Remote RN Care Manager – LTSS & Waivers

Jobtome; Elgin Township (IA); Remote; USD 38,000 - 74,000; Full time

Job summary

Molina Healthcare is seeking an RN care manager for a remote field-based role that requires travel in the greater Cook County area. You will support care coordination for members with LTSS, ensuring progress toward outcomes and integrating services across the care continuum.

Requires active RN license, 2+ years in health care/care management, and the ability to travel; bachelor's degree may be required in some states. Competitive benefits and flexible scheduling offered.

Qualifications

• RN license must be active and unrestricted.
• 2+ years in health care including care management or LTSS settings.
• Bachelor's degree may be required depending on state/contract.
• Valid driver's license and reliable transportation for travel.

Responsibilities

• Complete comprehensive member assessments within regulated timelines and conduct home visits as needed.
• Coordinate waiver enrollment/disenrollment processes.
• Develop and implement care plans with members, caregivers, physicians, and networks.
• Monitor care plans; document interventions and goal achievement; adjust as needed.
• Promote integrated services (behavioral health, LTSS) to ensure continuity of care.
• Assess medical necessity; authorize waiver services; evaluate benefits.
• Facilitate ICT meetings for approvals/denials; educate and motivate members.
• Identify barriers and provide support addressing psycho/social, financial, and medical needs.
• May provide consultation to peers; care manager RNs may handle complex cases or med reconciliation.

Skills

RN license active

Care management experience

Communication skills

Microsoft Office proficiency

Driver's license

Education

Bachelor's degree in health care field

Job description

Molina Healthcare is seeking an RN care manager for a remote field-based role that requires travel in the greater Cook County area. You will support care coordination for members with LTSS, ensuring progress toward outcomes and integrating services across the care continuum.

Requires active RN license, 2+ years in health care/care management, and the ability to travel; bachelor's degree may be required in some states. Competitive benefits and flexible scheduling offered.