RN LTSS Care Manager & Care Coordination

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

Benefits offered by this job

Competitive benefits

Job summary

Molina Healthcare in the United States is seeking an experienced Care Manager RN to support LTSS coordination and care management for high-need members. You will collaborate with a multidisciplinary team to coordinate services across the continuum and help members achieve desired outcomes.

Responsibilities include completing assessments, enrolling/disenrolling waivers, developing care plans with members and providers, monitoring progress, and promoting integration of services across behavioral

Qualifications

• At least 2 years in health care with 1 year in care management/LTSS.
• Active RN license in state of practice.
• Valid driver's license and reliable transportation.
• Strong communication and time-management skills.

Responsibilities

• Complete comprehensive member assessments within regulated timelines, including in-person home visits.
• Facilitate comprehensive waiver enrollment and disenrollment processes.
• Develop and implement care plans with members, caregivers, physicians and the care team.
• Monitor care plan effectiveness and adjust as needed.
• Promote integration of services across LTSS and community resources.
• Assess medical necessity and authorize waiver services.
• Facilitate ICT meetings for approval/denial of services.
• Perform medication reconciliation as needed.
• 25-40% local travel may be required.

Skills

Communication skills

Time management

Problem-solving

Self-motivation

Independent work

Education

RN License

Bachelor's degree in health care (or related field)

Tools

Microsoft Office

Job description

Molina Healthcare in the United States is seeking an experienced Care Manager RN to support LTSS coordination and care management for high-need members. You will collaborate with a multidisciplinary team to coordinate services across the continuum and help members achieve desired outcomes.

Responsibilities include completing assessments, enrolling/disenrolling waivers, developing care plans with members and providers, monitoring progress, and promoting integration of services across behavioral