LTSS Care Manager RN — Care Coordination & Outcomes

Jobtome; Madison (WI); Vor Ort; USD 38.000 - 74.000; Vollzeit

Benefits dieser Stelle

Competitive benefits package

Zusammenfassung

Molina Healthcare is hiring a registered nurse to provide care management and coordination for LTSS programs. The role collaborates with a multidisciplinary team to deliver integrated member care and achieve desired outcomes.

The position requires in-person assessments, program enrollment responsibilities, and ongoing care plan tracking, with travel as required by state contracts. A strong emphasis is placed on using motivational interviewing to support member progress.

Qualifikationen

• Active RN license in state of practice (unrestricted).
• Experience in care management, managed care, or LTSS settings.
• Strong communication and interpersonal skills.

Aufgaben

• Completes comprehensive member assessments within regulated timelines, including in-person home visits.
• Facilitates waiver enrollment/disenrollment processes.
• Develops and implements care plans with members and care networks.
• Monitors care plan effectiveness and documents interventions.
• Promotes integration of LTSS with behavioral health and community resources.
• Assesses medical necessity and authorizes waiver services.
• Coordinates ICT meetings for service approvals/denials.
• Educates and motivates members during contacts using motivational interviewing.
• Identifies barriers to care and coordinates solutions.
• May supervise complex cases and perform medication reconciliation.

Kenntnisse

Communication skills

Detail-oriented

Time management

Problem solving

Ausbildung

RN license (active)

Tools

Microsoft Office

Jobbeschreibung

Molina Healthcare is hiring a registered nurse to provide care management and coordination for LTSS programs. The role collaborates with a multidisciplinary team to deliver integrated member care and achieve desired outcomes.

The position requires in-person assessments, program enrollment responsibilities, and ongoing care plan tracking, with travel as required by state contracts. A strong emphasis is placed on using motivational interviewing to support member progress.