RN Care Manager: LTSS & Waiver Care Coordination

Molina Healthcare; Illinois; On-site; USD 39,000 - 74,000; Full time

Job summary

Molina Healthcare seeks a registered nurse to support care management and LTSS activities, coordinating with multidisciplinary teams to ensure high-need members receive integrated care across the continuum.

The role emphasizes care plan development, waiver services, and proactive monitoring to improve outcomes and manage costs. Some state-specific requirements apply and travel may be required.

Qualifications

• RN license active and unrestricted in state of practice.
• 2+ years experience in health care, including 1 year in care management or LTSS.
• Experience with persons with disabilities, chronic conditions, substance use disorders or LTSS.
• Bachelor's degree may be required in some states.

Responsibilities

• Perform comprehensive member assessments within regulatory timelines.
• Coordinate waiver enrollment/disenrollment processes.
• Develop and implement care plans with members and care team.
• Monitor care plan effectiveness and adjust as needed.
• Promote integration of LTSS and behavioral health services.

Skills

Communication

Time management

Detail-oriented

Self-motivation

Education

RN license

Healthcare degree (BSN/相关)

Tools

Microsoft Office

Job description

Molina Healthcare seeks a registered nurse to support care management and LTSS activities, coordinating with multidisciplinary teams to ensure high-need members receive integrated care across the continuum.

The role emphasizes care plan development, waiver services, and proactive monitoring to improve outcomes and manage costs. Some state-specific requirements apply and travel may be required.