RN Care Manager: LTSS & Waiver Care Coordination

Molina Healthcare, Inc.; Aurora (OH); On-site; USD 36,000 - 71,000; Full time

Benefits offered by this job

Competitive benefits package

Equal Opportunity Employer (EOE)

Job summary

Molina Healthcare, Inc. is seeking a Care Manager RN to support LTSS care coordination for members across multiple counties in Ohio.

You will conduct comprehensive assessments, develop and monitor care plans, and coordinate with an interdisciplinary team to ensure high-quality, cost-effective member care. Requirements include a valid RN license, 2+ years in health care with experience in care management or LTSS, and ability to travel 25-40% within the service area.

Qualifications

• At least 2 years in health care with at least 1 year in care management or LTSS.
• RN with active license in state of practice.
• Valid driver's license, reliable transportation, and auto insurance for travel.
• Ability to travel 25-40% as required by state/contractual needs.

Responsibilities

• Completes comprehensive member assessments within regulated timelines, including in-person home visits.
• Facilitates waiver enrollment and disenrollment processes.
• Develops and implements care plans with members and care network.
• Monitors care plan effectiveness and documents interventions.
• Promotes integration of services across behavioral health and LTSS.
• Assesses medical necessity and authorizes waiver services.
• Coordinates ICT meetings for service approvals/denials.
• Supports members with psycho/social, financial, and medical obstacles.
• May provide consultation to peers and conduct medication reconciliation when needed.
• 25-40% local travel may be required.

Skills

Detail-oriented

Time management

Communication skills

Self-motivation

Proactive

Relationship building

Education

RN license

Tools

Microsoft Office

Job description

Molina Healthcare, Inc. is seeking a Care Manager RN to support LTSS care coordination for members across multiple counties in Ohio.

You will conduct comprehensive assessments, develop and monitor care plans, and coordinate with an interdisciplinary team to ensure high-quality, cost-effective member care. Requirements include a valid RN license, 2+ years in health care with experience in care management or LTSS, and ability to travel 25-40% within the service area.