RN Care Navigator for LTSS & Waivers

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

Job summary

Molina Healthcare is seeking a Registered Nurse Care Manager to support LTSS navigation and care coordination across settings. You will collaborate with a multidisciplinary team to ensure high-need members progress toward outcomes and that services are integrated, cost-effective, and patient-centered.

Responsibilities include assessments, waiver management, care plan development and monitoring, and leading ICT meetings. Travel up to 40% may be required based on state contracts.

Qualifications

• 2+ years in health care with care management exposure.
• RN license active and unrestricted.
• Willingness to travel 25-40% as required by state/contracts.
• Strong communication and organizational skills.

Responsibilities

• Complete comprehensive member assessments within required timelines, including in-person visits as needed.
• Coordinate waiver enrollment/disenrollment processes and care planning.
• Develop and monitor care plans with members, caregivers, physicians, and care network.
• Monitor outcomes, document interventions, and adjust plans as needed.
• Facilitate ICT meetings and coordinate inter-disciplinary care for approval/denial of services.
• Educate and motivate members during contacts using motivational interviewing.

Skills

Care coordination

RN licensing

Healthcare experience

Communication

Time management

Travel readiness

Education

RN license

Tools

MS Office

Job description

Molina Healthcare is seeking a Registered Nurse Care Manager to support LTSS navigation and care coordination across settings. You will collaborate with a multidisciplinary team to ensure high-need members progress toward outcomes and that services are integrated, cost-effective, and patient-centered.

Responsibilities include assessments, waiver management, care plan development and monitoring, and leading ICT meetings. Travel up to 40% may be required based on state contracts.