Care Manager, LTSS (RN) - Vermillion, Iroquios, Coles

About This Role

The Care Manager (RN) for Long-Term Services and Supports (LTSS) will provide support for care management and coordination activities, collaborating with a multidisciplinary team to ensure quality and cost-effective member care for individuals with high-need potential.

Highlights

• Pay: $27 - $54/hour
• Location: Gilman, IL
• Schedule: Full Time

What You'll Do

• Complete comprehensive member assessments within regulated timelines, including in-person home visits.
• Facilitate comprehensive waiver enrollment and disenrollment processes.
• Develop and implement care plans in collaboration with members, caregivers, and healthcare professionals.
• Perform ongoing monitoring of care plans to evaluate effectiveness and suggest changes.
• Promote integration of services for members, including behavioral health care and community resources.
• Assess for medical necessity and authorize appropriate waiver services.
• Evaluate covered benefits and advise on funding sources.
• Facilitate interdisciplinary care team meetings for service approval or denial.
• Use motivational interviewing to educate and support members.
• Assess for barriers to care and provide coordination to address obstacles.
• Identify critical incidents and develop prevention plans for member health.
• Conduct medication reconciliation as needed.

Requirements

Education

• RN License must be active and unrestricted in state of practice.
• In some states, a bachelor's degree in a health care related field may be required.

Experience

• At least 2 years of experience in health care, including 1 year in care management or a medical/behavioral health setting.
• Experience working with persons with disabilities, chronic conditions, and long-term services and supports (LTSS).

Licenses & Certifications

• Valid and unrestricted driver's license.
• Certified Case Manager (CCM) preferred.

About Molina Healthcare

Molina Healthcare is a leading healthcare provider committed to delivering exceptional patient care. They focus on providing quality healthcare services to individuals and families, ensuring access to necessary resources and support.