Care Manager, LTSS (RN) - Field travel in Clark County, WI
Molina Healthcare
Eau Claire, WI
3 days ago
$26.41 - $51.49
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Job Description
Join Molina Healthcare as a Care Manager, LTSS (RN) and play a vital role in coordinating care for members with high needs. Utilize your nursing expertise to support individuals in achieving their health goals through comprehensive assessments and tailored care plans.
Key Responsibilities
Completes face-to-face comprehensive assessments of members
Facilitates comprehensive waiver enrollment and disenrollment processes
Develops and implements a case management plan in collaboration with the member and healthcare professionals
Performs ongoing monitoring of the care plan
Promotes integration of services for members including behavioral health care and long-term services
Assesses for medical necessity and authorizes appropriate waiver services
Conducts face-to-face or home visits as required
Facilitates interdisciplinary care team meetings
Uses motivational interviewing to educate and support members
Assesses for barriers to care and provides care coordination
Identifies critical incidents and develops prevention plans
Provides consultation and education to non-RN case managers
Works cases with members who have complex medical conditions
Conducts medication reconciliation when needed
50-75% travel required
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
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)