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Care Manager, LTSS (RN) - Bilingual (Spanish-speaking) - Field Travel in Milwaukee County, WI

Molina Healthcare

Wauwatosa, WI
1 day ago
$26.41 - $51.49

Job Description

Join Molina Healthcare as a Care Manager, LTSS (RN) and make a difference in the lives of members with high needs. Utilize your nursing expertise to assess, plan, and coordinate care while promoting integration of services. This role involves significant field travel and engagement with a multidisciplinary team.

Key Responsibilities

  • Complete 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 face-to-face or home visits as required
  • Facilitate interdisciplinary care team meetings
  • Use motivational interviewing to support and motivate members
  • Assess for barriers to care and provide care coordination
  • Identify critical incidents and develop prevention plans
  • Conduct medication reconciliation when needed
  • Travel 50-75% as 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
  • 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