RN Care Navigator for LTSS & Waiver Services

Molina Healthcare; Sandwich (IL); In loco; USD 38.000 - 74.000; Tempo pieno

Vantaggi offerti da questo lavoro

Benefits package

Descrizione del lavoro

Molina Healthcare, Inc. is seeking a Registered Nurse with care management experience to coordinate LTSS services and ensure quality, cost-effective member care.

You will work with a multidisciplinary team to develop and monitor care plans, and to facilitate waiver processes for individuals with high-need potential. Responsibilities include comprehensive assessments, care coordination across settings, and documenting outcomes.

Competenze

• At least 2 years in health care, with 1 year in care management or LTSS settings.
• RN license active and unrestricted in state of practice.
• May require a health care related bachelor's degree per state requirements.
• Valid driver's license and reliable transportation for travel.
• Strong communication and organizational skills.

Mansioni

• Complete comprehensive member assessments within regulated timelines, including home visits as required.
• Facilitate waiver enrollment and disenrollment processes.
• Develop and implement care plans with members, caregivers, and providers.
• Monitor care plans and adjust as needed to meet goals.
• Promote integration of services across LTSS and behavioral health.
• Assess medical necessity and authorize waiver services.
• Coordinate with interdisciplinary care teams and document outcomes.
• Travel up to 25–40% as required by state contracts.

Conoscenze

Care coordination

Communication

Time management

Problem solving

Microsoft Office

Formazione

RN license

Bachelor's degree (healthcare-related)

Strumenti

Microsoft Office

Descrizione del lavoro

Molina Healthcare, Inc. is seeking a Registered Nurse with care management experience to coordinate LTSS services and ensure quality, cost-effective member care.

You will work with a multidisciplinary team to develop and monitor care plans, and to facilitate waiver processes for individuals with high-need potential. Responsibilities include comprehensive assessments, care coordination across settings, and documenting outcomes.