No longer accepting applications

Care Manager, LTSS (RN) - Field travel to Dane County, WI

Molina Healthcare CareersKenosha, WI, United States

19 hours ago

Job type

Full-time

Job description

Field Travel throughout Dane County, WI

JOB DESCRIPTION Job Summary Molina Healthcare Services (HCS) works with members, providers and multidisciplinary team members to assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long-term care, for members with high need potential. HCS staff work to ensure that patients progress toward desired outcomes with quality care that is medically appropriate and cost-effective based on the severity of illness and the site of service. KNOWLEDGE / SKILLS / ABILITIES

Completes face-to-face comprehensive assessments of members per regulated timelines.

Facilitates comprehensive waiver enrollment and disenrollment processes.

Develops and implements a case management plan, including a waiver service plan, in collaboration with the member, caregiver, physician and / or other appropriate healthcare professionals and member's support network to address the member needs and goals.

Performs ongoing monitoring of the care plan to evaluate effectiveness, document interventions and goal achievement, and suggest changes accordingly.

Promotes integration of services for members including behavioral health care and long term services and supports, home and community to enhance the continuity of care for Molina members.

Assesses for medical necessity and authorize all appropriate waiver services.

Evaluates covered benefits and advise appropriately regarding funding source.

Conducts face-to-face or home visits as required.

Facilitates interdisciplinary care team meetings for approval or denial of services and informal ICT collaboration.

Uses motivational interviewing and Molina clinical guideposts to educate, support and motivate change during member contacts.

Assesses for barriers to care, provides care coordination and assistance to member to address psycho / social, financial, and medical obstacles concerns.

Identifies critical incidents and develops prevention plans to assure member's health and welfare.

Provides consultation, recommendations and education as appropriate to non-RN case managers

Works cases with members who have complex medical conditions and medication regimens

Conducts medication reconciliation when needed.

50-75% travel required. JOB QUALIFICATIONS Required Education Graduate from an Accredited School of Nursing Required Experience

At least 1 year of experience working with persons with disabilities / chronic conditions and Long Term Services & Supports.

1-3 years in case management, disease management, managed care or medical or behavioral health settings.

Required License, Certification, Association

Active, unrestricted State Registered Nursing license (RN) in good standing

If field work is required, Must have valid driver's license with good driving record and be able to drive within applicable state or locality with reliable transportation. State Specific Requirements Virginia : Must have at least one year of experience working directly with individuals with Substance Use Disorders Preferred Education Bachelor's Degree in Nursing Preferred Experience

3-5 years in case management, disease management, managed care or medical or behavioral health settings.

1 year experience working with population who receive waiver services. Preferred License, Certification, Association Active and unrestricted Certified Case Manager (CCM) #PJHS #LI-AC1 To all current Molina employees : If you are interested in applying for this position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M / F / D / V. Pay Range : $26.41 - $51.49 / HOURLY

Actual compensation may vary from posting based on geographic location, work experience, education and / or skill level.

Create a job alert for this search

Rn Care Manager • Kenosha, WI, United States

Related jobs

Promoted

Travel Nurse RN - PCU - Progressive Care Unit - $2,106 per week

GQR HealthcareRacine, WI, USA

Full-time

GQR Healthcare is seeking a travel nurse RN PCU - Progressive Care Unit for a travel nursing job in Racine, Wisconsin.Job Description & Requirements. GQR Healthcare is representing a well-known heal...Show moreLast updated: 30+ days ago

Promoted
New!

Travel Nurse - ICU - Intensive Care Unit in Zion, Illinois - $10531 / month

Vetted HealthZion, IL, United States

Temporary

Job Opportunity : RN - ICU - Intensive Care Unit.Specialty : RN - ICU - Intensive Care Unit.Coordinates total nursing care for patients. Participates in patient and family teaching.Provides leadership...Show moreLast updated: 11 hours ago

Promoted
New!

Travel RN - ICU - Intensive Care Unit - Zion, Illinois - $2490 / week

Vetted HealthZion, IL, United States

Temporary

Promoted

Travel Nurse RN - ICU - Intensive Care Unit

Host HealthcareZion, IL, US

Full-time

Host Healthcare is seeking a travel nurse RN ICU - Intensive Care Unit for a travel nursing job in Zion, Illinois.Job Description & Requirements. Pay package is based on 12 hour shifts and 36 ho...Show moreLast updated: 30+ days ago

Promoted

Territory Manager - Racine, WI

US FoodsRacine, WI, US

Full-time

Join Our Team as a Territory Manager Where Passion Meets Opportunity! Are you ready to build relationships, drive sales, and make a meaningful impact in the foodservice industry? At US Foods, we'r...Show moreLast updated: 30+ days ago

Promoted
New!

