Remote RN Care Manager – LTSS & Waiver Coordination

Jobtome; Chicago (IL); A distancia; USD 38.000 - 74.000; Jornada completa

Ventajas ofrecidas por este puesto de trabajo

Competitive benefits

Equal opportunity employer

Descripción de la vacante

Molina Healthcare seeks a registered nurse to provide remote, field-based care management in the greater Cook County area. The role involves coordinating LTSS, conducting home visits as needed, and collaborating with an interdisciplinary team to deliver integrated, cost-effective member care.

You will assess medical necessity, coordinate waiver services, and support members with psycho/social and medical barriers. Travel in-state is required, with a competitive hourly wage and benefits.

Formación

• Valid and active RN license in practicing state.
• Experience in care management, managed care, or LTSS.
• Strong communication and organizational skills.

Responsabilidades

• Assess member needs and complete comprehensive assessments within timelines.
• Coordinate waiver enrollment/disenrollment and care planning with care team.
• Monitor and adjust care plans; document interventions and outcomes.
• Facilitate ICT meetings and coordinate interdisciplinary care.
• Advise on benefits, funding sources, and medical necessity.

Conocimientos

RN license

Care management

Communication skills

Time management

Microsoft Office

Educación

Nursing degree

Herramientas

Microsoft Office

Descripción del empleo

Molina Healthcare seeks a registered nurse to provide remote, field-based care management in the greater Cook County area. The role involves coordinating LTSS, conducting home visits as needed, and collaborating with an interdisciplinary team to deliver integrated, cost-effective member care.

You will assess medical necessity, coordinate waiver services, and support members with psycho/social and medical barriers. Travel in-state is required, with a competitive hourly wage and benefits.