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Care Manager, LTSS (RN) (Field Travel Required in Walworth County.)

Molina Healthcare

Elkhorn, CA
1 month ago
$26.41 - $51.49

Job Description

Join Molina Healthcare as a Care Manager for LTSS, where you'll collaborate with a multidisciplinary team to provide high-quality care to members with complex needs. This role offers the opportunity to make a significant impact on the lives of individuals requiring long-term care through comprehensive assessments, case management, and service integration.

Key Responsibilities

  • Complete face-to-face comprehensive assessments of members
  • Develop and implement case management plans
  • Monitor care plans to evaluate effectiveness
  • Promote integration of services for members
  • Assess for medical necessity and authorize waiver services
  • Conduct home visits as required
  • Facilitate interdisciplinary care team meetings
  • Use motivational interviewing to educate and support members
  • Identify critical incidents and develop prevention plans
  • Provide consultation and education to non-RN case managers
  • 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)

Benefits & Perks