RN Care Manager: LTSS & Waiver Coordination

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

Job summary

Molina Healthcare, Inc. is seeking a Care Manager RN to support LTSS care coordination, collaborating with multidisciplinary teams to deliver integrated member care and improve outcomes. You will conduct comprehensive assessments, develop care plans, monitor progress, and coordinate waiver services.

Responsibilities include authorizing services, evaluating benefits, and facilitating ICT meetings. Travel up to 25–40% may be required; a valid RN license and healthcare experience are essential.

Qualifications

• At least 2 years in health care, including care management or LTSS
• RN licensure active and unrestricted
• Travel up to 25–40% may be required

Responsibilities

• Complete comprehensive member assessments within regulated timelines, including in-person home visits
• Facilitate waiver enrollment/disenrollment processes
• Develop and implement care plans with members and care network
• Monitor care plan effectiveness and adjust as needed
• Promote integration of services across LTSS and behavioral health
• Assess medical necessity and authorize waiver services
• Coordinate interdisciplinary care team meetings for service decisions
• Use motivational interviewing and Molina guides to educate and support members
• Identify barriers and provide care coordination for psycho/social/financial obstacles
• May provide consultation to peers and handle complex cases with medications reconciliation

Skills

RN licensed, healthcare experience

Strong communication

Time management

Self-motivation

Independent work

Education

Active RN license

Bachelor's degree in healthcare field (state dependent)

Tools

Microsoft Office

Job description

Molina Healthcare, Inc. is seeking a Care Manager RN to support LTSS care coordination, collaborating with multidisciplinary teams to deliver integrated member care and improve outcomes. You will conduct comprehensive assessments, develop care plans, monitor progress, and coordinate waiver services.

Responsibilities include authorizing services, evaluating benefits, and facilitating ICT meetings. Travel up to 25–40% may be required; a valid RN license and healthcare experience are essential.