RN Care Manager: LTSS & Care Coordination

Jobtome; Canal Winchester (OH); Presencial; USD 36 000 - 71 000; Tempo integral

Resumo da oferta

Molina Healthcare is seeking a licensed RN to provide care management and coordination for members requiring long-term services and supports (LTSS) in a dynamic multispecialty team. The role emphasizes comprehensive assessments, waiver management, and care plan development to promote positive outcomes.

Ideal candidates will have at least 2 years in health care with care management exposure, an active RN license, strong communication skills, and readiness to travel as needed.

Qualificações

• At least 2 years of health care experience with care management or LTSS exposure.
• Active RN license in state of practice.
• Valid driver’s license and reliable transportation for required travel.
• Experience with disabilities, chronic conditions, or substance use disorders is preferred.
• Strong communication, time management, and adaptability to changing priorities.
• Proficient in Microsoft Office and related software.

Responsabilidades

• Perform comprehensive member assessments within regulatory timelines, including home visits.
• Facilitate waiver enrollment and disenrollment processes.
• Develop and implement care plans with members, caregivers, and providers.
• Monitor care plans and suggest changes based on outcomes.
• Coordinate LTSS and behavioral health services and community resources.
• Assess medical necessity and authorize waiver services.
• Lead or participate in ICT meetings for service approvals.
• Use motivational interviewing to educate and support members.
• Travel 25–40% as required by state/contractual requirements.

Conhecimentos

Care coordination

Communication

Time management

Problem solving

Detail oriented

Travel readiness

Formação académica

RN license (active, unrestricted)

Ferramentas

Microsoft Office Suite

Descrição da oferta de emprego

Molina Healthcare is seeking a licensed RN to provide care management and coordination for members requiring long-term services and supports (LTSS) in a dynamic multispecialty team. The role emphasizes comprehensive assessments, waiver management, and care plan development to promote positive outcomes.

Ideal candidates will have at least 2 years in health care with care management exposure, an active RN license, strong communication skills, and readiness to travel as needed.