RN LTSS Care Manager — Integrated Care & Outcomes

Jobtome; Lancaster (CA); Vor Ort; USD 36.000 - 71.000; Vollzeit

Zusammenfassung

Molina Healthcare is seeking a qualified Registered Nurse Care Manager to support LTSS and care coordination. You will work with a multidisciplinary team to ensure quality, cost-effective member care and to drive progress toward outcomes.

Responsibilities include assessments, waiver processes, care plan development, ongoing monitoring, and collaboration with care networks. Travel may be required depending on state contracts.

Qualifikationen

• 2+ years in health care with at least 1 year in care management or LTSS.
• RN license active and unrestricted in the state of practice.
• Bachelor's degree may be required depending on state/contract.
• Valid driver's license, reliable transportation for travel.
• Ability to work independently and manage multiple priorities.

Aufgaben

• Complete comprehensive member assessments within regulated timelines, including in-person visits.
• Coordinate waiver enrollment and disenrollment processes.
• Develop and implement care plans with members, caregivers, physicians and others.
• Monitor care plans, document interventions and adjust as needed.
• Promote integrated LTSS and behavioral health services for continuity of care.
• Assess medical necessity and authorize waiver services.
• Facilitate ICT meetings for service approval/denial.
• Travel 25-40% locally as required by state/contract.

Kenntnisse

RN license / Registered Nurse

Communication skills

Time management

Self-motivation

Interpersonal skills

Microsoft Office

Ausbildung

Bachelor's degree in a health care related field

Tools

Microsoft Office

Jobbeschreibung

Molina Healthcare is seeking a qualified Registered Nurse Care Manager to support LTSS and care coordination. You will work with a multidisciplinary team to ensure quality, cost-effective member care and to drive progress toward outcomes.

Responsibilities include assessments, waiver processes, care plan development, ongoing monitoring, and collaboration with care networks. Travel may be required depending on state contracts.