RN Care Navigator: LTSS & Waiver Services

Jobtome; Jeffersonville (IN); On-site; USD 36,000 - 71,000; Full time

Job summary

Molina Healthcare is seeking an RN Care Manager to support care coordination for LTSS, collaborating with a multidisciplinary team to ensure quality, cost-effective member care. The role involves comprehensive assessments, waiver enrollment, care plan development, and ongoing monitoring, with travel required to meet member needs.

Qualified candidates have RN licensure, 2+ years in healthcare (1+ year in care management/LTSS), strong communication skills, and the ability to work independently in

Qualifications

• At least 2 years of health care experience, including 1 year in care management and LTSS.
• RN with active licensure in state of practice.
• Bachelor's degree may be required in some states.
• Valid and unrestricted driver’s license with reliable transportation.
• Ability to work independently and manage multiple projects.

Responsibilities

• Completes comprehensive member assessments within regulated timelines, including in-person home visits as required.
• Facilitates comprehensive waiver enrollment and disenrollment processes.
• Develops and implements care plans with members, caregivers, physicians and other health professionals.
• Monitors care plan effectiveness, documents interventions and goal achievement.
• Promotes integration of LTSS and behavioral health services to enhance continuity of care.
• Assesses medical necessity and authorizes waiver services.

Skills

RN License

Communication skills

Time management

Detail-oriented

Driver's license

MS Office

Education

RN licensure (active)

Bachelor's degree (state dependent)

Tools

MS Office

Healthcare software

Job description

Molina Healthcare is seeking an RN Care Manager to support care coordination for LTSS, collaborating with a multidisciplinary team to ensure quality, cost-effective member care. The role involves comprehensive assessments, waiver enrollment, care plan development, and ongoing monitoring, with travel required to meet member needs.

Qualified candidates have RN licensure, 2+ years in healthcare (1+ year in care management/LTSS), strong communication skills, and the ability to work independently in