Remote Field-Based RN Care Manager – LTSS & Waivers

Jobtome; Naperville Township (IL); Remote; USD 38.000 - 74.000; Vollzeit

Zusammenfassung

Molina Healthcare is seeking a remote field-based RN care manager to support members with high-need LTSS, coordinating care across the multidisciplinary team in the greater Cook County area. The role requires 2+ years in health care and a valid RN license, with 25-40% local travel.

You will conduct home visits, oversee waiver services, and develop care plans with members, caregivers, and clinicians. Molina Healthcare offers competitive benefits; pay is hourly in the range of $27.73 to $54.06,

Qualifikationen

• 2+ years in health care including care management/LTSS.
• Active RN license in state of practice.
• Driver's license and reliable transportation.

Aufgaben

• Completes comprehensive member assessments within timelines, including in-person home visits.
• Facilitates waiver enrollment/disenrollment processes.
• Develops and implements care plans with members, caregivers, physicians and other professionals.
• Monitors care plan effectiveness and documents interventions and progress toward goals.
• Promotes integration of services across LTSS and behavioral health to improve continuity of care.
• Assesses medical necessity and authorizes waiver services as appropriate.
• Facilitates ICT meetings for service approvals/denials.
• Educates and motivates change using motivational interviewing techniques.
• Identifies barriers to care and supports members with psycho/social/financial obstacles.
• May provide consultation to peers and assist with complex cases.

Kenntnisse

Care management

Travel coordination

Ausbildung

RN license

Bachelor's degree in healthcare

Tools

Microsoft Office

Jobbeschreibung

Molina Healthcare is seeking a remote field-based RN care manager to support members with high-need LTSS, coordinating care across the multidisciplinary team in the greater Cook County area. The role requires 2+ years in health care and a valid RN license, with 25-40% local travel.

You will conduct home visits, oversee waiver services, and develop care plans with members, caregivers, and clinicians. Molina Healthcare offers competitive benefits; pay is hourly in the range of $27.73 to $54.06,