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Care Manager, LTSS (RN) - Field travel in Marquette and Columbia County, WI

Molina Healthcare

Montello, NV
4 days ago
$26.41 - $51.49

Job Description

Join Molina Healthcare as a Care Manager (RN), where you'll play a vital role in coordinating integrated care for members with high needs. This position involves comprehensive assessments, developing care plans, and ensuring effective service delivery, with significant field travel throughout Marquette and Columbia County, WI.

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.
  • Assesses for medical necessity and authorizes waiver services.
  • Conducts face-to-face or home visits as required.
  • Facilitates interdisciplinary care team meetings.
  • Educates and motivates members using motivational interviewing.
  • Identifies and develops prevention plans for critical incidents.
  • 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
  • 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)

Benefits & Perks

Competitive benefits and compensation package