RN Care Manager - LTSS & Waiver Services

Jobtome; Mount Vernon Township (IA); Presencial; USD 38 000 - 74 000; Tempo integral

Vantagens oferecidas por esta oferta de emprego

Benefits package

Resumo da oferta

Molina Healthcare seeks a skilled care manager RN to support LTSS-focused activities and coordinate member care across settings. You will collaborate with multidisciplinary teams to ensure quality, cost-effective outcomes and active progression toward member goals.

Role involves comprehensive assessments, care planning, and waiver processes with potential travel. Strong communication and organizational skills are essential.”

Qualificações

• Active and unrestricted RN license in the state of practice.
• At least 2 years in health care with 1 year in care management/LTSS.
• Bachelor's degree may be required in some states per contractual requirements.

Responsabilidades

• Complete comprehensive member assessments within regulatory timelines, including in-person home visits when required.
• Facilitate waiver enrollment and disenrollment processes.
• Develop and implement care plans with members, caregivers, and health professionals.
• Monitor care plan effectiveness and document interventions and goals.
• Promote integration of LTSS and behavioral health services for continuity of care.
• Assess medical necessity and authorize appropriate waiver services.
• Participate in ICT meetings for approval/denial of services.
• Educate and motivate members using motivational interviewing and clinical guidelines.
• Identify barriers to care and coordinate psycho-social, financial, and medical support.
• Conduct medication reconciliation and support complex member cases.
• Travel 25-40% locally as required by state/contractual requirements.

Conhecimentos

RN license (registered nurse)

Strong communication

Independent work

Time management

Formação académica

RN license (Registered Nurse)

Bachelor's degree in healthcare-related field

Ferramentas

Microsoft Office

Descrição da oferta de emprego

Molina Healthcare seeks a skilled care manager RN to support LTSS-focused activities and coordinate member care across settings. You will collaborate with multidisciplinary teams to ensure quality, cost-effective outcomes and active progression toward member goals.

Role involves comprehensive assessments, care planning, and waiver processes with potential travel. Strong communication and organizational skills are essential.”