Travel RN - ICU - Intensive Care Unit - Zion, Illinois - $2432 / week

Vetted HealthZion, IL, United States

Temporary

Promoted

Travel Nurse RN - PCU - Progressive Care Unit - $2,203 per week

Planet HealthcareRacine, WI, USA

Full-time

Planet Healthcare is seeking a travel nurse RN PCU - Progressive Care Unit for a travel nursing job in Racine, Wisconsin. Job Description & Requirements.Planet Healthcare Job ID #65445081.Pay packag...Show moreLast updated: 30+ days ago

Promoted

Home Care Field Specialist

BrightStar CareGurnee, IL, US

Full-time

The BrightStar Care Field Specialist is a member of the home care team who works under the supervision of the Customer Care Manager and Director of Nursing. The Field Specialist will provide direct ...Show moreLast updated: 21 days ago

Promoted
New!

Travel RN - ICU - Intensive Care Unit - Pleasant Prairie, Wisconsin - $2125 / week

Vetted HealthPleasant Prairie, WI, United States

Temporary

Job Opportunity : RN - ICU - Intensive Care Unit.Specialty : RN - ICU - Intensive Care Unit.Location : Pleasant Prairie, Wisconsin. Coordinates total nursing care for patients.Participates in patient a...Show moreLast updated: 11 hours ago

Promoted
New!

Travel Nurse RN - ICU - Intensive Care Unit - $2,254 per week

NuWest Travel NursingPleasant Prairie, WI, United States

Full-time

NuWest Travel Nursing is seeking a travel nurse RN ICU - Intensive Care Unit for a travel nursing job in Pleasant Prairie, Wisconsin. Job Description & Requirements.We have a new assignment for RN -...Show moreLast updated: 5 hours ago

Promoted
New!

Travel Nurse RN - ICU - Intensive Care Unit

NuWest Travel NursingPleasant Prairie, WI, US

Full-time

Business Development Manager - Tree Care

Yellowstone LandscapeWauconda, IL, US

Full-time

Yellowstone Landscape’s Tree Care Division is now hiring an experienced tree-care sales professional.As a Tree Care Business Development Manager, you will play an instrumental role in the connectio...Show moreLast updated: 30+ days ago

Promoted

Travel ICU RN (Stem Cell Transplant & CAR-T) - $2,520 per week

GHR Healthcare - Travel DivisionZion, IL, United States

Full-time

GHR Healthcare - Travel Division is seeking a travel nurse RN ICU - Intensive Care Unit for a travel nursing job in Zion, Illinois. Job Description & Requirements.GHR Healthcare - Travel Division J...Show moreLast updated: 21 days ago

Promoted

Travel Rehabilitation RN

Premier Medical Staffing ServicesKenosha, WI, US

Permanent

Premier Medical Staffing Services is seeking a travel nurse RN Rehabilitation for a travel nursing job in Kenosha, Wisconsin. Job Description & Requirements.Premier Medical Staffing Job ID #5999...Show moreLast updated: 30+ days ago

Promoted

Travel ICU RN - CRRT

GetMed Staffing, Inc.Pleasant Prairie, WI, US

Full-time

RN ICU - Intensive Care Unit for a travel nursing job in Pleasant Prairie, Wisconsin.Job Description & Requirements.GetMed Staffing is searching for a strong ICU RN to assist our traveler-frien...Show moreLast updated: 28 days ago

Promoted

Travel Critical Care RN - ECMO & Ventilator Management

Talent4HealthLibertyville, IL, US

Full-time

Talent4Health is seeking a travel nurse RN Manager for a travel nursing job in Libertyville, Illinois.Job Description & Requirements. Active BLS and ACLS (AHA), PALS, NRP, and RRT (CRT also acce...Show moreLast updated: 5 days ago

Promoted

Travel Nurse RN - PCU - Progressive Care Unit - $2,045 per week

IDR HealthcareRacine, WI, USA

Full-time

IDR Healthcare is seeking a travel nurse RN PCU - Progressive Care Unit for a travel nursing job in Racine, Wisconsin.Job Description & Requirements. IDR Healthcare is an awarding winning staffing f...Show moreLast updated: 30+ days ago

Promoted

Travel ICU RN - CRRT

Host HealthcarePleasant Prairie, WI, US

Full-time

Host Healthcare is seeking a travel nurse RN ICU - Intensive Care Unit for a travel nursing job in Pleasant Prairie, Wisconsin. Job Description & Requirements.Pay package is based on 12 hour shi...Show moreLast updated: 30+ days ago

Promoted
New!

Travel RN - ICU - Intensive Care Unit - Pleasant Prairie, Wisconsin - $2317 / week

Vetted HealthPleasant Prairie, WI, United States

Temporary

Promoted
New!

Travel RN - ICU - Intensive Care Unit - Pleasant Prairie, Wisconsin - $2361 / week

Vetted HealthPleasant Prairie, WI, United States

Temporary