RN LTSS Care Manager - Waiver & Care Coordination

Jobtome; Hamilton (OH); Vor Ort; USD 36.000 - 71.000; Vollzeit

Zusammenfassung

Jobtome is seeking a registered nurse care manager to support LTSS care coordination in Ohio. You will assess members, develop and monitor care plans, authorize services, and collaborate with an interdisciplinary team to improve outcomes while controlling costs.

Responsibilities include waiver enrollment, service coordination, community resource integration, and travel up to 40% to meet member needs. A valid RN license and strong communication skills are required.

Qualifikationen

• RN with active, unrestricted license in state of practice.
• 2+ years health care experience including 1 year in care management or LTSS.
• Experience with persons with disabilities, chronic conditions, or substance use disorders.
• Valid driver's license, reliable transportation, and auto insurance.
• Ability to work independently with minimal supervision.
• Proficiency in Microsoft Office.
• Bachelor's degree in health care field may be required depending on state.

Aufgaben

• Complete comprehensive member assessments within timelines, including in-person home visits.
• Facilitate comprehensive waiver enrollment and disenrollment processes.
• Develop and implement care plans with members, caregivers, physicians and others.
• Monitor care plan effectiveness, document interventions and goal achievement.
• Promote integration of LTSS, behavioral health care, and community resources.
• Assess medical necessity and authorize waiver services.
• Evaluate benefits and advise on funding sources.
• Facilitate ICT meetings for approvals/denials.
• Use motivational interviewing to educate and motivate change.
• Identify barriers to care and coordinate to address obstacles.
• Identify critical incidents and develop prevention plans.
• May provide consultation to peers.
• Travel 25-40% locally as required.

Kenntnisse

Active RN license

Strong communication

Time management

Problem solving

Self-motivation

Detail-oriented

Ausbildung

Bachelor's degree in health care

Tools

Microsoft Office

Jobbeschreibung

Jobtome is seeking a registered nurse care manager to support LTSS care coordination in Ohio. You will assess members, develop and monitor care plans, authorize services, and collaborate with an interdisciplinary team to improve outcomes while controlling costs.

Responsibilities include waiver enrollment, service coordination, community resource integration, and travel up to 40% to meet member needs. A valid RN license and strong communication skills are required.