Remote Care Manager | LTSS & Care Coordination

Molina Healthcare; Evanston (IL); Remote; USD 38,000 - 74,000; Full time

Job summary

Molina Healthcare in the Cook County area seeks a field-based care management professional to support LTSS and care coordination for high-need members. You will collaborate with a multidisciplinary team to implement care plans and ensure progress toward outcomes.

Role requires 2+ years in health care with care management, proper licensure, strong communication, and transportation for travel. Travel is 25–40% locally; remote field work is involved. Competitive hourly compensation.

Qualifications

• 2+ years in health care with care management or equivalent LTSS experience.
• Active and unrestricted professional license as applicable.
• Proven ability to work with diverse populations and settings.
• Valid driver’s license and reliable transportation for travel requirements.
• Strong communication and organization skills.

Responsibilities

• Completes comprehensive member assessments within timelines, including home visits.
• Facilitates waiver enrollment/disenrollment processes.
• Develops and implements care plans with the member and care network.
• Monitors and evaluates care plan effectiveness and makes adjustments.
• Promotes service integration across behavioral health and LTSS.
• Assesses medical necessity and authorizes waiver services.
• Coordinates ICT meetings for service decisions.
• Performs proactive problem-solving and supports members’ barriers to care.
• Travel estimated at 25–40% locally as required.

Skills

Care coordination

Communication

Travel

LTSS / disability

Education

Licensed social worker (LCSW/LMSW/ASWP) or equivalent

Bachelor’s degree in health care

Tools

Microsoft Office

Job description

Molina Healthcare in the Cook County area seeks a field-based care management professional to support LTSS and care coordination for high-need members. You will collaborate with a multidisciplinary team to implement care plans and ensure progress toward outcomes.

Role requires 2+ years in health care with care management, proper licensure, strong communication, and transportation for travel. Travel is 25–40% locally; remote field work is involved. Competitive hourly compensation.