RN LTSS Care Manager: Integrated Care & Outcomes

Molina Healthcare, Inc.; Kent (OH); Presencial; USD 36.000 - 71.000; Jornada completa

Descripción de la vacante

Molina Healthcare, Inc. is seeking an experienced RN Care Manager in Ohio to support LTSS activities and care coordination across the continuum.

You will collaborate with a multidisciplinary team to deliver integrated member care, complete in-person assessments, and help implement a waiver service plan with the member and care network. Key responsibilities include monitoring progress toward outcomes, assessing medical necessity, and facilitating waiver enrollment.

Formación

• At least 2 years in health care with care management or LTSS exposure.
• Active RN license in state of practice; driving eligible.
• Strong communication and coordination with multidisciplinary teams.
• Experience with waiver enrollment/administration is a plus.

Responsabilidades

• Complete member assessments within timelines, including home visits.
• Coordinate waiver enrollment/disenrollment and care plans.
• Monitor care plans and adjust interventions to achieve goals.
• Promote integrated services across LTSS and behavioral health.
• Evaluate medical necessity and authorize waiver services.
• Lead or participate in ICT meetings for approvals.
• Navigate barriers and support members’ psycho/social needs.
• Occasional medication reconciliation and care coordination support.

Conocimientos

RN License

Care coordination

Communication

Travel

Educación

Bachelor's degree in health care field

Herramientas

Microsoft Office

Descripción del empleo

Molina Healthcare, Inc. is seeking an experienced RN Care Manager in Ohio to support LTSS activities and care coordination across the continuum.

You will collaborate with a multidisciplinary team to deliver integrated member care, complete in-person assessments, and help implement a waiver service plan with the member and care network. Key responsibilities include monitoring progress toward outcomes, assessing medical necessity, and facilitating waiver enrollment.