Care Manager, LTSS; RN); Bilingual Spanish; Field in Milwaukee County, WI

About This Role

The Care Manager, LTSS (RN) position is ideal for a bilingual Spanish-speaking registered nurse who will provide support for care management and coordination of long-term services and supports. This role involves collaborating with a multidisciplinary team to ensure quality and cost-effective member care.

• Pay: $26.41 - $51.49/hour
• Location:
  
  Wauwatosa, WI
• Schedule:
  
  Full Time

• 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 LTSS.
• Assess for medical necessity and authorize appropriate waiver services.
• Evaluate covered benefits and advise on funding sources.
• Facilitate interdisciplinary care team meetings for service approvals.
• Use motivational interviewing to educate and support members.
• Assess for barriers to care and provide coordination and assistance.

• 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.

• 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.

• Valid and unrestricted driver's license.
• Reliable transportation and adequate auto insurance for job-related travel.

• Competitive benefits and compensation package.

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