Care Manager, LTSS (RN) - Field travel in Trempealeau County, WI
Molina Healthcare
Trempealeau, WI
3 days ago
$26.41 - $51.49
Job Description
Join Molina Healthcare as a Care Manager, LTSS (RN) and play a vital role in coordinating care for members with high needs. This position involves comprehensive assessments, case management, and promoting integration of services to enhance member outcomes.
Key Responsibilities
Completes face-to-face comprehensive assessments of members per regulated timelines
Facilitates comprehensive waiver enrollment and disenrollment processes
Develops and implements a case management plan in collaboration with the member and healthcare professionals
Performs ongoing monitoring of the care plan to evaluate effectiveness
Promotes integration of services for members including behavioral health care and long-term services
Assesses for medical necessity and authorizes appropriate 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 critical incidents and develops prevention plans
Provides consultation and recommendations to non-RN case managers
Conducts medication reconciliation when needed
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)