Case Manager, LTSS (RN)
Are you a compassionate and driven Registered Nurse looking to make a difference in the lives of individuals in need of long-term support services? Molina Healthcare is seeking a skilled and dedicated Case Manager to join our team and provide essential care coordination and advocacy for our members. In this role, you will have the opportunity to utilize your clinical expertise and strong communication skills to ensure our members receive the best possible care and support. If you possess a positive attitude, a commitment to patient-centered care, and the required qualifications, we invite you to apply for this rewarding position.
- Develop and implement comprehensive care plans for members in need of long-term support services.
- Conduct thorough assessments of members' physical, mental, and emotional needs.
- Collaborate with healthcare providers and community resources to coordinate and facilitate appropriate care for members.
- Advocate for members to ensure they receive necessary services and support.
- Monitor and evaluate the effectiveness of care plans and make necessary adjustments.
- Maintain accurate and up-to-date documentation of member interactions and progress.
- Educate members and their families on available resources and support services.
- Communicate effectively with members, families, and healthcare team members to ensure continuity of care.
- Stay current on best practices and regulations related to long-term support services.
- Adhere to all privacy and confidentiality policies and procedures.
- Participate in interdisciplinary team meetings to discuss member care and collaborate on solutions.
- Provide emotional support and guidance to members and their families.
- Identify and address any potential barriers to care and develop strategies to overcome them.
- Serve as a liaison between members, healthcare providers, and community organizations.
- Promote a positive and patient-centered work environment.
Registered Nurse (Rn) License: A Case Manager, Ltss At Molina Healthcare Must Hold A Current And Active Rn License In The State Where They Are Practicing.
Experience In Long-Term Services And Supports (Ltss): Candidates Should Have A Minimum Of 2-3 Years Of Experience Working In The Ltss Field, With A Strong Understanding Of Medicaid And Medicare Programs.
Case Management Experience: Previous Experience In Case Management, Preferably In A Healthcare Setting, Is Required. This Includes Experience With Care Coordination, Utilization Management, And Discharge Planning.
Knowledge Of Managed Care: Familiarity With Managed Care Principles And Practices, As Well As Knowledge Of State And Federal Regulations Related To Ltss, Is Highly Preferred.
Excellent Communication And Interpersonal Skills: A Case Manager, Ltss Must Have Strong Communication Skills, Both Written And Verbal, And The Ability To Build Relationships With Members, Providers, And Other Healthcare Professionals. This Role Also Requires Strong Organizational And Problem-Solving Skills.
Documentation
Communication
Time Management
Patient
Chronic disease management
Collaboration
Resource management
Care planning
advocacy
assessment
Medicare
Medicaid
Care Coordination
Communication
Conflict Resolution
Leadership
Time management
Critical thinking
Attention to detail
Teamwork
Positive Attitude
Adaptability
Problem-Solving
According to JobzMall, the average salary range for a Case Manager, LTSS (RN) in Wautoma, WI 54982, USA is $59,000-$75,000 per year. This can vary based on factors such as the specific job duties, years of experience, and the employer.
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Molina Healthcare is a managed care company headquartered in Long Beach, California, United States. The company provides health insurance to individuals through government programs such as Medicaid and Medicare.
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