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

Molina Healthcare

Portage, MI
1 day ago
$26.41 - $51.49

Job Description

Join Molina Healthcare as a Care Manager, LTSS (RN) where you'll assess and coordinate care for members with high needs. This role involves significant field travel and requires a proactive approach to improving patient outcomes through comprehensive care management.

Key Responsibilities

  • Completes face-to-face comprehensive assessments of members
  • Facilitates comprehensive waiver enrollment processes
  • Develops and implements case management plans
  • Conducts 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 as required
  • Facilitates interdisciplinary care team meetings
  • Uses motivational interviewing to educate and support members
  • Identifies barriers to care and provides assistance
  • Conducts medication reconciliation when needed
  • Requires 50-75% travel

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 packageEqual Opportunity Employer