RN LTSS Care Manager - Care Coordination

Molina Healthcare; Gilman (IL); On-site; USD 39,000 - 74,000; Full time

Job summary

Molina Healthcare is seeking a registered nurse to provide care management and coordination for members requiring LTSS. This role emphasizes collaboration with a multidisciplinary team to deliver integrated care and achieve positive outcomes while supporting cost-effective services.

Responsibilities include completing assessments and developing individualized care plans, monitoring progress, and coordinating waiver services with members, caregivers, physicians, and networks.

Qualifications

• Active Registered Nurse (RN) license in state of practice.
• Experience in care management, managed care, LTSS or related setting.
• Strong verbal and written communication skills.

Responsibilities

• Complete comprehensive member assessments within timelines, including home visits.
• Facilitate waiver enrollment/disenrollment processes.
• Develop and implement care plans with members, families and providers.
• Monitor care plan effectiveness and adjust as needed.
• Coordinate LTSS and behavioral health services with an interdisciplinary team.
• Assess medical necessity and authorize services.
• Identify barriers to care and coordinate resources.

Skills

RN license

Care management

Communication skills

Data entry

Travel readiness

Education

Bachelor’s degree in healthcare or related field

Tools

Microsoft Office

Job description

Molina Healthcare is seeking a registered nurse to provide care management and coordination for members requiring LTSS. This role emphasizes collaboration with a multidisciplinary team to deliver integrated care and achieve positive outcomes while supporting cost-effective services.

Responsibilities include completing assessments and developing individualized care plans, monitoring progress, and coordinating waiver services with members, caregivers, physicians, and networks.