Care Manager, LTSS (RN)

IntelliResume; Town of Trempealeau (WI); On-site; USD 36,000 - 70,000; Full time

Job summary

Molina Healthcare is seeking an experienced Care Manager (RN) to coordinate long-term services and supports (LTSS) and improve member outcomes through integrated care delivery in Trempealeau, Wisconsin.

Primary duties include comprehensive assessments, waiver enrollment/disenrollment, care plan development with members and providers, ongoing monitoring, and promoting service integration, with 25–40% local travel.

Qualifications

• Active RN license in the state of practice.
• Bachelor's degree in a health care related field may be required in some states.

Responsibilities

• Complete comprehensive member assessments within regulated timelines, including in-person home visits.
• Develop and implement care plans in collaboration with members, caregivers, and healthcare professionals.
• Monitor care plans to evaluate effectiveness and suggest changes.
• Promote integration of services for members, including behavioral health care and community resources.
• Assess for medical necessity and authorize all appropriate waiver services.
• Facilitate interdisciplinary care team meetings for service approval or denial.
• Use motivational interviewing to educate and support members.
• Identify critical incidents and develop prevention plans for member health and welfare.

Skills

RN license

Care coordination

Motivational interviewing

Education

Bachelor's degree in health care field

Job description

About This Role

The Care Manager (RN) role focuses on providing support for care management and coordination of long-term services and supports (LTSS). This position is ideal for experienced RNs who are passionate about improving member outcomes through integrated care delivery.

Highlights

• Pay: $26 - $51/hour


• Location: Trempealeau, WI


• Schedule: Full Time


• Travel: 25-40% estimated local travel may be required

What You'll Do

• Complete comprehensive member assessments within regulated timelines, including in-person home visits.


• Facilitate comprehensive waiver enrollment and disenrollment processes.


• Develop and implement care plans in collaboration with members, caregivers, and healthcare professionals.


• Perform ongoing monitoring of care plans to evaluate effectiveness and suggest changes.


• Promote integration of services for members, including behavioral health care and community resources.


• Assess for medical necessity and authorize all appropriate waiver services.


• Evaluate covered benefits and advise on funding sources.


• Facilitate interdisciplinary care team meetings for service approval or denial.


• Use motivational interviewing to educate and support members.


• Identify critical incidents and develop prevention plans for member health and welfare.

Requirements

Education:

• RN License must be active and unrestricted in state of practice.


• In some states, a bachelor's degree in a health care related field may be required.

Experience:

• At least 2 years of experience in health care, including 1 year in care management or a medical/behavioral health setting.


• Experience working with persons with disabilities, chronic conditions, and long-term services and supports (LTSS).

Licenses & Certifications:

• Valid and unrestricted driver's license.


• Reliable transportation and adequate auto insurance for job-related travel.

About Molina Healthcare

Molina Healthcare is a leading healthcare provider committed to delivering exceptional patient care. They focus on providing quality and cost-effective services to members, ensuring their health and welfare through comprehensive care management.