Nursing Facility Care Manager, LTSS (RN)

JOB DESCRIPTION

Opportunity for a bilingual, TX licensed RN residing in Eagle Pass, TX. You will be a part of Molina to work with our Medicaid members presently admitted to a nursing facility.  Preference will probably be given to RNs who’ve labored in Facility Care Management with one other MCO, however we may even think about RNs who’ve expertise working in nursing amenities and/or expertise conducting MDS assessments. Responsibilities embody seeing the members within the nursing amenities and dealing with the nursing employees onsite there. Hours are Monday – Friday, 8 AM – 5 PM CST and mileage is reimbursed as a part of our profit bundle.

Solid expertise with Microsoft Office Suite is critical, particularly with Outlook, Excel, and Teams in addition to being assured in shifting between completely different packages to finish the required types and documentation. 

 Job Summary

Provides assist for care administration/care coordination long-term providers and helps particular actions and collaborates with multidisciplinary staff coordinating built-in supply of member care throughout the continuum for members with high-need potential. Strives to make sure member progress towards desired outcomes and contributes to overarching technique to offer high quality and cost-effective member care.

Essential Job Duties

• Completes complete member assessments inside regulated timelines, together with in-person house visits as required.
• Facilitates complete waiver enrollment and disenrollment processes.
• Develops and implements care plans, together with a waiver service plan in collaboration with members, caregivers, physicians and/or different acceptable well being care professionals and member assist community to handle the member wants and objectives.
• Performs ongoing monitoring of care plan to judge effectiveness, doc interventions and objective achievement, and counsel adjustments accordingly.
• Promotes integration of providers for members together with behavioral well being care and long-term providers and helps (LTSS) and residential and group sources to boost continuity of care.
• Assesses for medical necessity and authorizes all acceptable waiver providers.
• Evaluates lined advantages and advises appropriately concerning funding sources.
• Facilitates interdisciplinary care staff (ICT) conferences for approval or denial of providers and casual ICT collaboration.
• Uses motivational interviewing and Molina medical guideposts to teach, assist and encourage change throughout member contacts.
• Assesses for boundaries to care and gives care coordination and help to members to handle psycho/social, monetary, and medical obstacles issues.
• Identifies essential incidents and develops prevention plans to guarantee member well being and welfare.
• May present session, sources and suggestions to friends as wanted.
• Care supervisor RNs could also be assigned advanced member circumstances and drugs regimens.
• Care supervisor RNs could conduct medicine reconciliation as wanted.
• 25-40% estimated native journey could also be required (based mostly upon state/contractual necessities).

Required Qualifications

• At least 2 years expertise in well being care, together with at the very least 1 yr expertise in care administration, managed care, and/or expertise in a medical or behavioral well being setting, and at the very least 1 yr of expertise working with individuals with disabilities, power circumstances, substance abuse problems, and long-term providers and helps (LTSS), or equal mixture of related training and expertise.
• Registered Nurse (RN). License should be energetic and unrestricted in state of follow.
• Valid and unrestricted driver’s license, dependable transportation, and ample auto insurance coverage for job associated journey necessities, until in any other case required by legislation.
• Ability to function proactively and exhibit detail-oriented work.
• Demonstrated information of group sources.
• Ability to work inside a wide range of settings and modify fashion as wanted – working with various populations and varied personalities and private conditions.
• Ability to work independently, with minimal supervision and exhibit self-motivation.
• Responsiveness in all types of communication, and talent to stay calm in high-pressure conditions.
• Ability to develop and preserve skilled relationships.
• Excellent time-management and prioritization abilities, and talent to concentrate on a number of tasks concurrently and adapt to alter.
• Excellent problem-solving and critical-thinking abilities.
• Strong verbal and written communication abilities.
• Microsoft Office suite/relevant software program program(s) proficiency.
• In some states, should have at the very least one yr of expertise working instantly with people with substance use problems.

Preferred Qualifications

• Certified Case Manager (CCM).
• Experience working with populations that obtain waiver providers.

To all present Molina workers: If you have an interest in making use of for this place, please apply by means of the Internal Job Board.

Molina Healthcare gives a aggressive advantages and compensation bundle. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V

Pay Range: $26.41 – $51.49 / HOURLY
*Actual compensation could range from posting based mostly on geographic location, work expertise, training and/or talent degree.

Molina Healthcare is a nationwide fortune 500 group with a mission to offer high quality healthcare to individuals receiving authorities help. If you’re in search of a significant alternative in a team-oriented setting, come be part of a extremely engaged workforce devoted to our mission. Bring your ardour and skills and collectively we are able to make a distinction within the lives of others. Molina Healthcare gives a aggressive advantages and compensation bundle. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.

Job Type Full Time

Posting Date 06/03/2026