RN Care Manager: LTSS Care Coordination & Outcomes

Molina Healthcare; Malden (MA); Presencial; USD 70.000 - 100.000; Jornada completa

Descripción de la vacante

Molina Healthcare is seeking an experienced Care Manager RN in Malden, MA to support care coordination for members with high-need LTSS needs. You will collaborate with an interdisciplinary team to ensure quality and cost-effective member care and to promote desirable outcomes.

Responsibilities include conducting assessments, coordinating waiver services, developing and monitoring care plans, and supporting members and their networks.

Formación

• 2+ years of health care experience with 1+ year in care management or LTSS.
• Active RN license in good standing.
• Willingness to travel 25-40% as required.
• Ability to work independently and with diverse populations.
• Proficiency with Microsoft Office.
• Experience with persons with disabilities or chronic conditions is a plus.

Responsabilidades

• Perform comprehensive member assessments within timelines, including home visits.
• Coordinate waiver enrollment and disenrollment processes.
• Develop and monitor care plans with member, caregivers, physicians and support network.
• Monitor care plans, document interventions, and adjust goals as needed.
• Promote integration of services across behavioral health and LTSS.
• Assess medical necessity and authorize waiver services.
• Support meetings for service approvals/denials (ICT).
• Use motivational interviewing to educate and motivate change.

Conocimientos

RN license

Care management

Healthcare experience

Disabilities/LTSS experience

Substance use disorders experience

Communication skills

Time management

Microsoft Office

Educación

RN licensure

Bachelor’s degree in health care

Herramientas

Microsoft Office

Descripción del empleo

Molina Healthcare is seeking an experienced Care Manager RN in Malden, MA to support care coordination for members with high-need LTSS needs. You will collaborate with an interdisciplinary team to ensure quality and cost-effective member care and to promote desirable outcomes.

Responsibilities include conducting assessments, coordinating waiver services, developing and monitoring care plans, and supporting members and their networks.