Long-Term Services and Supports Care Manager (RN) in Vineyard, UT

Job Summary Are you a dedicated Registered Nurse with a passion for improving the lives of individuals in need? Join our multidisciplinary team as a Care Manager for Long-Term Services and Supports (LTSS) and make a difference in the lives of members with high-need potential. In this role, you'll collaborate to coordinate integrated member care and work towards achieving quality, cost-effective health outcomes. Essential Job Duties • Conduct 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. • Monitor care plans for effectiveness and make necessary adjustments to meet member goals. • Promote integration of services including behavioral health care and community resources. • Assess medical necessity and authorize appropriate waiver services. • Evaluate covered benefits and advise on funding sources. • Facilitate interdisciplinary care team meetings for service approvals. • Utilize motivational interviewing techniques to support and educate members. • Assist members in overcoming barriers to care related to psycho/social, financial, and medical issues. • Identify critical incidents and develop intervention plans for member safety. • Consult and provide resources to peers as necessary. • May manage complex member cases, including medication reconciliation as needed. Travel may be required for local visits, estimated at 25-40% based on state/contractual requirements. Required Qualifications • Minimum of 2 years of healthcare experience, including 1 year in care management or a medical/behavioral health setting. • At least 1 year of experience working with individuals facing disabilities, chronic conditions, and substance abuse disorders. • Current, active, and unrestricted Registered Nurse (RN) license. • Valid driver's license, reliable transportation, and adequate auto insurance. • Detail-oriented with proactive work ethic. • Strong knowledge of community resources and ability to adapt to diverse populations. • Independent worker with excellent communication skills and ability to remain calm under pressure. • Strong problem-solving and critical-thinking capabilities. • Proficient in Microsoft Office and applicable software programs. Preferred Qualifications • Certification as a Case Manager (CCM). • Experience with populations utilizing waiver services. To all current Molina employees: If you are interested in this exciting opportunity, please apply through the Internal Job Board. Molina Healthcare offers competitive compensation and benefits. We are proud to be an Equal Opportunity Employer (EOE) M/F/D/V. Pay Range: $26.41 - $51.49 / HOURLY Actual compensation may vary based on geographic location, work experience, education, and skill level.