RN LTSS Care Navigator & Waiver Specialist

Jobtome; Monroe (OK); On-site; USD 36,000 - 71,000; Full time

Job summary

Molina Healthcare is seeking a Registered Nurse Care Manager to support care coordination for LTSS. You will collaborate with a multidisciplinary team to ensure member progress toward outcomes and align with organizational strategy for quality and cost-effective care.

Role involves comprehensive assessments, waiver enrollment, care plan development, and ongoing monitoring. Travel 25-40% may be required, with RN licensure and relevant experience as prerequisites.

Qualifications

• Minimum 2 years in health care, 1+ year in care management or managed care, or LTSS experience.
• Active and unrestricted RN license in state of practice.
• Some states require a health care related bachelor's degree depending on state/contract.
• Valid driver's license and reliable transportation for travel requirements.

Responsibilities

• Complete comprehensive member assessments within regulatory timelines, including in-person home visits.
• Facilitate waiver enrollment/disenrollment processes and develop care plans with members and care networks.
• Monitor care plans, document interventions, and adjust as needed to improve outcomes.
• Coordinate with interdisciplinary teams to integrate services and address psycho/social, financial, and medical barriers.
• Conduct medication reconciliation as needed and provide care management support across LTSS.

Education

RN license

Bachelor's degree in health care field

Job description

Molina Healthcare is seeking a Registered Nurse Care Manager to support care coordination for LTSS. You will collaborate with a multidisciplinary team to ensure member progress toward outcomes and align with organizational strategy for quality and cost-effective care.

Role involves comprehensive assessments, waiver enrollment, care plan development, and ongoing monitoring. Travel 25-40% may be required, with RN licensure and relevant experience as prerequisites.