RN Care Manager – LTSS & Integrated Care Coordination

Jobtome; Lebanon (TN); Presencial; USD 36 000 - 71 000; Tempo integral

Resumo da oferta

Molina Healthcare is seeking an RN Care Manager to support LTSS and care coordination across teams. The role involves conducting comprehensive assessments, developing care plans, coordinating waiver services, and monitoring outcomes to improve member health and cost efficiency.

The candidate should have an active RN license, 2+ years in health care with LTSS experience, strong communication skills, and the ability to work independently with occasional travel.

Qualificações

• RN license active and unrestricted in state of practice.
• At least 2 years in health care, including 1 year in care management or LTSS.
• Valid driver's license and reliable transportation for travel requirements.
• Ability to work independently, manage multiple tasks, and communicate effectively.

Responsabilidades

• Provides support for care management/care coordination for LTSS.
• Collaborates with multidisciplinary team to coordinate member care across the continuum.
• Develops and implements care plans with members, caregivers and health professionals.
• Monitors care plan effectiveness and documents interventions.
• Promotes integration of services including behavioral health and LTSS.
• Assesses medical necessity and authorizes waiver services.
• Evaluates benefits and funding sources.
• Facilitates ICT meetings for service approvals/denials.
• Educates and motivates members using motivational interviewing and clinical guides.
• Identifies barriers to care and assists with psycho/social, financial, and medical obstacles.
• May consult with peers and handle complex cases; may conduct medication reconciliation.
• Local travel 25-40% may be required.

Conhecimentos

RN license

Care management

Communication skills

Microsoft Office

Formação académica

Health care degree

Ferramentas

Microsoft Office

Descrição da oferta de emprego

Molina Healthcare is seeking an RN Care Manager to support LTSS and care coordination across teams. The role involves conducting comprehensive assessments, developing care plans, coordinating waiver services, and monitoring outcomes to improve member health and cost efficiency.

The candidate should have an active RN license, 2+ years in health care with LTSS experience, strong communication skills, and the ability to work independently with occasional travel.