Care Manager, LTSS (RN) (Must Reside In Milwaukee WI Area, Field Travel Required)
Molina Healthcare
Wauwatosa, WI
28 days ago
$26.41 - $51.49
Job Description
Join Molina Healthcare as a Care Manager (RN) to facilitate and coordinate integrated care for members with high needs. Utilize your nursing skills in a dynamic, travel-required role focused on improving patient outcomes through comprehensive assessments and case management.
Key Responsibilities
Conduct face-to-face comprehensive assessments of members
Facilitate comprehensive waiver enrollment and disenrollment processes
Develop and implement a case management plan
Perform ongoing monitoring of the care plan
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 educate and support members
Identify barriers to care and provide coordination
Conduct medication reconciliation when needed
Travel 50-75% for fieldwork
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)