RN LTSS Care Manager | Waiver & Care Coordination

Molina Healthcare, Inc.; Richwood (OH); On-site; USD 36,000 - 71,000; Full time

Job summary

Molina Healthcare, Inc. is hiring a Care Manager to support LTSS and care coordination with a multidisciplinary team. You will work toward quality outcomes and cost-effective member care, including home visits and integrated service planning.

Responsibilities include assessing medical necessity, developing care plans, and facilitating waiver processes while traveling as required by state contracts. Strong communication and independent work style are essential.

Qualifications

• RN license active and unrestricted.
• 2+ years in health care including care management or managed care.
• Experience with LTSS, disabilities, chronic conditions or behavioral health.
• Valid driver’s license and reliable transportation for travel.
• Strong communication and time-management skills.
• Ability to work independently in varied settings.
• Proficiency with Microsoft Office and related software.

Responsibilities

• Complete comprehensive member assessments within regulated timelines and, when required, conduct in-person home visits.
• Facilitate waiver enrollment and disenrollment processes.
• Develop and implement care plans with members, caregivers, physicians and the support network.
• Monitor care plans and document progress toward goals; suggest changes as needed.
• Coordinate integrated services across behavioral health, LTSS and community resources.
• Identify barriers to care and provide coordination to address psycho/social, financial, and medical needs.
• Lead or participate in ICT meetings for service approvals and ensure collaboration.
• Travel 25–40% as required by state contracts.

Skills

RN license

Communication skills

Time management

Problem solving

MS Office proficiency

Education

Bachelor's in health care field

Tools

Microsoft Office

Job description

Molina Healthcare, Inc. is hiring a Care Manager to support LTSS and care coordination with a multidisciplinary team. You will work toward quality outcomes and cost-effective member care, including home visits and integrated service planning.

Responsibilities include assessing medical necessity, developing care plans, and facilitating waiver processes while traveling as required by state contracts. Strong communication and independent work style are essential.