Field Care Manager, LTSS (RN) - Local Travel Required

Molina Healthcare•Arlington, TX

9d•$26 - $51•Onsite

About The Position

Molina Healthcare is seeking a Texas-licensed Registered Nurse to work as a Field Care Manager with Medicaid members in the Arlington, Texas area. The role supports long-term services and supports (LTSS) care management and coordination for members with high-need potential. The Care Manager collaborates with a multidisciplinary team to coordinate integrated care, support member progress toward desired outcomes, and contribute to quality, cost-effective care. Assessments determine the types of services waiver members may receive. Local travel is estimated at 25–40%, including in-person home visits when required; mileage is reimbursed. Candidates must live within 30–45 minutes of the coverage area. The schedule is Monday through Friday, 8 AM–5 PM CST. The position requires strong Microsoft Office skills, especially Outlook, Excel, OneNote, and Teams, and the ability to work across multiple programs to complete forms and documentation. Molina notes that candidates with Medicaid experience in a managed care organization are preferred, while nurses with ICU, ER, or CCU backgrounds have also successfully transitioned into this work.

Requirements

Active, unrestricted Registered Nurse (RN) license in the state of practice.
At least 2 years of health care experience, including at least 1 year in care management, managed care, or a medical or behavioral health setting, and at least 1 year working with people with disabilities, chronic conditions, substance abuse disorders, or LTSS; an equivalent combination of relevant education and experience may qualify.
In some states, a bachelor's degree in a health care-related field may be required, depending on state or contractual requirements.
Valid, unrestricted driver's license, reliable transportation, and adequate auto insurance for job-related travel, unless otherwise required by law.
Ability to work proactively and with attention to detail.
Knowledge of community resources.
Ability to work in varied settings and adapt to diverse populations, personalities, and personal situations.
Ability to work independently with minimal supervision and demonstrate self-motivation.
Responsiveness in all forms of communication and ability to remain calm in high-pressure situations.
Ability to develop and maintain professional relationships.
Time-management and prioritization skills, ability to manage multiple projects simultaneously, and adaptability to change.
Problem-solving skills.
Strong verbal and written communication skills.
Proficiency with Microsoft Office and applicable software programs.
In some states, at least one year of experience working directly with individuals with substance use disorders is required.
Strong experience with Microsoft Office, especially Outlook, Excel, OneNote, and Teams, and confidence toggling between programs to complete forms and documentation.
Must be within 30–45 minutes of the Arlington-area coverage area.

Nice To Haves

Certified Case Manager (CCM).
Experience working with populations that receive waiver services.
Previous experience with Medicaid populations in a managed care organization (MCO).
Background in ICU, ER, or CCU nursing.

Responsibilities

Complete comprehensive member assessments within regulated timelines, including in-person home visits as required.
Facilitate comprehensive waiver enrollment and disenrollment processes.
Develop and implement care plans, including waiver service plans, with members, caregivers, physicians, other health care professionals, and the member’s support network.
Monitor care plans, evaluate effectiveness, document interventions and goal achievement, and recommend changes as needed.
Promote integration of behavioral health care, LTSS, and home and community resources to enhance continuity of care.
Assess medical necessity and authorize appropriate waiver services.
Evaluate covered benefits and advise members regarding funding sources.
Facilitate interdisciplinary care team (ICT) meetings for service approvals or denials and informal ICT collaboration.
Use motivational interviewing and Molina clinical guideposts to educate, support, and motivate members during contacts.
Assess barriers to care and coordinate assistance with psychosocial, financial, and medical obstacles.
Identify critical incidents and develop prevention plans to protect member health and welfare.
Provide consultation, resources, and recommendations to peers as needed.
Manage complex member cases and medication regimens as assigned.
Conduct medication reconciliation as needed.
Travel locally, estimated at 25–40%, based on state and contractual requirements.