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Care Manager, LTSS (RN) - Field Travel in Milwaukee County, WI

Molina Healthcare

Wauwatosa, WI
4 days ago
$26.41 - $51.49

Job Description

Join Molina Healthcare as a Care Manager, LTSS (RN) to provide integrated care for members with high needs. Collaborate with a multidisciplinary team to develop and monitor care plans, ensuring quality and continuity of services. Enjoy a rewarding role with travel opportunities and a competitive benefits package.

Key Responsibilities

  • Complete face-to-face comprehensive assessments of members
  • Facilitate waiver enrollment and disenrollment processes
  • Develop and implement case management plans in collaboration with healthcare professionals
  • Monitor care plans and evaluate effectiveness
  • 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 support members
  • Identify barriers to care and provide coordination
  • Develop prevention plans for critical incidents
  • Consult and educate non-RN case managers
  • Conduct medication reconciliation as needed
  • 50-75% travel required

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)

Benefits & Perks

Competitive benefits and compensation package