RN Field Care Manager: LTSS & Waiver Coordination

Molina Healthcare, Inc.; Riverside (CA); On-site; USD 36,000 - 70,000; Full time

Job summary

Molina Healthcare, Inc. is seeking a Texas-licensed registered nurse to join as a Field Care Manager serving Medicaid members in the Arlington area.

This role involves conducting assessments, coordinating care, and guiding waiver services to promote optimal patient outcomes. Key responsibilities include home visits, waiver enrollment and disenrollment, care plan development, interdisciplinary team collaboration, and motivating members to engage in their care.

Qualifications

• RN license active and unrestricted in state of practice.
• Bachelor's degree in a healthcare field may be required in some states.
• At least 2 years in healthcare, including 1 year in care management or a medical/behavioral health setting.
• Experience working with persons with disabilities, chronic conditions, and LTSS.

Responsibilities

• Complete comprehensive member assessments within timelines, including in-person visits.
• Coordinate waiver enrollment and disenrollment processes.
• Develop and implement care plans with members, caregivers, and healthcare professionals.
• Monitor care plans and adjust as needed.
• Promote integration of services for members, including behavioral health care and LTSS.
• Assess for medical necessity and authorize appropriate waiver services.
• Evaluate covered benefits and advise on funding sources.
• Facilitate interdisciplinary care team meetings for service approval or denial.
• Use motivational interviewing to educate and support members.
• Identify barriers to care and coordinate solutions.

Skills

Care management

Motivational interviewing

Disability experience

Education

RN Licensure

Job description

Molina Healthcare, Inc. is seeking a Texas-licensed registered nurse to join as a Field Care Manager serving Medicaid members in the Arlington area.

This role involves conducting assessments, coordinating care, and guiding waiver services to promote optimal patient outcomes. Key responsibilities include home visits, waiver enrollment and disenrollment, care plan development, interdisciplinary team collaboration, and motivating members to engage in their care.