RN Care Manager for LTSS & Home-Based Care

Jobtome; Elmhurst (NY); Vor Ort; USD 38.000 - 74.000; Vollzeit

Benefits dieser Stelle

Competitive benefits package

Zusammenfassung

Molina Healthcare is seeking a Care Manager RN to support LTSS-related activities and collaborate with an interdisciplinary team to coordinate care across the continuum for high-need members. You will help ensure progress toward outcomes and contribute to cost-effective, quality member care.

You will conduct home visits, develop care plans with providers and families, monitor interventions, and address barriers to care while navigating waiver services and resource coordination.

Qualifikationen

• At least 2 years of experience in health care, including at least 1 year in care management or managed care.
• Licensure must be active and unrestricted in state of practice.
• Ability to work independently in diverse settings.

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 network.
• Monitors care plans, documents progress, and suggests changes in collaboration with ICT.
• Promotes integration of LTSS with behavioral health and community resources.
• Assesses medical necessity and authorizes waiver services.
• Interdisciplinary care team meetings for service approvals.

Kenntnisse

Strong communication

Time management

Detail oriented

Self-motivation

Independent work

Adaptive to diverse populations

Problem-solving

Ausbildung

Registered Nurse (RN) license

Bachelor's degree in health care field

Certified Case Manager (CCM) - preferred

Tools

Microsoft Office Suite

Jobbeschreibung

Molina Healthcare is seeking a Care Manager RN to support LTSS-related activities and collaborate with an interdisciplinary team to coordinate care across the continuum for high-need members. You will help ensure progress toward outcomes and contribute to cost-effective, quality member care.

You will conduct home visits, develop care plans with providers and families, monitor interventions, and address barriers to care while navigating waiver services and resource coordination.