RN LTSS Care Manager — Integrated Care Coordinator

Jobtome

Pickerington (OH)

On-site

USD 36,000 - 71,000

Full time

9 days ago

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Job summary

Jobtome is seeking an experienced Registered Nurse to support care management and LTSS activities. The role collaborates with a multidisciplinary team to coordinate integrated member care across the continuum, aiming for outcomes and cost-effective services.

Responsibilities include comprehensive assessments, waiver enrollment, care plan development, and ongoing monitoring. Travel may be required; strong communication and organizational skills are essential.

Qualifications

  • Active RN license in state of practice
  • 2+ years in health care with 1+ year in care management or LTSS
  • Bachelor's degree may be required in some states
  • Valid driver's license and reliable transportation for travel requirements
  • Strong communication and time-management skills
  • Experience with individuals with disabilities or chronic conditions is a plus

Responsibilities

  • Complete comprehensive member assessments within regulated timelines, including in-person home visits
  • Facilitate waiver enrollment/disenrollment processes
  • Develop and implement care plans with member, caregivers, physicians and network
  • Monitor care plan effectiveness and document outcomes
  • Coordinate services to ensure integrated care across LTSS and behavioral health
  • Assess medical necessity and authorize appropriate waiver services
  • Collaborate with interdisciplinary care team for approvals/denials
  • Conduct medication reconciliation as needed
  • Travel 25-40% locally as required

Skills

Registered Nurse
Communication skills
Time management
Problem solving
Microsoft Office
Self-motivation

Education

Bachelor's degree in a health care related field

Tools

Microsoft Office suite

Job description

Jobtome is seeking an experienced Registered Nurse to support care management and LTSS activities. The role collaborates with a multidisciplinary team to coordinate integrated member care across the continuum, aiming for outcomes and cost-effective services.

Responsibilities include comprehensive assessments, waiver enrollment, care plan development, and ongoing monitoring. Travel may be required; strong communication and organizational skills are essential.

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