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Strong fit for licensed RNs who want remote LTSS care management inside a large Medicaid/Medicare-focused payer (MOH). Thin on pay and culture data—verify license states, caseload, and recent compliance news yourself.
As a remote Care Manager, LTSS (RN) at Molina Healthcare, a typical day centers on coordinating long-term services and supports for Medicaid/Medicare members: clinical triage and care plans, provider and family outreach, documenting medical necessity and utilization, and escalating complex cases within managed-care workflows while meeting plan and state LTSS requirements.
Listing implies active RN licensure and LTSS care-management skill (care plans, authorizations, interdisciplinary coordination). No certification catalog or costs were supplied.
Yes. The posting is remote in the United States.
It is a managed care company focused on government programs such as Medicaid and Medicare.
No. This enricher has no pay figures, and CERTS provided no resources or costs.
Website: molinahealthcare.com
Molina Healthcare, Inc. is an American managed care company headquartered in Long Beach, California. The company provides health insurance to individuals through government programs such as Medicaid and Medicare.
Public cache only — not an employee review.
Care Manager, LTSS (RN) Remote (Detroit, MI)Molina HealthcareUnited States About This Position The Care Manager, LTSS (Registered Nurse) role at Molina Healthcare in Detroit, Michigan involves providing support for care management and coordination activities related to long-term services and supports. As a key member of the multidisciplinary team, you will ensure integrated delivery of high-quality care across various settings for members with complex needs. This position is full-time and remote-friendly. Key Responsibilities Completes comprehensive member assessments within regulated timelines, including in-person home visits as required. Facilitates comprehensive waiver enrollment and disenrollment processes. Develops and implements care plans, working closely with members, caregivers, physicians, other healthcare professionals, and the member support network to address specific needs and goals. Monitors care plan effectiveness, documents interventions, and suggests changes as needed. Promotes integration of services for members, including behavioral health care, long-term services and supports (LTSS), and home and community resources. Evaluates medical necessity and authorizes appropriate waiver services. Advices on covered benefits and funding sources to members. Facilitates interdisciplinary care team meetings for service approvals or denials and informal collaboration. Uses motivational interviewing techniques and Molina clinical guideposts to educate, support, and motivate change during member contacts. Assesses barriers to care and provides coordination and assistance to address psycho/social, financial, and medical obstacles. What You Bring Candidates should possess a Registered Nurse (RN) license in the state of Michigan or equivalent. Experience in long-term services and supports is preferred. Strong communication skills, ability to work independently, and proficiency with electronic health records are essential. Knowledge of motivational interviewing techniques and familiarity with Molina Healthcare’s clinical guideposts will be advantageous. About Molina Healthcare Molina Healthcare is dedicated to improving the lives of those served by providing quality healthcare services. Our mission is to make a positive difference in the communities we serve through innovative solutions that enhance access to care and support for our members. How to Apply To apply, complete your application directly on this page, or you'll be redirected to the employer's application platform to finish submitting there. Please ensure all required fields are filled out accurately to expedite the process.
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