travel 25–40% as required by state/contractual requirements.

Skills

Care management

Communication skills

Time management

Problem-solving

Detail-oriented

Self-motivation

Education

RN license (active)

CCM preferred

Tools

Microsoft Office

Job description

Molina Healthcare, Inc. is seeking a Care Manager to support LTSS care coordination and waiver-related activities. The role collaborates with a multidisciplinary team to deliver integrated member care across settings and ensure progress toward outcomes.

The position requires RN licensure, 2+ years in health care, and experience with LTSS or related conditions. Expect travel and frequent coordination with care teams to optimize member outcomes.