Remote LTSS Care Manager - Travel Required (WI)

Molina Healthcare, Inc.; Eau Claire (WI); Remote; USD 33,000 - 64,000; Full time

Job summary

Molina Healthcare, Inc. is seeking a remote Care Manager for LTSS in the United States, traveling regionally to support member visits. You will coordinate care across disciplines to improve outcomes and manage high-need members.

Responsibilities include assessing needs, coordinating waiver enrollment, developing care plans, monitoring progress, and collaborating with the care team to ensure quality and cost-effective care. Travel requirements are 25-40% based on state contracts.

Qualifications

• At least 2 years of health care experience, including LTSS and care management experience.
• Clinical licensure/certification required only if state contract requires; if licensed, license must be active.
• In some states, a bachelor's degree in a health care related field may be required.
• Valid driver's license, transportation, and adequate auto insurance for travel.
• Demonstrated knowledge of community resources.
• Ability to work with diverse populations and adjust style as needed.
• Strong verbal and written communication skills.
• Experience with individuals with substance use disorders preferred in some states.

Responsibilities

• Completes comprehensive member assessments within regulated timelines, including in-person home visits.
• Facilitates waiver enrollment and disenrollment processes.
• Develops and implements care plans with members, caregivers, and health professionals.
• Monitors care plan effectiveness and documents interventions and goal achievement.
• Promotes integration of LTSS with behavioral health and community resources.
• Assesses medical necessity and authorizes waiver services.
• Evaluates benefits and informs on funding sources.
• Facilitates interdisciplinary care team meetings for approvals/denials.
• Uses motivational interviewing to educate and motivate change.
• Assesses barriers to care and coordinates solutions.
• Identifies critical incidents and develops prevention plans.
• 25-40% local travel may be required.

Skills

Care coordination

Healthcare experience

Communication

Travel readiness

Education

CCM

LVN/LPN

Tools

Microsoft Office

EMR systems

Job description

Molina Healthcare, Inc. is seeking a remote Care Manager for LTSS in the United States, traveling regionally to support member visits. You will coordinate care across disciplines to improve outcomes and manage high-need members.

Responsibilities include assessing needs, coordinating waiver enrollment, developing care plans, monitoring progress, and collaborating with the care team to ensure quality and cost-effective care. Travel requirements are 25-40% based on state contracts.