Field-Based RN Care Manager, LTSS & Care Coordination

Molina Healthcare, Inc.; Granville Township (OH); Presencial; USD 36.000 - 71.000; Jornada completa

Descripción de la vacante

Molina Healthcare, Inc. is seeking a Registered Nurse care manager to support long-term services and supports (LTSS) and care coordination. You will collaborate with a multidisciplinary team to deliver quality, cost-effective member care across the continuum.

You will conduct member assessments, develop care plans with members and caregivers, monitor progress, and coordinate waiver services. Travel up to 40% may be required based on state/contractual requirements.

Formación

• 2+ years in health care with 1 year in care management or LTSS
• RN license active and unrestricted
• In some states, a bachelor’s degree may be required
• Valid driver’s license and reliable transportation for travel
• Ability to work independently and manage multiple priorities
• Strong communication and community resources knowledge
• Proficiency with Microsoft Office and related software
• Experience with individuals with disabilities or chronic conditions is preferred

Responsabilidades

• Complete comprehensive member assessments within regulated timelines.
• Facilitate waiver enrollment and disenrollment processes.
• Develop and implement care plans with members and care network.
• Monitor and adjust care plans based on outcomes.
• Promote integrated services across LTSS and community resources.
• Assess medical necessity and authorize waiver services.
• Participate in ICT meetings for approvals/denials.
• Educate and motivate members during contacts.
• Travel as required by state/contractual requirements.

Conocimientos

RN license

Care management experience

Independent work

Time management

Communication skills

MS Office

Proactive

Stress management

Travel readiness

Cultural competency

Educación

RN degree

Bachelor's degree in health care

Herramientas

Microsoft Office

Descripción del empleo

Molina Healthcare, Inc. is seeking a Registered Nurse care manager to support long-term services and supports (LTSS) and care coordination. You will collaborate with a multidisciplinary team to deliver quality, cost-effective member care across the continuum.

You will conduct member assessments, develop care plans with members and caregivers, monitor progress, and coordinate waiver services. Travel up to 40% may be required based on state/contractual requirements.