RN Care Manager - LTSS & Waiver Services (Travel)

Jobtome; Long Beach (CA); Presencial; USD 36.000 - 71.000; Tempo integral

Resumo da vaga

Molina Healthcare is seeking an RN Care Manager to support LTSS and care coordination across the care continuum. You will assess, plan, monitor, and facilitate waiver services with the care team and member supports to achieve outcomes.

You will collaborate with healthcare professionals, caregivers and community resources, while ensuring compliance with regulatory timelines and maintaining strong communication with members.

Qualificações

• At least 2 years in health care, incl. 1 year in care management/ LTSS.
• Active RN license in state of practice.
• Bachelor’s degree may be required in some states.
• Valid driver’s license with reliable vehicle for travel as required.
• Ability to work independently with minimal supervision.
• Strong communication and relationship-building skills.

Responsabilidades

• Completes comprehensive member assessments within regulated timelines, including in-person visits.
• Facilitates waiver enrollment/disenrollment processes.
• Develops and implements care plans with members, caregivers and clinicians.
• Monitors and updates care plans to meet goals and adapt as needed.
• Promotes integration of LTSS and behavioral health services.
• Assesses medical necessity and authorizes waiver services.
• Collaborates with ICT meetings for service decisions.
• Uses motivational interviewing and clinical guidelines in member contacts.
• Identifies barriers to care and coordinates resources.

Conhecimentos

RN License

Verbal & written communication

Time management

Problem solving

Detail orientation

Self-motivation

Microsoft Office proficiency

Formação

Bachelor’s degree in healthcare field

Ferramentas

Microsoft Office

Descrição da vaga

Molina Healthcare is seeking an RN Care Manager to support LTSS and care coordination across the care continuum. You will assess, plan, monitor, and facilitate waiver services with the care team and member supports to achieve outcomes.

You will collaborate with healthcare professionals, caregivers and community resources, while ensuring compliance with regulatory timelines and maintaining strong communication with members.