Care Manager, LTSS (RN) - Field travel in Dane County, WI
Molina Healthcare
Madison, WI
7 hours ago
$26.41 - $51.49
Job Description
Join Molina Healthcare as a Care Manager (RN) to coordinate integrated care for members with high needs. Collaborate with a multidisciplinary team to ensure quality outcomes while traveling within Dane County, WI.
Key Responsibilities
Completes face-to-face comprehensive assessments of members
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 care plans to evaluate effectiveness
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
Assesses barriers to care and provides coordination
Identifies critical incidents and develops prevention plans
Provides consultation and education to non-RN case managers
Conducts medication reconciliation as needed
50-75% travel required
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)
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)