LTSS Care Manager RN — Care Coordination & Outcomes

Jobtome; Hinckley (UT); Vor Ort; USD 38.000 - 74.000; Vollzeit

Zusammenfassung

Molina Healthcare is seeking an RN Care Manager to support care coordination for members requiring LTSS. You will conduct assessments, develop care plans with input from caregivers and physicians, and monitor progress to improve outcomes.

The role involves waiver processes, interdisciplinary team collaboration, and travel 25-40% to serve members across the continuum. Active RN license and strong communication skills are essential.

Qualifikationen

• At least 2 years in health care with 1 year in care management or LTSS.
• Active RN license in state of practice.
• Valid driver's license and reliable transportation.
• Ability to work independently and with diverse populations.
• Strong written and verbal communication.

Aufgaben

• Complete comprehensive member assessments within regulated timelines.
• Facilitate waiver enrollment and disenrollment processes.
• Develop and implement care plans with members and care team.
• Monitor and adjust care plans to achieve goals.
• Promote LTSS and behavioral health service integration.
• Assess medical necessity and authorize waiver services.
• Evaluate benefits and funding sources.
• Coordinate ICT meetings for approvals/denials.
• Conduct medication reconciliation when needed.
• Travel 25-40% as required.

Kenntnisse

Communication

Time management

Problem solving

Interpersonal skills

Proactive and detail-oriented

Ausbildung

RN license

Bachelor's degree in health care (optional)

Tools

EHR systems

Microsoft Office

Jobbeschreibung

Molina Healthcare is seeking an RN Care Manager to support care coordination for members requiring LTSS. You will conduct assessments, develop care plans with input from caregivers and physicians, and monitor progress to improve outcomes.

The role involves waiver processes, interdisciplinary team collaboration, and travel 25-40% to serve members across the continuum. Active RN license and strong communication skills are essential.