RN LTSS Care Navigator – Remote with Travel

Jobtome; Jefferson City (MO); Remote; USD 36,000 - 71,000; Full time

Benefits offered by this job

Competitive benefits

Job summary

Molina Healthcare is seeking an RN Care Manager to support care coordination for LTSS, with remote work and travel to member sites within Wisconsin. You will assess, plan, implement, and monitor care, collaborating with interdisciplinary teams to ensure progress toward outcomes.

The role requires at least 2 years in health care including care management and an active RN license; travel up to 40% is expected. Competitive benefits package offered.

Qualifications

• 2+ years in health care, including at least 1 year in care management or equivalent
• RN license active and unrestricted in state of practice
• Valid driver’s license and reliable transportation for travel requirements
• Ability to work independently and communicate effectively

Responsibilities

• Complete comprehensive member assessments within regulated timelines, including in-person visits.
• Facilitate comprehensive waiver enrollment and disenrollment processes.
• Develop and implement care plans with members, caregivers, physicians and care team.
• Monitor care plans and adjust as needed based on outcomes.
• Promote integration of LTSS and behavioral health services for continuity of care.
• Assess medical necessity and authorize waiver services.
• Coordinate interdisciplinary care team meetings for approvals/denials.
• Provide counseling and motivational interviewing to support member change.
• Travel 25–40% as required across Wisconsin.

Skills

Care coordination experience

Strong communication

Travel-ready

Interdisciplinary collaboration

Education

RN license

Bachelor’s degree in health care

Tools

Microsoft Office

Job description

Molina Healthcare is seeking an RN Care Manager to support care coordination for LTSS, with remote work and travel to member sites within Wisconsin. You will assess, plan, implement, and monitor care, collaborating with interdisciplinary teams to ensure progress toward outcomes.

The role requires at least 2 years in health care including care management and an active RN license; travel up to 40% is expected. Competitive benefits package offered.