Remote Case Manager (Remote)

Job Title: Remote Case Manager

Location: Los Angeles County area (Remote with local travel)

Pay: $38-$42/hr + reimbursed expenses at $.67/mile

Full Benefit Package offered with Employee Contribution

Time Zone: Pacific Standard Time

Position Type: Full-time, Remote

Summary: The Remote Case Manager is responsible for health care management and coordination of Managed Care members in the LA/Long Beach area to achieve optimal clinical, financial, and quality of life outcomes. Working remotely, this position involves regular local travel to assisted living facilities, nursing homes, and members' homes for face-to-face visits. The Case Manager will collaborate with members to create and implement integrated care plans, monitor progress, and ensure consistent, cost-effective care in compliance with Molina policy and regulations.

Must-Have Requirements

• Bachelor's degree in related fields such as social work or health administration.
• Bilingual Preferred
  
  

Desired Work Hours: 8:30 AM – 5:00 PM

Responsibilities

• Conduct face-to-face visits with members in assisted living facilities, nursing homes, and homes to assess their healthcare needs.
• Set up appointments every 90 days or as needed to review and update care plans.
• Arrange transportation for members if needed.
• Identify gaps in care and healthcare needs, and access resources to address them.
• Assist caregivers with day-to-day stress and provide support.
• Coordinate transitions between healthcare settings, including hospital discharge planning.
• Assess eligibility for long-term care services and support.
• Connect members with community resources and social services programs.
• Arrange additional services as needed, such as physical therapy or meal delivery, in collaboration with primary care providers, family members, and other providers.