LTSS Care Manager RN — Care Coordination

Jobtome; Naperville Township (IL); On-site; USD 38,000 - 74,000; Full time

Job summary

Jobtome is seeking a Health Care Care Manager to support LTSS care coordination for high-need members. The role collaborates with an interdisciplinary team to ensure progress toward outcomes and cost-effective care across settings.

You will complete member assessments, facilitate waiver processes, develop care plans with the care network, and monitor outcomes while traveling as required. Strong communication and organizational skills are essential.

Qualifications

• RN license active and unrestricted in state of practice.
• 1 year minimum experience in care management, managed care, and/or LTSS.
• 2+ years health care experience incl. care management, LTSS.
• Bachelor's degree may be required in some states.
• Valid driver's license and reliable transportation for travel.
• Ability to work independently with minimal supervision.
• Strong communication, problem-solving, and organizational skills.

Responsibilities

• Complete comprehensive member assessments within regulated timelines, including in-person home visits as required.
• Facilitate comprehensive waiver enrollment and disenrollment processes.
• Develop and implement care plans with members, caregivers, physicians and care team to address member needs.
• Monitor care plans, document interventions and outcomes, and adjust as needed.
• Promote integration of services across LTSS and behavioral health for continuity of care.
• Assess medical necessity and authorize waiver services as appropriate.
• Identify barriers to care and assist with psycho/social, financial, and medical obstacles.

Skills

Care coordination

Communication

Proactive

Detail-oriented

Problem-solving

Time management

Self-motivation

Travel-ready

Education

Registered Nurse (RN) license

Bachelor's degree in health care field

Tools

MS Office

Job description

Jobtome is seeking a Health Care Care Manager to support LTSS care coordination for high-need members. The role collaborates with an interdisciplinary team to ensure progress toward outcomes and cost-effective care across settings.

You will complete member assessments, facilitate waiver processes, develop care plans with the care network, and monitor outcomes while traveling as required. Strong communication and organizational skills are essential.