RN LTSS Care Manager: Coordinated, High-Impact Care

Molina Healthcare, Inc.; Cortland Township (IL); On-site; USD 38,000 - 74,000; Full time

Benefits offered by this job

Competitive benefits

Job summary

Molina Healthcare, Inc. in Illinois seeks a Registered Nurse-led Care Manager to coordinate long-term services and supports (LTSS) for high-need members. You will collaborate with multidisciplinary teams, conduct home visits, and manage comprehensive care plans while ensuring medical necessity and effective service delivery.

The role requires 2+ years in health care with care management experience and a valid RN license. Travel up to 40% may be required.

Qualifications

• Active RN license in state of practice.
• Strong communication and documentation skills.
• Ability to work independently with minimal supervision.
• Experience with care management, managed care, LTSS, or disability support is required or preferred.

Responsibilities

• Perform comprehensive member assessments within regulatory timelines and during home visits.
• Coordinate waiver enrollment/disenrollment and develop care plans with care teams.
• Monitor care plans and measure progress toward outcomes; adjust as needed.
• Promote service integration across behavioral health, LTSS, and community resources.
• Assess medical necessity and authorize waiver services; evaluate benefits and funding sources.
• Lead ICT meetings for approval/denial of services and collaborate with team members.

Skills

Communication

Detail-oriented

Time management

Proactive work style

Education

Registered Nurse (RN) license

Bachelor's degree in a health-care field (may be required in some states)

Tools

Microsoft Office

Job description

Molina Healthcare, Inc. in Illinois seeks a Registered Nurse-led Care Manager to coordinate long-term services and supports (LTSS) for high-need members. You will collaborate with multidisciplinary teams, conduct home visits, and manage comprehensive care plans while ensuring medical necessity and effective service delivery.

The role requires 2+ years in health care with care management experience and a valid RN license. Travel up to 40% may be required.