Remote RN Care Manager — LTSS & Waiver Coordination

Jobtome; Evanston Township (IL); Teletrabalho; USD 38 000 - 74 000; Tempo integral

Resumo da oferta

Molina Healthcare is hiring a Field-Based Care Manager to support LTSS activities and collaborate with a multidisciplinary team across the care continuum. The role emphasizes ensuring progress toward outcomes and coordinating high-need member care.

Responsibilities include in-person assessments, waiver enrollment, care plan implementation, and ongoing monitoring. Travel within the greater Cook County area is expected to support member care and service integration.

Qualificações

• 2+ years of experience in health care, including care management and LTSS.
• Active RN license in state of practice.
• Bachelor's degree in a health care related field may be required in some states.

Responsabilidades

• Completes comprehensive member assessments within regulated timelines, including in-person home visits.
• Facilitates comprehensive waiver enrollment and disenrollment processes.
• Develops and implements care plans with members and health professionals.
• Monitors care plans and documents interventions and outcomes.
• Promotes integration of services across LTSS and behavioral health for continuity of care.
• Assesses medical necessity and authorizes waiver services.
• Interdisciplinary care team meetings for service decisions.

Conhecimentos

Care management

RN license

Healthcare experience

Communication skills

Time management

Driver's license

Microsoft Office

Formação académica

Bachelor's degree in a health care related field

Ferramentas

Microsoft Office Suite

Descrição da oferta de emprego

Molina Healthcare is hiring a Field-Based Care Manager to support LTSS activities and collaborate with a multidisciplinary team across the care continuum. The role emphasizes ensuring progress toward outcomes and coordinating high-need member care.

Responsibilities include in-person assessments, waiver enrollment, care plan implementation, and ongoing monitoring. Travel within the greater Cook County area is expected to support member care and service integration.