RN Care Manager, LTSS & Care Coordination

Jobtome; Sunbury (OH); In loco; USD 37.000 - 70.000; Tempo pieno

Descrizione del lavoro

Molina Healthcare in Ohio seeks a registered nurse to support care management for LTSS clients. You will assess needs, coordinate waiver services, and develop care plans with members, families, physicians, and care teams.

This role emphasizes quality outcomes and cost-effective, person-centered care across settings. Travel of 25-40% may be required to complete in-home assessments and care coordination visits, with a focus on timely, compliant care delivery and strong collaboration with the

Competenze

• 2+ years in health care including 1 year in care management/LTSS
• RN with active unrestricted license
• Bachelor's degree in health care field may be required in some states
• Valid and unrestricted driver's license and reliable transportation

Mansioni

• Complete comprehensive member assessments within regulated timelines, including in-person home visits as required
• Facilitate waiver enrollment and disenrollment processes
• Develop and implement care plans with members, caregivers, physicians and other health care professionals
• Monitor care plan effectiveness and adjust interventions as needed
• Promote integration of LTSS and community resources for continuity of care
• Assess medical necessity and authorize waiver services
• Coordinate ICT meetings for approval/denial of services
• Educate and motivate members using motivational interviewing and clinical guideposts
• Identify barriers to care and provide support for psycho/social, financial, and medical obstacles
• Travel 25-40% may be required

Conoscenze

RN license

Care coordination

Communication skills

Driver's license

Microsoft Office

Formazione

Bachelor's degree in healthcare

CCM (preferred)

Strumenti

MS Office

Descrizione del lavoro

Molina Healthcare in Ohio seeks a registered nurse to support care management for LTSS clients. You will assess needs, coordinate waiver services, and develop care plans with members, families, physicians, and care teams.

This role emphasizes quality outcomes and cost-effective, person-centered care across settings. Travel of 25-40% may be required to complete in-home assessments and care coordination visits, with a focus on timely, compliant care delivery and strong collaboration with the