Care Manager, LTSS (RN) - Field Travel

About the role

Provides care management and coordination for members requiring long-term services and supports (LTSS). Collaborates with multidisciplinary teams to deliver integrated, quality, and cost-effective care aimed at achieving member health goals.

Responsibilities

• Completes comprehensive assessments, including in-home visits.
• Develops, implements, and monitors personalized care plans in collaboration with members, caregivers, and healthcare professionals.
• Facilitates waiver enrollment/disenrollment and evaluates medical necessity for services.
• Promotes service integration across behavioral health, LTSS, and community resources.
• Leads interdisciplinary team meetings for service approval or denial.
• Uses motivational interviewing to support and educate members, addressing barriers and developing prevention plans.
• May provide consultation to peers and handle complex cases involving medication management.

Qualifications

• Active RN license with at least 2 years of healthcare experience, including care management and work with persons with disabilities or chronic conditions.
• Valid driver’s license, reliable transportation, and ability to travel locally.
• Preferred: Certified Case Manager (CCM) certification.
• Preferred: Experience with waiver services and populations with substance use disorders.

Skills

• Strong communication, problem-solving, and time management skills.
• Proficiency in Microsoft Office and community resource knowledge.
• Ability to work independently, adapt to diverse settings, and handle high-pressure situations.