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Care Manager, LTSS (RN) - Field travel in Pierce and St. Croix County, WI

Molina Healthcare

River Falls, WI
18 hours ago
$26.41 - $51.49

Job Description

Join Molina Healthcare as a Care Manager (RN) to deliver integrated care for high-need members in Pierce and St. Croix counties. Utilize your nursing expertise to assess, plan, and coordinate services that enhance patient outcomes and promote continuity of care.

Key Responsibilities

  • Complete face-to-face comprehensive assessments of members
  • Facilitate comprehensive waiver enrollment and disenrollment processes
  • Develop and implement case management plans with healthcare professionals
  • Monitor care plans for effectiveness and suggest changes
  • Promote integration of services for members
  • Assess for medical necessity and authorize waiver services
  • Conduct face-to-face or home visits
  • Facilitate interdisciplinary care team meetings
  • Use motivational interviewing to support and motivate members
  • Identify barriers to care and assist members in overcoming them
  • Conduct medication reconciliation as needed
  • Travel 50-75% of the time

Required Qualifications

  • Graduate from an Accredited School of Nursing
  • 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
  • Active, unrestricted State Registered Nursing license (RN) in good standing
  • 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