Field-Based RN LTSS Care Manager & Care Coordinator

Molina Healthcare, Inc.; Oxford (OH); Sur place; USD 36 000 - 70 000; Plein temps

Résumé du poste

Molina Healthcare, Inc. is seeking a registered nurse care manager to support LTSS care coordination in a multi-disciplinary setting. The role focuses on ensuring quality and cost-efficient member care across the continuum.

You will perform risk assessments, coordinate waiver services, develop care plans, monitor outcomes, and collaborate with members, caregivers, and health professionals. Local travel is expected.

Qualifications

• 2+ years in health care including 1 year in care management.
• RN license active and unrestricted in state of practice.
• In some states, a bachelor's degree in a health care related field may be required.

Responsabilités

• 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 with member, caregivers, physicians and other health care professionals.
• Monitors care plans to evaluate effectiveness and suggests changes.
• Promotes integration of LTSS and behavioral health services.
• Assesses for medical necessity and authorizes waiver services.
• Facilitates interdisciplinary care team meetings for approvals.
• Uses motivational interviewing to educate and motivate change.
• Travel 25-40% as required.

Connaissances

RN license

Care management

LTSS experience

Disability experience

Driver's license

Communication skills

Time management

Formation

Bachelor's degree (health care)

Description du poste

Molina Healthcare, Inc. is seeking a registered nurse care manager to support LTSS care coordination in a multi-disciplinary setting. The role focuses on ensuring quality and cost-efficient member care across the continuum.

You will perform risk assessments, coordinate waiver services, develop care plans, monitor outcomes, and collaborate with members, caregivers, and health professionals. Local travel is expected.