RN Care Manager for LTSS & Integrated Care

Jobtome; Pataskala (OH); On-site; USD 36,000 - 71,000; Full time

Job summary

Jobtome is seeking a registered nurse to support care management and LTSS activities. You will collaborate with a multidisciplinary team to coordinate member care across the continuum, aiming to improve outcomes while managing costs.

The role involves in-person home visits and active care planning with members, caregivers, and physicians. Responsibilities include assessing needs, coordinating waiver services, monitoring progress, and facilitating interdisciplinary team meetings to approve or

Qualifications

• Active RN license in state of practice.
• 2+ years of healthcare experience, including 1+ year in care management or LTSS.
• Bachelor's degree may be required in some states.
• Valid driver's license and reliable transportation for job travel.
• Experience with diverse populations and strong communication skills.
• Proficient with Microsoft Office or equivalent software.

Responsibilities

• Complete comprehensive member assessments within regulatory timelines, including home visits.
• Coordinate waiver enrollment and disenrollment processes.
• Develop and implement care plans with members, caregivers, and professionals.
• Monitor and evaluate care plan effectiveness and adjust as needed.
• Promote integration of behavioral health and LTSS with community resources.
• Assess medical necessity and authorize appropriate waiver services.
• Participate in ICT meetings for service approvals and collaboration.
• Identify barriers to care and assist members with psycho/social/financial obstacles.
• Conduct medication reconciliation as needed and assist care coordination.
• Travel 25-40% locally based on state/contract requirements.

Job description

Jobtome is seeking a registered nurse to support care management and LTSS activities. You will collaborate with a multidisciplinary team to coordinate member care across the continuum, aiming to improve outcomes while managing costs.

The role involves in-person home visits and active care planning with members, caregivers, and physicians. Responsibilities include assessing needs, coordinating waiver services, monitoring progress, and facilitating interdisciplinary team meetings to approve or