Care Manager, LTSS (RN) - Field travel in Pierce and St. Croix County, WI
Molina Healthcare
Baldwin, IA
5 days ago
$26.41 - $51.49
Job Description
Join Molina Healthcare as a Care Manager specializing in Long Term Services and Supports, where you'll collaborate with multidisciplinary teams to coordinate quality care for members with high needs. Your role will involve comprehensive assessments, case management, and promoting service integration, all while requiring 50-75% travel in the field.
Key Responsibilities
Complete face-to-face comprehensive assessments of members
Facilitate waiver enrollment and disenrollment processes
Develop and implement case management plans
Monitor and evaluate care plans for effectiveness
Promote integration of services for members
Assess for medical necessity and authorize waiver services
Conduct home visits as required
Facilitate interdisciplinary care team meetings
Use motivational interviewing to educate and support members
Address barriers to care and provide coordination
Identify critical incidents and develop prevention plans
Consult and provide recommendations to non-RN case managers
Conduct medication reconciliation when needed
Required Qualifications
Graduate from an Accredited School of Nursing
Active, unrestricted State Registered Nursing license (RN) in good standing
At least 1 year of experience working with persons with disabilities/chronic conditions and Long Term Services & Supports
1-3 years in case management, disease management, managed care or medical or behavioral health settings
Valid driver's license with good driving record
Preferred Qualifications
Bachelor's Degree in Nursing
3-5 years in case management, disease management, managed care or medical or behavioral health settings
1 year experience working with population who receive waiver services
Active and unrestricted Certified Case Manager (CCM)