RN LTSS Care Manager & Waiver Specialist

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

Benefits offered by this job

Competitive benefits

Job summary

Molina Healthcare, Inc. seeks a Registered Nurse Care Manager to coordinate LTSS-focused care for high-need members. The role involves in-person home visits, waiver enrollment, and collaboration with physicians and support networks.

You will develop and monitor care plans, assess medical necessity, and promote integrated services across behavioral health and LTSS. Travel 25–40% is required to cover declared counties.

Qualifications

• Active RN license in state of practice.
• Strong verbal and written communication skills.
• Ability to work independently with minimal supervision.
• Experience with care management or LTSS preferred.
• Travel up to 25–40% of the time.

Responsibilities

• Completes comprehensive member assessments within regulated timelines, including in-person home visits.
• Facilitates waiver enrollment and disenrollment processes.
• Develops and implements care plans with members and care network.
• Monitors care plan effectiveness and documents interventions.
• Promotes integration of services across behavioral health and LTSS.
• Assesses medical necessity and authorizes waiver services.

Skills

Communication skills

Time management

Problem solving

RN license

MS Office proficiency

Education

Registered Nurse (RN) license

Bachelor's degree (health field)

Tools

Microsoft Office

Job description

Molina Healthcare, Inc. seeks a Registered Nurse Care Manager to coordinate LTSS-focused care for high-need members. The role involves in-person home visits, waiver enrollment, and collaboration with physicians and support networks.

You will develop and monitor care plans, assess medical necessity, and promote integrated services across behavioral health and LTSS. Travel 25–40% is required to cover declared counties.