RN Care Manager: LTSS & Waiver Coordination

Jobtome; Alliance (OH); On-site; USD 36,000 - 71,000; Full time

Benefits offered by this job

Competitive benefits package

Job summary

Molina Healthcare is seeking an experienced RN Care Manager to support care coordination for members requiring LTSS. The role covers multiple counties with 25-40% travel, collaborating with a multidisciplinary team to ensure high-quality, cost-effective care across the continuum.

Responsibilities include completing assessments, developing and monitoring care plans, facilitating waiver enrollment, and coordinating services with providers, caregivers and members while maintaining compliance and

Qualifications

• RN license active and unrestricted in state of practice.
• At least 2 years in healthcare with 1 year in care management or LTSS.
• Valid and unrestricted driver’s license with reliable transportation for travel.
• Strong verbal and written communication, ability to work independently.

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, caregivers, physicians and others.
• Monitors care plan effectiveness and documents interventions.
• Promotes integration of services across LTSS and behavioral health.
• Assesses medical necessity and authorizes appropriate waiver services.
• Facilitates ICT meetings for approval or denial of services.
• Uses motivational interviewing to educate and motivate change.
• Assesses barriers to care and assists with psycho/social, financial and medical obstacles.
• Identifies incidents and develops prevention plans for member welfare.
• May provide consultation to peers as needed.
• Care manager RNs may handle complex cases and medication reconciliation.
• Travel 25-40% may be required.

Skills

RN license

Communication skills

Time management

Travel readiness

Education

Bachelor's degree in healthcare-related field

Certified Case Manager (CCM)

Job description

Molina Healthcare is seeking an experienced RN Care Manager to support care coordination for members requiring LTSS. The role covers multiple counties with 25-40% travel, collaborating with a multidisciplinary team to ensure high-quality, cost-effective care across the continuum.

Responsibilities include completing assessments, developing and monitoring care plans, facilitating waiver enrollment, and coordinating services with providers, caregivers and members while maintaining compliance and