Care Manager, LTSS (RN) - Field Travel in Milwaukee County, WI
Molina Healthcare
Wauwatosa, WI
28 days ago
$26.41 - $51.49
Job Description
Join Molina Healthcare as a Care Manager (RN) where you'll assess and coordinate integrated care for members with complex needs. This role involves face-to-face assessments, case management planning, and the promotion of service integration, all while ensuring high-quality and cost-effective care.
Key Responsibilities
Complete face-to-face comprehensive assessments of members
Develop and implement a case management plan
Perform ongoing monitoring of care plans
Promote integration of services for members
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 member engagement
Assess barriers to care and provide coordination
Identify critical incidents and develop prevention plans
Provide consultation and education to non-RN case managers
Conduct medication reconciliation as needed
Travel 50-75% required
Required Qualifications
Graduate from an Accredited School of Nursing
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
Active, unrestricted State Registered Nursing license (RN) in good standing
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)