Remote RN Care Manager — LTSS & Waiver Specialist

Molina Healthcare; Skokie (IL); Remote; USD 38,000 - 74,000; Full time

Job summary

Molina Healthcare, Inc. is seeking an RN-based care manager for a remote field-based role serving the greater Cook County area. The position focuses on coordinating LTSS, care plans, and interdisciplinary team collaboration with travel required.

The role requires strong clinical judgment, excellent communication, and the ability to manage multiple complex cases while navigating waiver services and regulatory timelines. Travel will be required periodically.

Qualifications

• Active RN license, unrestricted in state of practice.
• Minimum 2 years in health care, including care management or LTSS exposure.
• Valid driver’s license and reliable transportation for required travel.
• Strong communication and documentation abilities in English.
• Proficiency with Microsoft Office and related software.

Responsibilities

• Completes comprehensive member assessments within timelines, including home visits as required.
• Facilitates waiver enrollment/disenrollment processes.
• Develops and implements care plans with members, caregivers, and clinicians.
• Monitors care plan effectiveness and documents progress and changes.
• Promotes LTSS integration and coordinates with community resources.
• Assesses medical necessity and authorizes waiver services.
• Coordinates ICT meetings for approval/denial of services.
• Provides education and motivational interviewing to support change.
• Identifies barriers to care and assists with psycho/social, financial, and medical obstacles.
• Travel 25-40% as required by state/contractual needs.

Skills

Verbal and written communication

Time management

Independent work

Problem solving

Attention to detail

Tools

Microsoft Office

Job description

Molina Healthcare, Inc. is seeking an RN-based care manager for a remote field-based role serving the greater Cook County area. The position focuses on coordinating LTSS, care plans, and interdisciplinary team collaboration with travel required.

The role requires strong clinical judgment, excellent communication, and the ability to manage multiple complex cases while navigating waiver services and regulatory timelines. Travel will be required periodically.