RN Care Manager: LTSS & Waiver Care Coordination

Molina Healthcare; Platteville (WI); On-site; USD 36,382 - 70,932; Full time

Benefits offered by this job

Competitive benefits package

Job summary

Molina Healthcare is seeking a registered nurse to support care management and LTSS activities. The role collaborates with a multidisciplinary team to coordinate member care across the continuum and help members achieve outcomes while aligning with cost-effective strategies.

The position requires RN licensure, relevant care management experience, and ability to travel regionally; strong communication and organizational skills are essential for success.

Qualifications

• Active RN license in state of practice.
• Experience in care management, managed care, or LTSS setting.
• Strong communication and interpersonal skills.

Responsibilities

• Complete comprehensive member assessments within timelines, including home visits as required.
• Facilitate waiver enrollment/disenrollment processes.
• Develop and implement care plans with members and care network.
• Monitor and adjust care plans based on progress and outcomes.
• Coordinate services across behavioral health and LTSS to ensure continuity of care.
• Assess medical necessity and authorize waiver services.
• Lead ICT meetings for service approval/denial.
• Provide education and support to members using motivational interviewing.
• Travel 25–40% as required by contract.

Skills

RN license

Communication

Time management

Multidisciplinary teamwork

Microsoft Office

Education

Bachelor's degree in health care

Tools

Microsoft Office

Job description

Molina Healthcare is seeking a registered nurse to support care management and LTSS activities. The role collaborates with a multidisciplinary team to coordinate member care across the continuum and help members achieve outcomes while aligning with cost-effective strategies.

The position requires RN licensure, relevant care management experience, and ability to travel regionally; strong communication and organizational skills are essential for success.