M

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

Molina Healthcare

Madison, WI
4 days ago
$26.41 - $51.49

Job Description

Join Molina Healthcare as a Care Manager (RN) and play a vital role in assessing and coordinating care for high-need members. This position requires field travel and involves collaborating with multidisciplinary teams to ensure quality care delivery.

Key Responsibilities

  • Completes face-to-face comprehensive assessments of members
  • Facilitates waiver enrollment and disenrollment processes
  • Develops and implements case management plans
  • Performs ongoing monitoring of care plans
  • Promotes integration of services for members
  • Assesses for medical necessity and authorizes waiver services
  • Conducts face-to-face or home visits
  • Facilitates interdisciplinary care team meetings
  • Uses motivational interviewing to support members
  • Addresses barriers to care and provides coordination
  • Identifies critical incidents and develops prevention plans
  • Conducts medication reconciliation as 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
  • 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