Field Care Manager, LTSS (RN) - Local Travel Required

Responsibilities

• Completes in-home, face-to-face assessments with Medicaid members.
• Facilitates comprehensive waiver enrollment and disenrollment processes.
• Develops and implements care plans, including a waiver service plan.
• Ongoing monitoring of care plan to evaluate effectiveness and document interventions.
• Promotes integration of services for members including behavioral health care and LTSS.
• Evaluates covered benefits and advises on funding sources.
• Facilitates interdisciplinary care team (ICT) meetings for approval or denial of services.
• Uses motivational interviewing and Molina clinical guideposts to educate and support members.
• Assesses for barriers to care and provides assistance to address concerns.
• Identifies critical incidents and develops prevention plans.
• May provide consultation, resources, and recommendations to peers.
• Conducts medication reconciliation as needed for complex member cases.

Requirements

• At least 2 years of experience in health care, including at least 1 year in care management, managed care, and/or medical or behavioral health settings.
• At least 1 year of experience working with persons with disabilities, chronic conditions, substance abuse disorders, and LTSS.
• Registered Nurse (RN) license, active and unrestricted in state of practice.
• Valid and unrestricted driver’s license, reliable transportation, and adequate auto insurance for job-related travel.
• Ability to operate proactively, demonstrate detail-oriented work, and develop professional relationships.
• Time-management and prioritization skills, and ability to focus on multiple projects simultaneously.

Qualifications

• Bachelor's degree in a health care related field may be required (dependent upon state/contractual requirements).
• Microsoft Office suite proficiency, especially with Outlook, Excel, and Teams.
• Experience working with populations that receive waiver services preferred.

Skills

• Knowledge of community resources.
• Ability to work independently and adjust style as needed.
• Responsiveness in all forms of communication.
• Problem-solving skills.
• Strong verbal and written communication skills.

Benefits

• Mileage reimbursement as part of the benefit package.
• Estimated 25-40% local travel may be required (based upon state/contractual requirements).

Pay

Pay range: $26.41 - $51.49 / HOUR