RN LTSS Care Manager — Waiver & Coordinated Care

Molina Healthcare, Inc.; Illinois; In loco; USD 38.000 - 74.000; Tempo pieno

Vantaggi offerti da questo lavoro

Competitive benefits

Equal Opportunity Employer (EOE)

Descrizione del lavoro

Molina Healthcare, Inc. in Illinois seeks an RN care manager to support LTSS care coordination. You will complete member assessments, develop care plans, and collaborate with interdisciplinary teams to ensure quality, cost-effective care.

The role requires at least 2 years in healthcare, an active RN license, and the ability to travel 25-40% locally. You will liaise with members, caregivers, physicians, and support networks; proficiency with Microsoft Office is expected.

Competenze

• At least 2 years in health care, with 1 year in care management or LTSS.
• RN license active and unrestricted in state of practice.
• Bachelor's degree may be required depending on state/contract.
• Valid driver's license and reliable transportation for travel.
• Strong communication, self-motivation, and independence.
• Experience with substance use disorders beneficial.

Mansioni

• Complete comprehensive member assessments within timelines, including home visits.
• Facilitate waiver enrollment/disenrollment processes.
• Develop and implement care plans with members, caregivers and providers.
• Monitor care plan effectiveness and adjust as needed.
• Coordinate LTSS and behavioral health services and resources.
• Assess for medical necessity and authorize waiver services.
• Participate in ICT meetings for approval/denial of services.
• Educate and motivate members during contacts using clinical guidelines.
• Identify barriers to care and coordinate solutions.
• Identify critical incidents and develop prevention plans.
• May provide consultation to peers; complex cases may be assigned.
• Travel 25-40% locally as required.

Conoscenze

Care management

Communication skills

Problem-solving

Time-management

Travel willingness

Formazione

Registered Nurse (RN) license

Bachelor's degree in health care related field

Microsoft Office Suite

Strumenti

Microsoft Office

Descrizione del lavoro

Molina Healthcare, Inc. in Illinois seeks an RN care manager to support LTSS care coordination. You will complete member assessments, develop care plans, and collaborate with interdisciplinary teams to ensure quality, cost-effective care.

The role requires at least 2 years in healthcare, an active RN license, and the ability to travel 25-40% locally. You will liaise with members, caregivers, physicians, and support networks; proficiency with Microsoft Office is expected.