This job is closed
Applications are no longer available for this announcement. Explore current related opportunities below.
Job description
About This Role
The Care Manager (RN) for Long-Term Services and Supports (LTSS) provides support for care management and coordination activities, collaborating with a multidisciplinary team to ensure quality and cost-effective member care.
Highlights
Pay : $26.41 - $51.49/hour
Location : Wauwatosa, WI
Schedule : Full Time
What You'll Do
Complete comprehensive member assessments within regulated timelines, including in-person home visits.
Facilitate comprehensive waiver enrollment and disenrollment processes.
Develop and implement care plans in collaboration with members, caregivers, and healthcare professionals.
Perform ongoing monitoring of care plans to evaluate effectiveness and suggest changes.
Promote integration of services for members, including behavioral health care and community resources.
Assess for medical necessity and authorize appropriate waiver services.
Evaluate covered benefits and advise on funding sources.
Facilitate interdisciplinary care team meetings for service approvals.
Use motivational interviewing to educate and support members.
Assess for barriers to care and provide coordination to address obstacles.
Identify critical incidents and develop prevention plans.
Conduct medication reconciliation as needed.
Travel locally 25-40% as required.
Requirements
Education:
RN License must be active and unrestricted in state of practice.
In some states, a bachelor's degree in a healthcare-related field may be required.
Experience:
At least 2 years of experience in healthcare, including 1 year in care management or managed care.
Experience working with persons with disabilities, chronic conditions, or substance abuse disorders.
Licenses & Certifications:
Valid and unrestricted driver's license.
Reliable transportation and adequate auto insurance.
Benefits
Competitive benefits and compensation package.
About Molina Healthcare
Molina Healthcare is a leading healthcare provider committed to delivering exceptional patient care. They focus on providing quality and cost-effective services to members across various healthcare needs.
#J-18808-Ljbffr
Worksite address
california, MO, 65018, US
Who can apply
Review the original listing for work authorization, qualifications and employer requirements.