RN LTSS Care Manager: Home Visit & Coordination

Molina Healthcare, Inc.

Canal Winchester (OH)

On-site

USD 36,000 - 71,000

Full time

6 days ago

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Job summary

Molina Healthcare, Inc. is hiring a Care Manager RN in Ohio to support LTSS and care coordination. You will collaborate with a multidisciplinary team to ensure high-need members receive integrated, quality and cost-effective care across the continuum.

Requires active RN license, 2+ years in health care with LTSS experience, and ability to travel locally. The role emphasizes proactive care planning, navigation of waiver services, and coordination with caregivers and healthcare professionals to

Qualifications

At least 2 years in health care with 1 year in care management/ LTSS.
RN license active and unrestricted.
Bachelor's degree in health care field may be required in some states.
Valid driver’s license and reliable transportation.
Ability to work independently with minimal supervision.
Strong communication and organizational skills.
Experience with diverse populations and settings.
Proficiency with Microsoft Office.

Responsibilities

Complete comprehensive member assessments within regulated timelines, including home visits.
Coordinate waiver enrollment and disenrollment processes.
Develop and implement care plans with members, caregivers, physicians and providers.
Monitor care plans and evaluate effectiveness, adjusting as needed.
Promote integrated LTSS and behavioral health services across care teams.
Assess medical necessity and authorize waiver services.
Facilitate ICT meetings for service approvals/denials.
Identify barriers to care and coordinate psycho/social/financial support.
Local travel 25-40% may be required.