RN Care Manager: LTSS & Waiver Coordination

Molina Healthcare; Belleville (IL); On-site; USD 44,000 - 74,000; Full time

Job summary

Molina Healthcare is seeking a Care Manager RN in Illinois to coordinate long-term services and supports (LTSS) and waiver services. You will collaborate with an interdisciplinary team to ensure member progress toward outcomes, perform home visits, and guide members and caregivers through enrollment and service plans.

Responsibilities include assessing medical necessity, developing and monitoring care plans, and facilitating access to community resources across settings.

Qualifications

• Active RN license in practicing state.
• At least 2 years healthcare experience with 1 year in care management.
• Valid driver’s license and reliable transportation.
• Ability to work independently and with diverse populations.
• Proficiency in Microsoft Office and basic computer skills.
• Knowledge of community resources.
• Experience with substance use disorders preferred.
• Bachelor’s degree may be required in some states.

Responsibilities

• Completes comprehensive member assessments within regulated timelines and may include home visits.
• Facilitates waiver enrollment/disenrollment processes.
• Develops and implements care plans with members and care network.
• Monitors care plan effectiveness and documents outcomes.
• Promotes integration of LTSS and behavioral health services.
• Assesses medical necessity and authorizes waiver services.
• Coordinates ICT meetings for service approvals/denials.
• Identifies barriers to care and assists with problem solving.

Skills

RN license

Care management

Communication skills

Independent work

Microsoft Office

Driver's license

Time management

Travel readiness

Education

Nursing degree

Tools

EHR systems

Job description

Molina Healthcare is seeking a Care Manager RN in Illinois to coordinate long-term services and supports (LTSS) and waiver services. You will collaborate with an interdisciplinary team to ensure member progress toward outcomes, perform home visits, and guide members and caregivers through enrollment and service plans.

Responsibilities include assessing medical necessity, developing and monitoring care plans, and facilitating access to community resources across settings.