Remote LTSS Care Manager RN with Travel

Molina Healthcare, Inc.; Oregon; Hybrid; USD 70,000 - 100,000; Full time

Benefits offered by this job

Competitive benefits

Job summary

Molina Healthcare, Inc. is seeking a Care Manager RN to support LTSS and care coordination remotely with travel. You will collaborate with multidisciplinary teams to ensure high-need members receive quality, cost-effective care and to develop individualized care plans.

Responsibilities include comprehensive assessments, waiver processes, plan development, and monitoring. Travel up to 25-40% as required; travel may be statewide.

Qualifications

• Minimum 2 years in health care with 1 year in care management or LTSS.
• RN license active and unrestricted.
• Valid driver's license and ability to travel 25-40%.
• Ability to work independently and with diverse populations.

Responsibilities

• Complete comprehensive member assessments within mandated timelines, including in-person home visits.
• Facilitate waiver enrollment and disenrollment processes.
• Develop and implement care plans with members, caregivers, physicians and other health care professionals.
• Monitor care plans, document interventions and outcomes, and adjust as needed.
• Promote integration of LTSS, behavioral health and community resources.
• Assess medical necessity and authorize waiver services.
• Evaluate benefits and advise on funding sources.
• Facilitate ICT meetings for approval/denial of services.
• Use motivational interviewing to educate and motivate change.
• Identify barriers to care and assist with psycho/social, financial, medical issues.
• Identify critical incidents and develop prevention plans.
• May provide consultation to peers; RNs may handle complex cases and medication reconciliation.

Skills

Care coordination

Communication skills

Time management

Problem solving

Detail-oriented

Education

Registered Nurse (RN) license

Bachelor's degree in health care field

CCM certification

Job description

Molina Healthcare, Inc. is seeking a Care Manager RN to support LTSS and care coordination remotely with travel. You will collaborate with multidisciplinary teams to ensure high-need members receive quality, cost-effective care and to develop individualized care plans.

Responsibilities include comprehensive assessments, waiver processes, plan development, and monitoring. Travel up to 25-40% as required; travel may be statewide.