RN LTSS Care Manager: Coordinated Care & Outcomes

Molina Healthcare; Elgin (IL); On-site; USD 79,457,000 - 154,904,000; Full time

Job summary

Molina Healthcare is seeking a Registered Nurse care manager to support care management and LTSS activities. You will collaborate with an interdisciplinary team to coordinate integrated member care and advance outcomes.

Responsibilities include conducting comprehensive assessments, coordinating waiver enrollment, developing care plans with patients and families, monitoring progress, and traveling 25–40% as required.

Qualifications

• 2+ years in health care with 1+ year in care management or LTSS

Responsibilities

• Complete comprehensive member assessments within regulated timelines
• Facilitate waiver enrollment and disenrollment
• Develop and implements care plans in collaboration with members and providers
• Monitor care plans and adjust as needed
• Promote integration of LTSS with behavioral health and community resources
• Assess medical necessity and authorize waiver services
• Coordinate ICT meetings for service approvals
• Travel 25-40% as required

Skills

Communication

Time management

Independence

Detail oriented

Interpersonal skills

Problem solving

Verbal and written communication

Education

Registered Nurse (RN) license

Bachelor's degree in health care field (state dependent)

Tools

Microsoft Office

Job description

Molina Healthcare is seeking a Registered Nurse care manager to support care management and LTSS activities. You will collaborate with an interdisciplinary team to coordinate integrated member care and advance outcomes.

Responsibilities include conducting comprehensive assessments, coordinating waiver enrollment, developing care plans with patients and families, monitoring progress, and traveling 25–40% as required.