RN Care Manager - LTSS & Care Coordination

Jobtome; Painesville (OH); In loco; USD 36.000 - 71.000; Tempo pieno

Descrizione del lavoro

Jobtome in Ohio is seeking an RN Care Manager to support care coordination for high-need members within LTSS. The role collaborates with a multidisciplinary team to ensure quality, cost-effective member care and progression toward outcomes across the continuum.

Responsibilities include in-person assessments, waiver enrollment, care plan development, monitoring, and coordinating interdisciplinary team meetings.

Competenze

• 2+ years in health care with 1+ year in care management or LTSS.
• Active RN license in state of practice.
• Bachelor's degree in a health care related field may be required in some states.
• Valid driver's license, reliable transportation for travel.
• Ability to work independently with strong communication and organization.

Mansioni

• Completes comprehensive member assessments within timelines, including in-person home visits where required.
• Facilitates comprehensive waiver enrollment and disenrollment processes.
• Develops and implements care plans with members, caregivers, physicians and others.
• Monitors care plan effectiveness, documents interventions and adjusts as needed.
• Promotes integration of services across behavioral health and LTSS.
• Assesses medical necessity and authorizes waiver services.
• Participates in ICT meetings for service approvals/denials.
• Uses motivational interviewing and Molina clinical guideposts to educate and motivate change.
• Identifies barriers to care and coordinates resources to address obstacles.
• May provide consultation to peers; travel 25-40% may be required.

Conoscenze

RN license

Communication skills

Time management

Detail-oriented

Problem solving

Microsoft Office

Travel readiness

Formazione

RN degree (BSN may be required in some states)

Descrizione del lavoro

Jobtome in Ohio is seeking an RN Care Manager to support care coordination for high-need members within LTSS. The role collaborates with a multidisciplinary team to ensure quality, cost-effective member care and progression toward outcomes across the continuum.

Responsibilities include in-person assessments, waiver enrollment, care plan development, monitoring, and coordinating interdisciplinary team meetings.