Remote RN Care Manager for LTSS & Waiver Services

Molina Healthcare; Skokie (IL); On-site; USD 39,000 - 74,000; Full time

Benefits offered by this job

Competitive benefits

Job summary

Molina Healthcare seeks a remote field-based care coordinator to support LTSS and care management in the greater Cook County area. You will collaborate with a multidisciplinary team to ensure integrated, high-quality, cost-effective member care.

Responsibilities include member assessments, waiver enrollment, care plan development, monitoring outcomes, and coordinating with behavioral health and community resources. Travel to local sites and home visits may be required.

Qualifications

• 2+ years in health care with at least 1 year in care management or LTSS
• Active RN license valid in state of practice
• Valid driver’s license with reliable transportation and willingness to travel locally

Responsibilities

• Complete comprehensive member assessments within regulatory timelines, including in-person home visits.
• Facilitate waiver enrollment and disenrollment processes.
• Develop and implement care plans with members and care team.
• Monitor care plan effectiveness and adjust interventions as needed.
• Promote integration of LTSS with behavioral health and community resources.
• Assess medical necessity and authorize waiver services.
• Lead ICT meetings for service approvals/denials.
• Educate and motivate members using motivational interviewing.
• Identify barriers and address psycho/social, financial, medical obstacles.
• Travel locally 25–40% as required.

Skills

RN licensure

LTSS experience

Care management

Vehicle and travel

Communication skills

Self-motivation

Problem-solving

Education

Active RN license

Bachelor's degree in healthcare

Tools

Microsoft Office

Job description

Molina Healthcare seeks a remote field-based care coordinator to support LTSS and care management in the greater Cook County area. You will collaborate with a multidisciplinary team to ensure integrated, high-quality, cost-effective member care.

Responsibilities include member assessments, waiver enrollment, care plan development, monitoring outcomes, and coordinating with behavioral health and community resources. Travel to local sites and home visits may be required.