RN Care Manager: LTSS & Waiver Coordination

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

Benefits offered by this job

Competitive benefits package

EOE employer

Job summary

Molina Healthcare seeks a Registered Nurse to provide care management and coordination for LTSS across Ohio counties. You will work with a multidisciplinary team to assess needs, develop and monitor care plans, enroll clients in waivers, and promote integrated care, with 25–40% travel.

The role requires 2+ years in health care, an active RN license, and experience in care management or managed care. Strong communication and independence in diverse settings are essential; proficiency with

Qualifications

• At least 2 years of health care experience, incl. 1 year in care management or LTSS.
• Active RN license in state of practice.
• Bachelor degree may be required in some states.
• Valid driver's license and reliable transportation.
• Proactive, detail-oriented and able to work independently.
• Knowledge of community resources and strong communication skills.
• Proficient with Microsoft Office.

Responsibilities

• Completes comprehensive member assessments within timelines, including in-person visits.
• Facilitates waiver enrollment and disenrollment processes.
• Develops and implements care plans with members, caregivers and providers.
• Monitors care plan effectiveness and documents outcomes.
• Promotes integrated services across behavioral health, LTSS and community resources.
• Assesses medical necessity and authorizes waiver services.
• Facilitates ICT meetings for service approvals/denials.
• Travel 25–40% may be required.

Skills

RN license

Driver's license

Microsoft Office

Education

Bachelor's degree in health care

Job description

Molina Healthcare seeks a Registered Nurse to provide care management and coordination for LTSS across Ohio counties. You will work with a multidisciplinary team to assess needs, develop and monitor care plans, enroll clients in waivers, and promote integrated care, with 25–40% travel.

The role requires 2+ years in health care, an active RN license, and experience in care management or managed care. Strong communication and independence in diverse settings are essential; proficiency with