RN Care Manager: LTSS & Waiver Coordination

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

Benefits offered by this job

Competitive benefits

Job summary

Molina Healthcare, Inc. seeks a RN-based care manager to support LTSS members, coordinate care, and collaborate with multidisciplinary teams. Travel may be required to conduct home visits and coordinate services across contracted regions.

The role emphasizes monitoring, documentation, and proactive problem-solving to ensure quality, cost-effective member care within regulated timelines and waiver programs.

Qualifications

• RN license active and unrestricted in state of practice.
• Minimum 2 years healthcare experience including 1 year in care management/LTSS.
• Valid and unrestricted driver’s license with reliable transportation.
• Ability to operate proactively with attention to detail.

Responsibilities

• Complete comprehensive member assessments within regulated timelines, including in-person home visits.
• Facilitate waiver enrollment and disenrollment processes.
• Develop and implement care plans with members and care network.
• Monitor care plan effectiveness and adjust as needed.
• Promote integration of LTSS with behavioral health and community resources.
• Ensure medical necessity and authorize waiver services.

Skills

Care coordination

Communication

Time management

Problem-solving

Education

Bachelor's degree in health care field

Tools

MS Office

Job description

Molina Healthcare, Inc. seeks a RN-based care manager to support LTSS members, coordinate care, and collaborate with multidisciplinary teams. Travel may be required to conduct home visits and coordinate services across contracted regions.

The role emphasizes monitoring, documentation, and proactive problem-solving to ensure quality, cost-effective member care within regulated timelines and waiver programs.