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2h ago Curated

Care Manager, LTSS (RN) - Field travel in Milwaukee County, WI

Molina Healthcare

Job description

Provides support for care management/care coordination long-term services and supports (LTSS)-specific activities. Collaborates with multidisciplinary team coordinating integrated delivery of member care across the continuum for members with high-need potential. Completes comprehensive member assessments within regulated timelines, including in-person home visits. Facilitates waiver enrollment and disenrollment. Develops and implements care plans. Performs ongoing monitoring of care plan. Promotes integration of services including behavioral health and LTSS. Assesses for medical necessity and authorizes waiver services. Evaluates covered benefits. Facilitates interdisciplinary care team meetings. Uses motivational interviewing. Assesses for barriers to care. Identifies critical incidents. May provide consultation. May conduct medication reconciliation. 25-40% local travel in Milwaukee County.

Key responsibilities

  • Complete comprehensive member assessments including in-person home visits
  • Facilitate waiver enrollment and disenrollment processes
  • Develop and implement care plans
  • Perform ongoing monitoring of care plan
  • Promote integration of services
  • Assess for medical necessity and authorize waiver services
  • Facilitate interdisciplinary care team meetings
  • Use motivational interviewing
  • Assess for barriers to care
  • Identify critical incidents

What you bring

  • Active unrestricted RN license in Wisconsin
  • 2+ years healthcare experience including 1 year in care management/managed care/medical or behavioral health setting
  • 1+ year experience with persons with disabilities, chronic conditions, substance abuse disorders, LTSS
  • Valid driver's license, reliable transportation, adequate auto insurance
  • Knowledge of community resources
  • Microsoft Office proficiency

Tags

Field travelLTSSCare ManagementMolina HealthcareMilwaukee County

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