Care Manager, LTSS (RN) - Field travel in Clark County, WI
Molina Healthcare
Black River Falls, WI
4 days ago
$26.41 - $51.49
Job Description
Join Molina Healthcare as a Care Manager, LTSS (RN) and make a difference in the lives of members with high needs. You will assess, plan, and coordinate integrated care across various services, ensuring quality care and optimal outcomes for patients. This role requires 50-75% travel within Clark 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 the member and healthcare professionals
Monitor care plans to evaluate effectiveness and suggest changes
Promote integration of services including behavioral health care and long-term services
Assess medical necessity and authorize appropriate waiver services
Conduct face-to-face or home visits as required
Facilitate interdisciplinary care team meetings
Use motivational interviewing to educate and support members
Assess barriers to care and provide coordination
Identify critical incidents and develop prevention plans
Conduct medication reconciliation when needed
Travel 50-75% for fieldwork
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
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)