Care Manager, LTSS (RN) - Field travel in Pierce and St. Croix County, WI
Molina Healthcare
Hudson, OH
2 days ago
$26.41 - $51.49
Job Description
Join Molina Healthcare as a Care Manager (RN) where you'll play a vital role in assessing and coordinating integrated care for members with high needs. Your expertise will ensure quality outcomes through comprehensive assessments, case management, and care team collaboration, all while traveling within Pierce and St. Croix County, WI.
Key Responsibilities
Complete face-to-face comprehensive assessments of members
Facilitate comprehensive waiver enrollment and disenrollment processes
Develop and implement a case management plan in collaboration with members and healthcare professionals
Monitor care plans for effectiveness and suggest changes
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
Identify barriers to care and provide assistance
Conduct medication reconciliation when needed
Travel 50-75% of the time
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)