Field Care Navigator - LTSS & Care Coordination

Molina Healthcare; Elgin (IL); On-site; USD 35,000 - 68,000; Full time

Job summary

Molina Healthcare is seeking a care coordination specialist to support LTSS members through comprehensive assessments, plan development, and ongoing monitoring. You will collaborate with a multidisciplinary team to ensure high-need members receive integrated services and outcomes are tracked toward goals.

The role requires experience in care management, waiver processes, and the ability to travel regionally (25–40%).

Qualifications

• At least 2 years of health care experience with LTSS or related settings.
• Experience with care management and coordinate services across teams.
• Knowledge of waiver enrollment/disenrollment processes where applicable.
• Strong communication skills and ability to work independently.
• Willingness to travel 25–40% as required by state contracts.

Responsibilities

• Completes comprehensive member assessments within regulatory timelines, including home visits.
• Facilitates waiver enrollment/disenrollment and develops care plans with care teams.
• Monitors care plans, documents interventions and adjusts goals as needed.
• Promotes integrated services across behavioral health and LTSS for continuity.
• Assesses medical necessity and authorizes waiver services; reviews benefits and funding.
• Leads ICT meetings for approval/denial and coordinates with providers.
• Educates and motivates members using motivational interviewing and clinical guides.
• Identifies barriers and coordinates care to address psycho/social and financial needs.
• Coordinate with licensed managers and leadership; manage travel as required.

Skills

Health care experience

Care management

LTSS knowledge

Communication skills

Travel ability

Education

Bachelor's degree in health care field

Tools

Microsoft Office

Online portals

Databases

Job description

Molina Healthcare is seeking a care coordination specialist to support LTSS members through comprehensive assessments, plan development, and ongoing monitoring. You will collaborate with a multidisciplinary team to ensure high-need members receive integrated services and outcomes are tracked toward goals.

The role requires experience in care management, waiver processes, and the ability to travel regionally (25–40%).