RN Care Manager – LTSS & Waiver Services Lead

Molina Healthcare; Emerald Isle (NC); On-site; USD 36,000 - 85,000; Full time

Job summary

Molina Healthcare is seeking a Care Manager RN to support long-term services and supports (LTSS) and care coordination. You will collaborate with a multidisciplinary team to deliver integrated member care across the continuum and ensure progress toward outcomes.

The role emphasizes assessment, care planning, and coordination of waiver services, with focus on seamless service delivery and cost-effective care. Local travel 25–40% may be required.

Qualifications

• At least 2 years of health care experience with care management, managed care, LTSS, or related fields.
• RN license active and unrestricted in state of practice.
• Bachelor's degree may be required in some states depending on contract.
• Must have valid driver's license and reliable transportation for travel.

Responsibilities

• Complete comprehensive member assessments within regulated timelines, including home visits as required.
• Facilitate waiver enrollment/disenrollment processes.
• Develop and implement care plans with members, caregivers, physicians, and care team.
• Monitor care plan effectiveness and document progress toward goals.
• Promote service integration across behavioral health, LTSS, and community resources.
• Assess medical necessity and authorize waiver services as appropriate.
• Coordinate interdisciplinary care team meetings for approvals/denials.

Skills

Care coordination

Multidisciplinary collaboration

Motivational interviewing

Time management

Communication skills

Education

Registered Nurse (RN) license

Bachelor's degree in health care field (optional)

Tools

Microsoft Office

Job description

Molina Healthcare is seeking a Care Manager RN to support long-term services and supports (LTSS) and care coordination. You will collaborate with a multidisciplinary team to deliver integrated member care across the continuum and ensure progress toward outcomes.

The role emphasizes assessment, care planning, and coordination of waiver services, with focus on seamless service delivery and cost-effective care. Local travel 25–40% may be required.