RN Care Manager - LTSS & Waiver Services

Molina Healthcare, Inc.; Patoka (IL); On-site; USD 38,000 - 74,000; Full time

Benefits offered by this job

Competitive benefits

Equal Opportunity Employer

Job summary

Molina Healthcare, Inc. provides care management and coordination support for LTSS across the continuum. The role collaborates with a multidisciplinary team to ensure high-need members progress toward outcomes and cost-effective care. Achieving quality care through comprehensive assessments and person-centered plans is essential.

Essential duties include waiver enrollment, care plan development, monitoring, and advocacy to address psycho/social and medical barriers. Travel is expected 25-40%.

Qualifications

• RN license active and unrestricted in practice state.
• 2+ years in health care with care management or LTSS experience.
• Experience with persons with disabilities, chronic conditions, or substance use disorders.
• Ability to travel 25-40% as required by state/contract.

Responsibilities

• Complete comprehensive member assessments within regulated timelines.
• Facilitate waiver enrollment/disenrollment processes.
• Develop and implement care plans with members and care teams.
• Monitor care plans and adjust interventions as needed.
• Promote integration of services across LTSS and behavioral health.
• Assess medical necessity and authorize waiver services.
• Lead ICT meetings and coordinate with caregivers, physicians and teams.
• Utilize motivational interviewing and Molina guidelines to support change.
• Identify barriers to care and assist with psycho/social, financial, and medical issues.
• May supervise complex cases and conduct medication reconciliation.
• Travel 25-40% as required by contract.

Skills

Care coordination

Multidisciplinary teamwork

Time management

Problem-solving

Communication

Self-motivation

Adaptability

Microsoft Office

Education

Registered Nurse (RN) license

Bachelor's degree in health care field

Tools

Microsoft Office Suite

Job description

Molina Healthcare, Inc. provides care management and coordination support for LTSS across the continuum. The role collaborates with a multidisciplinary team to ensure high-need members progress toward outcomes and cost-effective care. Achieving quality care through comprehensive assessments and person-centered plans is essential.

Essential duties include waiver enrollment, care plan development, monitoring, and advocacy to address psycho/social and medical barriers. Travel is expected 25-40%.