Care Manager, LTSS (RN) - must have an active RN license in NY

Molina Healthcare; New York (NY); On-site; USD 36,000 - 85,000; Full time

Job summary

Molina Healthcare seeks an RN Care Manager to support Medicaid and Medicare members in the New York area. The role involves home visits, care planning, and coordinating LTSS services with a multidisciplinary team.

Responsibilities include member assessments, waiver processes, care plan development, and ongoing monitoring to improve outcomes and cost-effective care. Travel to Brooklyn, Queens, Bronx, Manhattan, Westchester and Long Island may be required.

Qualifications

• RN license must be active and unrestricted in state of practice.
• 2+ years in health care with care management or LTSS-related experience.
• Valid driver’s license and reliable transportation.
• Experience with populations with disabilities, chronic conditions, or substance use disorders preferred.

Responsibilities

• Complete comprehensive member assessments within regulated timelines, including home visits.
• Coordinate waiver enrollment and disenrollment processes.
• Develop and implement care plans with members and care teams.
• Monitor care plan effectiveness and document interventions.
• Promote integration of LTSS and behavioral health services.
• Identify barriers to care and assist with psycho/social, financial, and medical obstacles.
• Conduct medication reconciliation as needed.
• Travel locally 25-40% as required.

Skills

Verbal communication

Written communication

Time management

Problem-solving

Microsoft Office

Education

RN license

Bachelor's degree in health care

Tools

Microsoft Office

Job description

JOB DESCRIPTION Job Summary

Provides support for care management/care coordination long-term services and supports (LTSS)-specific activities. Collaborates with multidisciplinary team coordinating integrated delivery of member care across the continuum for members with high-need potential. Strives to ensure member progress toward desired outcomes and contributes to overarching strategy to provide quality and cost-effective member care.

This position will be assisting members with Medicaid and Medicare benefits. This position may require home visits if needed for care plan review and signature. This position supports members that reside in Brooklyn, Queens, Bronx, Manhattan, Westchester and Long Island.

Essential Job Duties

• Completes comprehensive member assessments within regulated timelines, including in-person home visits as required.
• Facilitates comprehensive waiver enrollment and disenrollment processes.
• Develops and implements care plans, including a waiver service plan in collaboration with members, caregivers, physicians and/or other appropriate health care professionals and member support network to address the member needs and goals.
• Performs ongoing monitoring of care plan to evaluate effectiveness, document interventions and goal achievement, and suggest changes accordingly.
• Promotes integration of services for members including behavioral health care and long-term services and supports (LTSS) and home and community resources to enhance continuity of care.
• Assess for barriers to care and provides care coordination and assistance to members to address psycho/social, financial, and medical obstacles concerns.
• Assesses for medical necessity and authorizes all appropriate waiver services.
• Evaluates covered benefits and advises appropriately regarding funding sources.
• Facilitates interdisciplinary care team (ICT) meetings for approval or denial of services and informal ICT collaboration.
• Uses motivational interviewing and Molina clinical guideposts to educate, support and motivate change during member contacts.
• Identifies critical incidents and develops prevention plans to assure member health and welfare.
• May provide consultation, resources and recommendations to peers as needed.
• Care manager RNs may be assigned complex member cases and medication regimens.
• Care manager RNs may conduct medication reconciliation as needed.
• 25-40% estimated local travel may be required (based upon state/contractual requirements).

Required Qualifications

• At least 2 years of experience in health care, including at least 1 year experience in care management, managed care, and/or experience in a medical or behavioral health setting, and at least 1 year of experience working with persons with disabilities, chronic conditions, substance abuse disorders, and long-term services and supports (LTSS), or equivalent combination of relevant education and experience.
• Registered Nurse (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 (dependent upon state/contractual requirements).
• Valid and unrestricted driver's license, reliable transportation, and adequate auto insurance for job related travel requirements, unless otherwise required by law.
• Ability to operate proactively and demonstrate detail-oriented work.
• Demonstrated knowledge of community resources.
• Ability to work within a variety of settings and adjust style as needed - working with diverse populations and various personalities and personal situations.
• Ability to work independently, with minimal supervision and demonstrate self-motivation.
• Responsiveness in all forms of communication, and ability to remain calm in high-pressure situations.
• Ability to develop and maintain professional relationships.
• Time-management and prioritization skills, and ability to focus on multiple projects simultaneously and adapt to change.
• Problem-solving skills.
• Strong verbal and written communication skills.
• Microsoft Office suite/applicable software program(s) proficiency.
• In some states, must have at least one year of experience working directly with individuals with substance use disorders.

Preferred Qualifications

• Certified Case Manager (CCM).
• Experience working with populations that receive long term services and support (LTSS).
• Medicaid and Medicare insurance coverage experience preferred.
• Someone who speaks Chinese or any dialect would be a strong plus.

Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V

Pay Range: $26.41 - $61.79 / HOURLY

*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.