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2h ago Curated

Care Manager, LTSS (RN) Remote

Molina Healthcare

Job description

Provides care management/care coordination for long-term services and supports (LTSS). Completes comprehensive member assessments within regulated timelines, including in-person home visits. Facilitates waiver enrollment/disenrollment, develops care plans, monitors effectiveness, promotes integration of services, assesses medical necessity, and authorizes waiver services. Uses motivational interviewing. 25-40% local travel required. Requires active RN license in state of practice, 2+ years healthcare experience including 1 year in care management/managed care and 1 year with LTSS/disabilities/chronic conditions. Valid driver's license and reliable transportation required.

Key responsibilities

  • Complete comprehensive member assessments including in-person home visits
  • Facilitate waiver enrollment and disenrollment
  • Develop and implement care plans
  • Monitor care plan effectiveness and document interventions
  • Promote integration of services including behavioral health and LTSS
  • Assess medical necessity and authorize waiver services
  • Facilitate interdisciplinary care team meetings
  • Use motivational interviewing to educate and support members
  • Assess barriers to care and coordinate assistance
  • Identify critical incidents and develop prevention plans

What you bring

  • Active RN license in state of practice
  • 2+ years healthcare experience
  • 1+ year care management/managed care experience
  • 1+ year experience with LTSS, disabilities, chronic conditions
  • Valid driver's license and reliable transportation
  • Knowledge of community resources
  • Strong communication and problem-solving skills
  • Microsoft Office proficiency

Tags

LTSSCare ManagementField-basedHome VisitsMichigan

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