RN Care Navigator for LTSS & Waiver Services

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

Benefits offered by this job

Competitive benefits package

Job summary

Molina Healthcare, Inc. is seeking a Nurse Care Manager to support care management and LTSS. This role collaborates with a multidisciplinary team to coordinate member care across the continuum and drive progress toward outcomes.

The position involves waiver services, care planning, and travel within specified counties; strong communication and organizational skills are essential for success in this dynamic environment.

Qualifications

• Requires RN license active and unrestricted in state of practice.
• Experience in care management and LTSS preferred.
• May require driver license and travel as per state/contract.
• In some states, bachelor’s degree in a health care field may be required.

Responsibilities

• Completes comprehensive member assessments within timelines, including in-person home visits.
• Facilitates waiver enrollment and disenrollment processes.
• Develops and implements care plans with members, caregivers and clinicians.
• Monitors care plan effectiveness and documents progress towards goals.
• Promotes integration of services across behavioral health and LTSS.
• Assesses medical necessity and authorizes waiver services.

Skills

RN

Active RN license

Strong communication

Time management

Detail-oriented

Self-motivated

Proactive

Travel readiness

Education

RN license

Bachelor's in healthcare

Tools

Microsoft Office

Job description

Molina Healthcare, Inc. is seeking a Nurse Care Manager to support care management and LTSS. This role collaborates with a multidisciplinary team to coordinate member care across the continuum and drive progress toward outcomes.

The position involves waiver services, care planning, and travel within specified counties; strong communication and organizational skills are essential for success in this dynamic environment.