Care Manager, LTSS (RN) (Field Travel Required in Walworth County.)
Molina Healthcare
Walworth, WI
1 month ago
$26.41 - $51.49
Job Description
Join Molina Healthcare as a Care Manager, LTSS (RN) to assess and coordinate integrated care for members with high needs. This role requires field travel and focuses on enhancing the continuity of care through comprehensive assessments and collaborative planning.
Key Responsibilities
Perform face-to-face comprehensive assessments of members
Facilitate comprehensive waiver enrollment and disenrollment processes
Develop and implement case management plans in collaboration with members and healthcare professionals
Monitor care plans for effectiveness and document interventions
Promote integration of services for members
Assess medical necessity and authorize waiver services
Conduct face-to-face or home visits
Facilitate interdisciplinary care team meetings
Use motivational interviewing to educate and support members
Assess for barriers to care and provide coordination
Identify critical incidents and develop prevention plans
Conduct medication reconciliation as needed
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)