Remote Care Manager for LTSS & Waiver Coordination

Jobtome; Skokie (IL); A distancia; USD 38.000 - 74.000; Jornada completa

Descripción de la vacante

Molina Healthcare is seeking a field-based care coordination professional for LTSS in the greater Cook County area. The role requires travel and collaboration with a multidisciplinary team to deliver integrated member care and achieve outcomes.

You will assess, plan, implement, and monitor waiver services, coordinate resources, and support members with diverse needs while navigating regulatory timelines and service options.

Formación

• 2+ years in health care with care management experience.
• Experience with disabilities, chronic conditions, or LTSS.
• Active and unrestricted clinical license in state of practice where required.

Responsabilidades

• Complete member assessments within timelines, including home visits.
• Facilitate waiver enrollment and disenrollment.
• Develop and implement care plans with members and providers.
• Monitor care plan effectiveness and adjust as needed.
• Coordinate LTSS and behavioral health services across teams.
• Assess medical necessity and authorize waiver services.
• Evaluate benefits and advise on funding sources.
• Lead ICT meetings for service decisions.
• Travel 25–40% as required by state/contracts.

Conocimientos

Care management

LTSS

Multidisciplinary collaboration

Travel readiness

Communication

Educación

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

Valid driver's license

Herramientas

Microsoft Office

Descripción del empleo

Molina Healthcare is seeking a field-based care coordination professional for LTSS in the greater Cook County area. The role requires travel and collaboration with a multidisciplinary team to deliver integrated member care and achieve outcomes.

You will assess, plan, implement, and monitor waiver services, coordinate resources, and support members with diverse needs while navigating regulatory timelines and service options.