Remote Care Manager – LTSS & Waiver Coordination

Jobtome; Elgin Township (IA); Remote; USD 38.000 - 74.000; Vollzeit

Zusammenfassung

Molina Healthcare seeks a field-based remote care management professional to support LTSS member care in the greater Cook County area. You will collaborate with a multidisciplinary team to ensure outcomes, coordinate waiver services, and monitor care plans across the continuum.

You will conduct assessments, facilitate waivers, and promote service integration while visiting members as required. Travel up to 25-40% locally may be necessary, with emphasis on patient-centered care and adherence to

Qualifikationen

• 2+ years in health care, incl. care management or LTSS
• Experience with persons with disabilities, chronic conditions, SUD, LTSS preferred
• Driver's license and reliable transportation for travel
• Active and unrestricted license in state of practice where required

Aufgaben

• Complete comprehensive member assessments within timelines, including in-person visits
• Facilitate waiver enrollment/disenrollment processes
• Develop and implement care plans with members and care network
• Monitor care plan effectiveness and adapt as needed
• Coordinate services across behavioral health and LTSS to ensure continuity
• Assess medical necessity and authorize waiver services
• Engage in ICT meetings for service decisions
• Educate and motivate members using motivational interviewing

Kenntnisse

Care management

Managed care

Communication skills

Team collaboration

Ausbildung

Professional license (various)

Tools

Microsoft Office

Jobbeschreibung

Molina Healthcare seeks a field-based remote care management professional to support LTSS member care in the greater Cook County area. You will collaborate with a multidisciplinary team to ensure outcomes, coordinate waiver services, and monitor care plans across the continuum.

You will conduct assessments, facilitate waivers, and promote service integration while visiting members as required. Travel up to 25-40% locally may be necessary, with emphasis on patient-centered care and adherence to