Remote Care Manager – LTSS & Waiver Services (Travel)

Jobtome; Naperville Township (IL); Remote; USD 38,000 - 74,000; Full time

Job summary

Molina Healthcare is seeking a field-based Care Coordination Specialist to support LTSS activities with travel in the greater Cook County area. You will collaborate with a multidisciplinary team to coordinate member care across the continuum and ensure progress toward outcomes.

The role requires active licensure (LCSW/LMSW/APSW/CHES/LPC/LPCC/LMFT or PhD/PsyD), 2+ years in health care with LTSS experience, strong communication, and proficiency with MS Office.

Qualifications

• Licensed clinical social work or related licensure active in state.
• Bachelor's degree in health care field may be required by state/contract.
• 2+ years health care experience; 1+ year in care management/LTSS; experience with disabilities/substance use a plus.
• Valid driver’s license and reliable transportation for travel.
• Proactive, detail-oriented, and able to work independently.

Responsibilities

• Completes comprehensive member assessments within regulated timelines, including in-person home visits as required.
• Facilitates comprehensive waiver enrollment and disenrollment processes.
• Develops and implements care plans, including a waiver service plan in collaboration with members and care network.
• Monitors care plans to evaluate effectiveness and adjust as needed.
• Promotes integration of services across LTSS and community resources to ensure continuity of care.
• Assesses medical necessity and authorizes waiver services; evaluates benefits and funding sources.
• Facilitates ICT meetings for approval/denial of services and collaboration.
• Uses motivational interviewing and Molina clinical guideposts to educate and motivate change.
• Identifies barriers to care and provides coordination for psycho/social, financial, and medical obstacles.
• Identifies critical incidents and develops prevention plans; may consult with peers as needed.
• Travel 25-40% locally as required by state/contractual requirements.

Skills

Care coordination

Multidisciplinary teamwork

Communication

Time management

Motivational interviewing

Microsoft Office

Travel readiness

Education

LCSW/LMSW/APSW/CHES/LPC/LPCC/LMFT or PhD/PsyD licensure (active)

Bachelor's degree in health care field

2+ years health care & 1+ year care management/LTSS experience

Job description

Molina Healthcare is seeking a field-based Care Coordination Specialist to support LTSS activities with travel in the greater Cook County area. You will collaborate with a multidisciplinary team to coordinate member care across the continuum and ensure progress toward outcomes.

The role requires active licensure (LCSW/LMSW/APSW/CHES/LPC/LPCC/LMFT or PhD/PsyD), 2+ years in health care with LTSS experience, strong communication, and proficiency with MS Office.