RN Care Manager: LTSS & Waiver Coordinator

Jobtome; Streetsboro (OH); On-site; USD 36,000 - 71,000; Full time

Benefits offered by this job

Competitive benefits

Equal Opportunity Employer (EOE)

Job summary

Molina Healthcare is seeking a Registered Nurse Care Manager to support long-term services and supports (LTSS). You will collaborate with a multidisciplinary team to coordinate member care across the continuum and ensure progress toward outcomes while managing quality and cost-effective care.

Responsibilities include comprehensive assessments (including home visits), waiver enrollment/disenrollment, care plan development, monitoring, and coordination of services across behavioral health and

Qualifications

• 2+ years in health care with care management experience

Responsibilities

• Perform comprehensive member assessments within timelines and may include home visits
• Coordinate waiver enrollment/disenrollment processes with the care team
• Develop and monitor care plans with members, caregivers, physicians, and other health professionals
• Evaluate medical necessity and authorize waiver services
• Facilitate interdisciplinary care team meetings for service approvals/denials
• Educate and motivate members using motivational interviewing and clinical guides
• Identify barriers to care and coordinate solutions for psycho/social and financial obstacles
• Possible medication reconciliation for complex cases
• Travel 25-40% may be required within local counties

Skills

Communication skills

Time management

Problem solving

Travel readiness

Education

Registered Nurse (RN) license

Tools

Microsoft Office

Job description

Molina Healthcare is seeking a Registered Nurse Care Manager to support long-term services and supports (LTSS). You will collaborate with a multidisciplinary team to coordinate member care across the continuum and ensure progress toward outcomes while managing quality and cost-effective care.

Responsibilities include comprehensive assessments (including home visits), waiver enrollment/disenrollment, care plan development, monitoring, and coordination of services across behavioral health and