About This Role
The Field Care Manager (RN) role at Molina Healthcare involves working with Medicaid members in the southern Dallas area, focusing on in-home assessments and care coordination. This position is ideal for RNs with experience in managed care and a passion for supporting individuals with high-need potential.
Highlights
- Pay: $26.41 - $51.49/hour
- Location: Lancaster, TX
- Schedule: Full Time, Monday – Friday, 8 AM – 5 PM CST
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.
Requirements
Education:
- Registered Nurse (RN) License must be active and unrestricted in state of practice.
Experience:
- At least 2 years in healthcare, including 1 year in care management or managed care, and 1 year working with persons with disabilities or chronic conditions.
Licenses & Certifications:
- Valid and unrestricted driver's license.
- Microsoft Office Suite proficiency.
Benefits
- Mileage reimbursement as part of the benefit package.
- Competitive benefits and compensation package.
About Molina Healthcare
Molina Healthcare is a leading healthcare provider committed to delivering exceptional patient care. They focus on providing quality and cost-effective member care, particularly for underserved populations.
#J-18808-LjbffrField Care Manager, LTSS (RN) - Local Travel Required in lancaster at Unknown Company
This position is listed as full time and onsite.