RN Care Manager: LTSS & Waiver Services

Molina Talent Acquisition; Milwaukee (WI); On-site; USD 70,000 - 90,000; Full time

Job summary

Molina Healthcare is seeking a Registered Nurse to support care management and LTSS-related activities. You will collaborate with a multidisciplinary team to coordinate member care across the continuum and strive to achieve desired outcomes while aligning with cost-effective, quality care strategies.

Responsibilities include conducting comprehensive assessments, managing waiver processes, developing care plans, monitoring progress, and facilitating ICT meetings.

Qualifications

• Active RN license in state of practice.
• Minimum 2 years healthcare experience with 1 year in care management.
• Experience with disabilities, chronic conditions or LTSS preferred.
• Strong communication and organization skills.
• Willingness to travel 25–40% locally.

Responsibilities

• Complete member assessments within timelines and during home visits.
• Coordinate waiver enrollment/disenrollment and care plans.
• Monitor care plan effectiveness and document outcomes.
• Promote integration of behavioral health and LTSS services.
• Assess medical necessity and authorize waiver services.
• Lead interdisciplinary care team meetings for approvals.
• Educate and support members using motivational interviewing.
• Identify barriers and coordinate psycho/social/financial support.
• May provide consultation to peers; RN may handle medication reconciliation.

Skills

RN license

Care management

Healthcare experience

Communication skills

Time management

Travel readiness

Education

Nursing degree

Tools

Microsoft Office

Job description

Molina Healthcare is seeking a Registered Nurse to support care management and LTSS-related activities. You will collaborate with a multidisciplinary team to coordinate member care across the continuum and strive to achieve desired outcomes while aligning with cost-effective, quality care strategies.

Responsibilities include conducting comprehensive assessments, managing waiver processes, developing care plans, monitoring progress, and facilitating ICT meetings.