Remote RN Care Manager – LTSS Specialist

Molina Healthcare; Naperville (IL); Remote; USD 39,000 - 74,000; Full time

Job summary

Molina Healthcare is seeking a Field-Based RN Care Manager with travel across the greater Cook County area. You will support LTSS care coordination, develop and monitor care plans, and collaborate with multidisciplinary teams to ensure high-quality, cost-effective member care.

Responsibilities include assessing member needs, facilitating waiver processes, and promoting service integration while navigating barriers to care. Travel 25-40% required within state guidelines.

Qualifications

• Active RN license in state of practice.
• Minimum 2 years in health care; at least 1 year in care management or LTSS.
• Valid driver’s license and reliable transportation.

Responsibilities

• Complete comprehensive member assessments within regulated timelines, including in-person home visits.
• Facilitate waiver enrollment and disenrollment processes.
• Develop and implement care plans with members, caregivers, physicians and others.
• Monitor and evaluate care plan effectiveness and adapt as needed.
• Promote integration of LTSS, behavioral health, and community resources.
• Assess medical necessity and authorize waiver services.
• Coordinate ICT meetings for approvals/denials.

Skills

RN license

Driver's license

Communication skills

Microsoft Office

Self-motivation

Time management

Education

Bachelor's degree in health care related field

Tools

Microsoft Office

Job description

Molina Healthcare is seeking a Field-Based RN Care Manager with travel across the greater Cook County area. You will support LTSS care coordination, develop and monitor care plans, and collaborate with multidisciplinary teams to ensure high-quality, cost-effective member care.

Responsibilities include assessing member needs, facilitating waiver processes, and promoting service integration while navigating barriers to care. Travel 25-40% required within state guidelines.