REMOTE CASE MANAGER, LTSS RN (CHAMBERS)

✨ About The Role

- The role involves working with members, providers, and multidisciplinary teams to assess, plan, and coordinate integrated care delivery for individuals with high need potential - Responsibilities include completing assessments, developing care plans, monitoring progress, and promoting continuity of care for Molina members - The position requires travel for face-to-face visits and collaboration with healthcare professionals to address member needs and goals - Key tasks include facilitating waiver enrollment, conducting medication reconciliation, and identifying barriers to care for members - The job also involves providing consultation, recommendations, and education to non-RN case managers, as well as developing prevention plans for critical incidents

⚡ Requirements

- Experience in case management, disease management, or medical/behavioral health settings with a focus on individuals with disabilities/chronic conditions - Ability to conduct face-to-face comprehensive assessments and develop care plans in collaboration with healthcare professionals and support networks - Skilled in monitoring care plans, evaluating effectiveness, and suggesting changes as needed - Proficient in promoting integration of services, assessing medical necessity, and authorizing appropriate services - Comfortable with conducting home visits, facilitating care team meetings, and providing education and support to members with complex medical conditions