Remote Care Manager for LTSS & Coordination

Molina Talent Acquisition; Illinois; Remote; USD 60,000 - 90,000; Full time

Job summary

Molina Healthcare is seeking a remote field-based Care Manager to support LTSS-related activities and collaborate with a multidisciplinary team. The role involves coordinating comprehensive care plans, facilitating waiver processes, and ensuring member progress toward outcomes.

The position requires strong communication, proactive problem solving, and the ability to travel regionally up to 40% as needed by state contracts.

Qualifications

• At least 2 years in health care, including care management or LTSS experience.
• Clinical licensure active and unrestricted in state of practice as noted.
• Experience with persons with disabilities, chronic conditions, or substance use disorders preferred.

Responsibilities

• Complete comprehensive member assessments within regulatory timelines, including home visits.
• Coordinate waiver enrollment/disenrollment and develop care plans with care teams and members.
• Monitor care plans and document progress toward outcomes; adjust as needed.
• Promote integration of LTSS with behavioral health and community resources.
• Assess medical necessity and authorize waiver services; evaluate benefits and funding sources.
• Facilitate ICT meetings for service approvals; collaborate across teams.
• Educate and motivate members using motivational interviewing and Molina guidelines.
• Identify barriers to care and address psychosocial, financial, and medical obstacles.
• Identify critical incidents and create prevention plans to protect member welfare.
• May provide guidance to peers as needed.
• Travel 25-40% locally as required by state/contractual terms.

Skills

Strong communication

Detail oriented

Time management

Self-motivation

Travel readiness

Education

LCSW / LMSW / APSW / LPC / LPCC / LMFT / PhD/PsyD or equivalent

Tools

Microsoft Office

Job description

Molina Healthcare is seeking a remote field-based Care Manager to support LTSS-related activities and collaborate with a multidisciplinary team. The role involves coordinating comprehensive care plans, facilitating waiver processes, and ensuring member progress toward outcomes.

The position requires strong communication, proactive problem solving, and the ability to travel regionally up to 40% as needed by state contracts.