RN Care Manager LTSS | Coordination & Waiver Specialist

Jobtome; Milford (DE); Presencial; USD 36 000 - 71 000; Tempo integral

Resumo da oferta

Molina Healthcare is seeking a Registered Nurse care manager to support care coordination for members requiring LTSS. You will collaborate with an interdisciplinary team to ensure outcomes and coordinate waiver services, including enrollment, planning, and ongoing monitoring.

The role emphasizes in-person/home visits, comprehensive assessments, and the ability to work across various settings with diverse populations. Travel 25-40% may be required to fulfill state/contractual obligations.

Qualificações

• Active RN license in practicing state.
• Minimum 2 years healthcare experience with care management or LTSS.
• Experience with populations with disabilities or chronic conditions preferred.

Responsabilidades

• Complete member assessments within regulated timelines, including home visits.
• Coordinate waiver enrollment/disenrollment processes.
• Develop and monitor care plans with care team and providers.
• Monitor effectiveness of care plans and adjust as needed.
• Promote integrated services across LTSS, behavioral health, and community resources.
• Assess medical necessity and authorize waiver services.
• Facilitate ICT meetings for approvals/denials.
• Educate and motivate members using motivational interviewing.
• Identify barriers to care and support members to overcome them.
• Identify critical incidents and create prevention plans.
• May provide consultation to peers as needed.
• Travel 25-40% locally as required.

Conhecimentos

RN license

Verbal & written communication

Time management

MS Office proficiency

Problem solving

Independent work

Travel readiness

Driver's license

Detail-oriented

Formação académica

Registered Nurse degree / license

Bachelor's degree in healthcare (optional in some states)

Ferramentas

Microsoft Office

Descrição da oferta de emprego

Molina Healthcare is seeking a Registered Nurse care manager to support care coordination for members requiring LTSS. You will collaborate with an interdisciplinary team to ensure outcomes and coordinate waiver services, including enrollment, planning, and ongoing monitoring.

The role emphasizes in-person/home visits, comprehensive assessments, and the ability to work across various settings with diverse populations. Travel 25-40% may be required to fulfill state/contractual obligations.