Care Manager, LTSS (RN) (Field Travel Required in Walworth County.)
Molina Healthcare
Green Bay, WI
1 month ago
$26.41 - $51.49
Job Description
Join Molina Healthcare as a Care Manager for Long-Term Support Services (LTSS) where you'll play a crucial role in coordinating high-quality care for members with complex needs. This position requires field travel within Walworth County and focuses on assessing, planning, and implementing care plans to promote member health and well-being.
Key Responsibilities
Complete face-to-face comprehensive assessments of members
Facilitate waiver enrollment and disenrollment processes
Develop and implement a case management plan in collaboration with the member and other professionals
Monitor care plan effectiveness and suggest changes
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 support member change
Identify barriers to care and provide coordination
Develop prevention plans for member's health and welfare
Consult with non-RN case managers when appropriate
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)