Care Manager, LTSS (RN) - Field Travel in Milwaukee County, WI
Molina Healthcare
Milwaukee, WI
28 days ago
$26.41 - $51.49
Job Description
Join Molina Healthcare as a Care Manager (RN) for LTSS, where you'll assess and coordinate integrated care for high-need members. Utilize your nursing expertise to promote quality care and support members in achieving their health goals through effective case management.
Key Responsibilities
Complete face-to-face comprehensive assessments of members
Facilitate comprehensive waiver enrollment and disenrollment processes
Develop and implement a case management plan in collaboration with members and healthcare professionals
Monitor the care plan for effectiveness and suggest changes
Promote integration of services for members including behavioral health care
Assess for medical necessity and authorize waiver services
Conduct face-to-face or home visits as required
Facilitate interdisciplinary care team meetings
Use motivational interviewing to support and motivate members
Identify barriers to care and provide coordination
Develop prevention plans for critical incidents
Conduct medication reconciliation when needed
Travel required (50-75%)
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)