LTSS Care Manager RN - Waiver & Care Coordination

Molina Healthcare, Inc.; Chicago (IL); In loco; USD 70.000 - 90.000; Tempo pieno

Descrizione del lavoro

Molina Healthcare, Inc. in Chicago, IL, seeks an RN care manager to support LTSS care coordination, collaborating with a multidisciplinary team to deliver high-quality, cost-effective member care.

The role involves comprehensive assessments, waiver enrollment, care plan development, monitoring, and facilitating interdisciplinary meetings, with travel up to 40% as required. Candidates should have RN license and 2+ years in care management and related settings; strong communication and knowledge

Competenze

• Active RN license in state of practice.
• 2+ years healthcare experience including 1 year in care management.
• Experience with disability, chronic conditions, LTSS or equivalent.
• Valid driver’s license and reliable transportation.
• Ability to work independently with minimal supervision.
• Strong communication and knowledge of community resources.
• Experience with substance use disorders is a plus.

Mansioni

• Complete comprehensive member assessments within timelines.
• Coordinate waiver enrollment/disenrollment processes.
• Develop and implement care plans with members, caregivers and professionals.
• Monitor care plan effectiveness and adjust as needed.
• Promote integration of LTSS and behavioral health services.
• Assess medical necessity and authorize waiver services.
• Facilitate ICT meetings for approvals/denials.
• Local travel of 25-40% may be required.

Conoscenze

Communication skills

Time management

Detail oriented

Problem solving

Self motivation

Formazione

RN license

Bachelor's in health field

Strumenti

Microsoft Office

Descrizione del lavoro

Molina Healthcare, Inc. in Chicago, IL, seeks an RN care manager to support LTSS care coordination, collaborating with a multidisciplinary team to deliver high-quality, cost-effective member care.

The role involves comprehensive assessments, waiver enrollment, care plan development, monitoring, and facilitating interdisciplinary meetings, with travel up to 40% as required. Candidates should have RN license and 2+ years in care management and related settings; strong communication and knowledge