RN Care Manager: LTSS & Care Plan Architect

Jobtome; Stow (OH); Presencial; USD 36.000 - 71.000; Jornada completa

Ventajas ofrecidas por este puesto de trabajo

Competitive benefits

Descripción de la vacante

Jobtome is seeking a qualified RN Care Manager to support LTSS care coordination across multiple Ohio counties. The role partners with multidisciplinary teams to assess needs, develop plans, and monitor progress toward outcomes in a high-need population.

Travel is required 25-40% locally. The position emphasizes quality, cost-effective member care, with emphasis on collaboration, documentation, and adherence to regulatory timelines.

Formación

• Minimum 2 years in health care with care management experience.
• RN license active and unrestricted in the state.
• Bachelor's degree in a health-related field may be required.
• Valid driver's license and reliable transportation for travel.
• Ability to work independently and manage multiple priorities.
• Strong communication and problem-solving skills.

Responsabilidades

• Completes comprehensive member assessments within regulatory timelines, including in-person home visits.
• Facilitates comprehensive waiver enrollment and disenrollment processes.
• Develops and implements care plans with members, caregivers, physicians and other health professionals.
• Monitors care plan effectiveness and documents progress toward goals.
• Promotes integration of LTSS with community resources to ensure continuity of care.
• Assesses medical necessity and authorizes appropriate waiver services.
• Coordinates interdisciplinary care team meetings for approval/denial of services.
• Uses motivational interviewing and Molina clinical guideposts to support change.
• Assesses barriers to care and helps address psycho/social, financial and medical obstacles.
• Identifies critical incidents and develops prevention plans.
• May provide consultation and resources to peers.
• Care manager RNs may handle complex cases and medication reconciliation.
• Travel 25-40% may be required based on state/contractual requirements.

Conocimientos

Care management experience

Excellent communication

Travel flexibility

Team collaboration

Educación

Registered Nurse (RN) license

Herramientas

Microsoft Office

Descripción del empleo

Jobtome is seeking a qualified RN Care Manager to support LTSS care coordination across multiple Ohio counties. The role partners with multidisciplinary teams to assess needs, develop plans, and monitor progress toward outcomes in a high-need population.

Travel is required 25-40% locally. The position emphasizes quality, cost-effective member care, with emphasis on collaboration, documentation, and adherence to regulatory timelines.