RN Care Manager: LTSS & Integrated Care Coordination

Jobtome; South Dakota; On-site; USD 38,000 - 74,000; Full time

Benefits offered by this job

Competitive benefits

Equal Opportunity Employer

Job summary

Molina Healthcare is seeking a registered nurse care manager to support long-term services and supports (LTSS) with care coordination across multidisciplinary teams. This role focuses on ensuring member progress toward outcomes and coordinating comprehensive assessments, care plans, and services.

Responsibilities include waiver enrollment, medication reconciliation, and facilitating ICT meetings. Expect 25–40% local travel and collaboration with diverse healthcare professionals to optimize

Qualifications

• Minimum 2 years in health care with at least 1 year in care management or LTSS.
• Active RN license in state of practice.
• Bachelor's degree in health care field may be required in some states.
• Valid driver's license and reliable transportation.
• Strong communication and problem-solving skills.
• Proficiency with Microsoft Office.
• Experience with substance use disorders in LTSS preferred in some states.

Responsibilities

• Complete comprehensive member assessments within regulated timelines, including in-person home visits.
• Facilitate waiver enrollment and disenrollment processes.
• Develop and implement care plans with members and care teams.
• Monitor care plan effectiveness and document outcomes.
• Promote integration of LTSS and behavioral health services.
• Assess medical necessity and authorize waiver services.
• Facilitate interdisciplinary care team meetings for approvals.
• Travel 25–40% locally as required.

Skills

RN license

Health care experience

Communication skills

Microsoft Office

Driver's license

Time management

Self-motivation

Education

Bachelor's degree in nursing

Tools

Case management software

Microsoft Office Suite

Job description

Molina Healthcare is seeking a registered nurse care manager to support long-term services and supports (LTSS) with care coordination across multidisciplinary teams. This role focuses on ensuring member progress toward outcomes and coordinating comprehensive assessments, care plans, and services.

Responsibilities include waiver enrollment, medication reconciliation, and facilitating ICT meetings. Expect 25–40% local travel and collaboration with diverse healthcare professionals to optimize